国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2009年
5期
591-594
,共4页
抑郁%焦虑%抑郁和焦虑障碍共病%心理社会因素%护理对策
抑鬱%焦慮%抑鬱和焦慮障礙共病%心理社會因素%護理對策
억욱%초필%억욱화초필장애공병%심리사회인소%호리대책
Comorbidity of anxiety and depression%Major depression%Anxiety disorder%Psyehesocial factor%Nursing strategy
目的 探讨焦虑、抑郁和焦虑抑郁障碍共病的相关因素,阐明心理社会因素对焦虑、抑郁和焦虑抑郁障碍共病的影响,旨在寻求有效的护理对策,对患者实施早期心理干预,改善患者的心理状态,提高患者的生存质量.方法 利用生活事件量表(LES)、社会支持评定量表(SSRS)、家庭环境量表中文版(FES-CV)、艾森克个性问卷(EPQ)、防御方式问卷(DSQ)对57名患者进行调查评定,部分指标与国内常模或正常对照组比较.结果 (1)抑郁、焦虑、共病组负性生活事件频度及生活事件总频度得分均高于正常对照组,有统计学意义(P<0.05);而3组患者之间负性生活事件得分比较无显著差异(P>0.05);(2)共病组、抑郁组、焦虑组社会支持分均显著高于正常对照组(P<0.05);共病组社会支持分显著高于抑郁组,而与焦虑组无显著差别;(3)共病组存在家庭功能缺陷,但显著较抑郁组和焦虑组为轻;(4)抑郁组、焦虑组和共病组神经质得分均显著高于正常对照组(P<0.05),而3组之间的EPQ各因子分比较无统计学意义;(5)DSQ结果示,3组患者不成熟防御机制和中间型防御机制得分显著高于正常对照组(P<0.05);抑郁组成熟防御机制均分低于共病组、焦虑组和正常组(P<0.05).结论 抑郁、焦虑和焦虑抑郁共病有着很多相似之处,都与心理社会因素有着密切的相关性,但又有各自的临床特点和表现形式,应针对其特点,有的放矢,实施合理有效的护理措施.
目的 探討焦慮、抑鬱和焦慮抑鬱障礙共病的相關因素,闡明心理社會因素對焦慮、抑鬱和焦慮抑鬱障礙共病的影響,旨在尋求有效的護理對策,對患者實施早期心理榦預,改善患者的心理狀態,提高患者的生存質量.方法 利用生活事件量錶(LES)、社會支持評定量錶(SSRS)、傢庭環境量錶中文版(FES-CV)、艾森剋箇性問捲(EPQ)、防禦方式問捲(DSQ)對57名患者進行調查評定,部分指標與國內常模或正常對照組比較.結果 (1)抑鬱、焦慮、共病組負性生活事件頻度及生活事件總頻度得分均高于正常對照組,有統計學意義(P<0.05);而3組患者之間負性生活事件得分比較無顯著差異(P>0.05);(2)共病組、抑鬱組、焦慮組社會支持分均顯著高于正常對照組(P<0.05);共病組社會支持分顯著高于抑鬱組,而與焦慮組無顯著差彆;(3)共病組存在傢庭功能缺陷,但顯著較抑鬱組和焦慮組為輕;(4)抑鬱組、焦慮組和共病組神經質得分均顯著高于正常對照組(P<0.05),而3組之間的EPQ各因子分比較無統計學意義;(5)DSQ結果示,3組患者不成熟防禦機製和中間型防禦機製得分顯著高于正常對照組(P<0.05);抑鬱組成熟防禦機製均分低于共病組、焦慮組和正常組(P<0.05).結論 抑鬱、焦慮和焦慮抑鬱共病有著很多相似之處,都與心理社會因素有著密切的相關性,但又有各自的臨床特點和錶現形式,應針對其特點,有的放矢,實施閤理有效的護理措施.
목적 탐토초필、억욱화초필억욱장애공병적상관인소,천명심리사회인소대초필、억욱화초필억욱장애공병적영향,지재심구유효적호리대책,대환자실시조기심리간예,개선환자적심리상태,제고환자적생존질량.방법 이용생활사건량표(LES)、사회지지평정량표(SSRS)、가정배경량표중문판(FES-CV)、애삼극개성문권(EPQ)、방어방식문권(DSQ)대57명환자진행조사평정,부분지표여국내상모혹정상대조조비교.결과 (1)억욱、초필、공병조부성생활사건빈도급생활사건총빈도득분균고우정상대조조,유통계학의의(P<0.05);이3조환자지간부성생활사건득분비교무현저차이(P>0.05);(2)공병조、억욱조、초필조사회지지분균현저고우정상대조조(P<0.05);공병조사회지지분현저고우억욱조,이여초필조무현저차별;(3)공병조존재가정공능결함,단현저교억욱조화초필조위경;(4)억욱조、초필조화공병조신경질득분균현저고우정상대조조(P<0.05),이3조지간적EPQ각인자분비교무통계학의의;(5)DSQ결과시,3조환자불성숙방어궤제화중간형방어궤제득분현저고우정상대조조(P<0.05);억욱조성숙방어궤제균분저우공병조、초필조화정상조(P<0.05).결론 억욱、초필화초필억욱공병유착흔다상사지처,도여심리사회인소유착밀절적상관성,단우유각자적림상특점화표현형식,응침대기특점,유적방시,실시합리유효적호리조시.
Objective To explore the correlation factors of depression, anxiety disorder and comorbidity of anxiety and depression (CAD), to elucidate the influence of psychosocial factor upon CAD, depression and anxiety disorder, and to find the actively valid nursing measures, which carry out the earlier period mental intervention to the patients and improve the patients'mental symptoms, raise the patlents'existence quality. Methods 57 patients were interviewed in semi - structured manner with LES, SSRS, FES - CV, EPQ, DSQ, and some of these indexes of patients were compared with norms or those of normal control group. Results (1) The negative life scores of three groups were higher than those of normal control group;there were no significant differences in negative llfe event among three groups. (2) The social support scores of three groups were sigaificantly higher than those of normal control group;the social support score of CAD group was higher than that of depression group, but was no significantly different with anxiety group. (3) CAD group had family function deficits, but was less severe than that in depression group and anxiety group. (4) The N factor scores (EPQ) of three groups were significantly higher than those of norm;but there was no statistical significances among three groups in each factor of EPQ scores. (5) The immature defence mechanisms score and intermediate type defence mechanisms score of depression group, anxiety group and CAD group were significantly higher than norm. Compared with CAD group, anxiety group and norm, depression group had significantly lower scores for mature defence mechanisms. Conclusions CAD, ' pure' major depression and ' pure' anxiety disorder have lots of likeness, but each one has its own clinical characteristics and manifestations. Each patient should be given different nursing.
