系统性红斑狼疮患者心理干预的研究

目的调查系统性红斑狼疮（SLE）患者心理干预前后的心理状况.方法 67例SLE患者分别于心理干预前后填写症状自评量表（SCL-90）及自制的SLE患者心理影响因素调查表.结果 SLE患者心理千预前与中国常模比较,SCL-90阳性项目数、阳性均分及各种因子均高于中国常模.躯体化、强迫、人际关系、抑郁、焦虑、恐怖、精神病性7种因子与中国常模相比,有非常显著性差异;敌对、偏执与中国常模相比,有显著性差异.而干预后再次测评结果显示：SCL-90各项评分均有下降,干预前后两组相比,总均分,阳性项目数,躯体化、强迫、抑郁、焦虑、恐怖7项有显著性差异,睡眠及饮食情况也明显改善.提示心理干预对改善患者紧张、焦虑、忧郁等不良情绪有明显疗效.结论 SLE患者心理健康状况普遍较差,而心理干预后,可明显改善患者的心理状况,提高患者的生活质量.

Psychological Intervention in Patients with Systemic Lupus Erythematosus

Objectives To investigate the psychological conditions of the patients with systemic lupus erythematosus(SLE) before and after intervention. Methods Analyze Self-symptoms and the factors affected psycholog y in patients with SLE by filling in forms SCL-90 and psychologically influenti al factors in 67 patients before and after psychological treatment. Resu lts Compared with the Chinese Routine Model (CRM), the number of positive items, positive average scores and various of factors of SLE patients were high er before psychological intervention treatment. There was significant difference between patients with SLE and CRM in 7 factors (somatization, compulsion, human relationship, depression, anxity, panic, psychosis). There was also difference in enmity and partiality. The results of assessment indicated that the rating sc ores of SCL-90 decreased after intervention. There was signficant difference bet ween the two groups in the total average scores, positive items, somatization, c ompulsion, depression, anxity, panic before and after intervention. There were b etter improvement in sleep and diet. Psychological intervention had obvious ther apeutic effects on the unhealthful mood of nervouness, depression and anxiety et c. Conclusion The conditions of psychological health in SLE patie nts were worse than nomal. The psychological state and living quality in SLE pat ients were greatly improved after psychological intervention treatments.