中国临床康复
中國臨床康複
중국림상강복
CHINESE JOURNAL OF CLINICAL REHABILITATION
2005年
8期
222-225
,共4页
汪卫东%伍昱%赵阳%张丽娜%赵军%刘晓清%吕文良%杨荷蓉
汪衛東%伍昱%趙暘%張麗娜%趙軍%劉曉清%呂文良%楊荷蓉
왕위동%오욱%조양%장려나%조군%류효청%려문량%양하용
肺炎,病毒性/心理学%精神病状态评定量表%因素分析,统计学
肺炎,病毒性/心理學%精神病狀態評定量錶%因素分析,統計學
폐염,병독성/심이학%정신병상태평정량표%인소분석,통계학
背景:传染性非典型性肺炎(severe acute respiratory syndrome,SARS)作为一种应激源,给人们带来了较大的心理压力.在这场危机中,SARS患者更是处于高度的心理应激状态.心理学、病原学等与SARS的发病的相关关系仍处于研究探索阶段.心理因素在SARS病程中的作用如何呢?目的:了解SARS恢复期患者的心理状态,为解决这些患者的心理问题提供依据.设计:以患者为研究对象的抽样调查.单位:中国中医研究院广安门医院气功康复科.对象:2003-04/06北京老年病医院三病区以及其他病区的部分恢复期SARS患者(病情得到控制,趋向好转).干预:采用症状自评量表(SCL-90)和特质应对问卷(TCSQ)对恢复期SARS患者进行心理评定.主要观察指标:①SARS恢复期患者的心理状态.②不同性别、年龄、文化程度SARS恢复期患者SCL-90评定差异.结果:①SARS恢复期患者的躯体化症状明显高于常模(P＜0.05),而强迫、人际关系敏感、敌对和偏执因子都要明显地低于常模(P＜0.05).②女性SARS患者躯体化和焦虑水平明显高于常模,而人际关系敏感和偏执水平较常模低.男性患者除躯体化和精神病性以外其他因子分都显著低于男性常模.男性SARS患者在SCL-90总分、躯体化症状、焦虑和恐怖得分低于女性,差异均有显著性意义.③从各年龄组的因子分来看,老年组(50～60岁)的各因子分都低于其他年龄组,而30～40岁年龄组的患者焦虑和躯体化症状因子明显高于其他年龄组,提示此年龄组的患者在这两方面的问题要多于其他年龄组患者.④文化程度组(大专文化程度及以上)除躯体化症状和焦虑因子外,其他所有因子得分均低于低文化程度组(高中文化程度及以下),差异均有显著性.⑤在日常生活中以消极应对方式为主的SARS患者在SCL-90所有因子上的得分都要明显的高于以积极应对方式为主的SARS患者.结论:总体上SARS恢复期患者的心理状态无明显异常,但女性患者的焦虑水平明显升高,而且受教育水平低的患者以及日常以消极应对方式为主的患者心理状态与其他患者有明显差异.
揹景:傳染性非典型性肺炎(severe acute respiratory syndrome,SARS)作為一種應激源,給人們帶來瞭較大的心理壓力.在這場危機中,SARS患者更是處于高度的心理應激狀態.心理學、病原學等與SARS的髮病的相關關繫仍處于研究探索階段.心理因素在SARS病程中的作用如何呢?目的:瞭解SARS恢複期患者的心理狀態,為解決這些患者的心理問題提供依據.設計:以患者為研究對象的抽樣調查.單位:中國中醫研究院廣安門醫院氣功康複科.對象:2003-04/06北京老年病醫院三病區以及其他病區的部分恢複期SARS患者(病情得到控製,趨嚮好轉).榦預:採用癥狀自評量錶(SCL-90)和特質應對問捲(TCSQ)對恢複期SARS患者進行心理評定.主要觀察指標:①SARS恢複期患者的心理狀態.②不同性彆、年齡、文化程度SARS恢複期患者SCL-90評定差異.結果:①SARS恢複期患者的軀體化癥狀明顯高于常模(P＜0.05),而彊迫、人際關繫敏感、敵對和偏執因子都要明顯地低于常模(P＜0.05).②女性SARS患者軀體化和焦慮水平明顯高于常模,而人際關繫敏感和偏執水平較常模低.男性患者除軀體化和精神病性以外其他因子分都顯著低于男性常模.男性SARS患者在SCL-90總分、軀體化癥狀、焦慮和恐怖得分低于女性,差異均有顯著性意義.③從各年齡組的因子分來看,老年組(50～60歲)的各因子分都低于其他年齡組,而30～40歲年齡組的患者焦慮和軀體化癥狀因子明顯高于其他年齡組,提示此年齡組的患者在這兩方麵的問題要多于其他年齡組患者.④文化程度組(大專文化程度及以上)除軀體化癥狀和焦慮因子外,其他所有因子得分均低于低文化程度組(高中文化程度及以下),差異均有顯著性.⑤在日常生活中以消極應對方式為主的SARS患者在SCL-90所有因子上的得分都要明顯的高于以積極應對方式為主的SARS患者.結論:總體上SARS恢複期患者的心理狀態無明顯異常,但女性患者的焦慮水平明顯升高,而且受教育水平低的患者以及日常以消極應對方式為主的患者心理狀態與其他患者有明顯差異.
배경:전염성비전형성폐염(severe acute respiratory syndrome,SARS)작위일충응격원,급인문대래료교대적심리압력.재저장위궤중,SARS환자경시처우고도적심리응격상태.심이학、병원학등여SARS적발병적상관관계잉처우연구탐색계단.심리인소재SARS병정중적작용여하니?목적:료해SARS회복기환자적심리상태,위해결저사환자적심리문제제공의거.설계:이환자위연구대상적추양조사.단위:중국중의연구원엄안문의원기공강복과.대상:2003-04/06북경노년병의원삼병구이급기타병구적부분회복기SARS환자(병정득도공제,추향호전).간예:채용증상자평량표(SCL-90)화특질응대문권(TCSQ)대회복기SARS환자진행심리평정.주요관찰지표:①SARS회복기환자적심리상태.②불동성별、년령、문화정도SARS회복기환자SCL-90평정차이.결과:①SARS회복기환자적구체화증상명현고우상모(P＜0.05),이강박、인제관계민감、활대화편집인자도요명현지저우상모(P＜0.05).②녀성SARS환자구체화화초필수평명현고우상모,이인제관계민감화편집수평교상모저.남성환자제구체화화정신병성이외기타인자분도현저저우남성상모.남성SARS환자재SCL-90총분、구체화증상、초필화공포득분저우녀성,차이균유현저성의의.③종각년령조적인자분래간,노년조(50～60세)적각인자분도저우기타년령조,이30～40세년령조적환자초필화구체화증상인자명현고우기타년령조,제시차년령조적환자재저량방면적문제요다우기타년령조환자.④문화정도조(대전문화정도급이상)제구체화증상화초필인자외,기타소유인자득분균저우저문화정도조(고중문화정도급이하),차이균유현저성.⑤재일상생활중이소겁응대방식위주적SARS환자재SCL-90소유인자상적득분도요명현적고우이적겁응대방식위주적SARS환자.결론:총체상SARS회복기환자적심리상태무명현이상,단녀성환자적초필수평명현승고,이차수교육수평저적환자이급일상이소겁응대방식위주적환자심리상태여기타환자유명현차이.
BACKGROUND: As a stressor, severe acute respiratory syndrome (SARS)caused great psychological pressure during its outbreak in 2003 and SARSpatients suffered a sustained psychological stress. Investigation of the correlation of SARS onset with its psychology and etiology is now ongoing and the roles that the psychological factors might play in the disease course of SARS remain undefined.OBJECTIVE: To study the psychological status of SARS patients in the recovery stage so as to provide evidence to assist the resolution of their psychological problems.DESIGN: A sampling survey based on SARS patients.SETTING: Department of Rehabilitation with Breathing Exercise, Guang'anmen Hospital, China Academy of Traditional Chinese Medicine.PARTICIPANTS: SARS patients in the recovery stage, whose conditions were controlled and showed signs of improvement, were selected from the Third Disease Department and other departments, Beijing Geriatrics Hospital between April and June in 2003.INTERVENTIONS: Psychological status of SARS patients in the recovery stage was assessed with Symptom Check List (SCL-90) and Trait Coping Style Questionnaire (TCSQ).MAIN OUTCOME MEASURES:①Psychological statrs of SARS patients in the recovery stage;②differences of SCL-90 scores of SARS patients in the recovery stage in relation to sexes ,ages and education.RESULTS:①The somatization symptom scores of SARS patients in recovery stage in relation to sexes, ages and education.ery stage were significantly higher than norm( P ＜ 0.05), but those for compulsion, personal relationship, hostility and paranoia were significantly( P ＜ 0.05)②The somatization and anxiety scores of female patients were significantly higher than the female norm. Except somatization and psychoticism, the other factors of male patients had lower scores than norm. Moreover, the scores of SCL-90, somatization, anxiety and phobia in male SARS patients were significantly lower than those in female patients.③All factors in the aged group(50-60) scored less than those in other age groups, but scores for anxiety and somatization in patients between 30 -40years of age were obviously higher than those in other age groups, suggesting greater inpact of these two factors in these age group.④Patients receiving higher education had significantly lower scores for all factors except for somatization and anxiety than those with lower education.⑤Patients who used negative coping style had higher scores for all factors in SCL-90 than those who used positive coping style.CONCLUSION: The psychological status of SARS patients in the recovery stage are basically normal, but the anxiety of the female patients can be increased obviously, and the patients with lower education and those who use negative coping style have significant different psychology from other patients.
