CAJ | 학술논문

目的：探讨职业病患者心理健康相关因素与心理支持、应对方式的相关性，为提供系统的干预对策提供科学依据。方法应用症状自评量表（SCL-90）、社会支持评定量表（SSRS）、应对方式问卷（CSQ）等对本院已确诊的87例职业病患者进行调查分析。结果职业病患者心理健康状况差，SCL-90各因子得分均高于全国常模，差异有统计学意义（P＜0．01）；获得的社会支持各因子均明显低于国内常模，差异有统计学意义（ P＜0．01）；职业病患者社会支持总分和客观支持、支持利用度因子与SCL-90总分及部分因子分呈负相关（ P＜0．05）；SCL-90部分因子得分与CSQ部分因子呈正相关或负相关（ P＜0．05），但与总体的成熟型或不成熟型应对方式无相关性；解决问题和成熟型的应对方式与主观支持和SSRS总分呈正相关（ P＜0．05）。结论在临床医疗实践中应给予职业病患者更多的社会支持与关心，帮助其调节心理状态、提高应对方式及维护身心健康。
목적：탐토직업병환자심리건강상관인소여심리지지、응대방식적상관성，위제공계통적간예대책제공과학의거。방법응용증상자평량표（SCL-90）、사회지지평정량표（SSRS）、응대방식문권（CSQ）등대본원이학진적87례직업병환자진행조사분석。결과직업병환자심리건강상황차，SCL-90각인자득분균고우전국상모，차이유통계학의의（P＜0．01）；획득적사회지지각인자균명현저우국내상모，차이유통계학의의（ P＜0．01）；직업병환자사회지지총분화객관지지、지지이용도인자여SCL-90총분급부분인자분정부상관（ P＜0．05）；SCL-90부분인자득분여CSQ부분인자정정상관혹부상관（ P＜0．05），단여총체적성숙형혹불성숙형응대방식무상관성；해결문제화성숙형적응대방식여주관지지화SSRS총분정정상관（ P＜0．05）。결론재림상의료실천중응급여직업병환자경다적사회지지여관심，방조기조절심리상태、제고응대방식급유호신심건강。
Objective To explore the related factors on the mental health and the correlation between mental health status and social support and coping style in patients with occupational diseases in order to provide the scientific basis for making appropriate countermeasures to system intervention .Methods Eighty-seven patients with occupation diseases in our hospital were surveyed by the symptom checklist 90 ( SCL-90 ) , social support rating scale (SSRS), coping style questionnaire (CSQ).Results The mental health status of patients with occupational diseases was poor , and the scores of all factors on SCL-90 in patients were higher than the national norm, and the difference was statistically significant (P<0.01).The scores of all factors on social support in patients were significantly lower than the national norm , and the difference was statistically significant (P<0.01).The scores of total SSRS, the factors on objective support and support utilization had negative correlation with the scores of total SCL-90 and the part factors in patients (P<0.05).The scores of the part factors on SCL-90 had positive or negative correlation with the scores of the part factors on CSQ (P<0.05), but had not relation with the mature or immature coping style in patients .The scores of problem solving and mature coping style had positive correlation with the scores of subjective support and the total SSRS in patients ( P<0.05).Conclusions The patients with occupation diseases should be given more social support and care in clinical practice , and we should help them adjust mental status and improve the coping style and maintenance of physical and mental health .