广州医药
廣州醫藥
엄주의약
GUANGZHOU MEDICAL JOURNAL
2014年
5期
36-39
,共4页
钟欣%何淑蓉%张亚萍%杨凤池%吴系美%翁其彪
鐘訢%何淑蓉%張亞萍%楊鳳池%吳繫美%翁其彪
종흔%하숙용%장아평%양봉지%오계미%옹기표
系统性红斑狼疮%父母教养方式%家庭功能%防御方式%幸福感指数%狼疮活动指数
繫統性紅斑狼瘡%父母教養方式%傢庭功能%防禦方式%倖福感指數%狼瘡活動指數
계통성홍반랑창%부모교양방식%가정공능%방어방식%행복감지수%랑창활동지수
SLE%EMBU%FAD%DSQ%Index of Well-Being%SLEDAI
目的:了解影响系统性红斑狼疮患者幸福感指数的影响因素,并探讨心理治疗模式。方法采用父母教养方式量表、家庭功能评定量表、防御方式问卷、幸福指数量表及狼疮活动指数量表,对2012年6月1日-2013年5月31日就诊于东莞康华医院内分泌及风湿免疫中心的46名15~58岁的系统性红斑狼疮患者进行问卷调查。采用多元逐步回归对幸福感指数进行因素分析。结果幸福感指数总分与解除机制(t =3.015,P =0.005<0.05)呈正相关,与躯体化机制(t =-2.815,P =0.008<0.05)呈负相关;与幻想机制(t =1.804,P =0.079<0.1)呈正相关。结论系统性红斑狼疮患者人群解除、躯体化、幻想机制对狼疮患者的幸福感指数有着重要的作用;针对这些影响因素的干预方式有个体心理治疗、家庭心理治疗、团体心理治疗和婚恋家庭取向的心理治疗。
目的:瞭解影響繫統性紅斑狼瘡患者倖福感指數的影響因素,併探討心理治療模式。方法採用父母教養方式量錶、傢庭功能評定量錶、防禦方式問捲、倖福指數量錶及狼瘡活動指數量錶,對2012年6月1日-2013年5月31日就診于東莞康華醫院內分泌及風濕免疫中心的46名15~58歲的繫統性紅斑狼瘡患者進行問捲調查。採用多元逐步迴歸對倖福感指數進行因素分析。結果倖福感指數總分與解除機製(t =3.015,P =0.005<0.05)呈正相關,與軀體化機製(t =-2.815,P =0.008<0.05)呈負相關;與幻想機製(t =1.804,P =0.079<0.1)呈正相關。結論繫統性紅斑狼瘡患者人群解除、軀體化、幻想機製對狼瘡患者的倖福感指數有著重要的作用;針對這些影響因素的榦預方式有箇體心理治療、傢庭心理治療、糰體心理治療和婚戀傢庭取嚮的心理治療。
목적:료해영향계통성홍반랑창환자행복감지수적영향인소,병탐토심리치료모식。방법채용부모교양방식량표、가정공능평정량표、방어방식문권、행복지수량표급랑창활동지수량표,대2012년6월1일-2013년5월31일취진우동완강화의원내분비급풍습면역중심적46명15~58세적계통성홍반랑창환자진행문권조사。채용다원축보회귀대행복감지수진행인소분석。결과행복감지수총분여해제궤제(t =3.015,P =0.005<0.05)정정상관,여구체화궤제(t =-2.815,P =0.008<0.05)정부상관;여환상궤제(t =1.804,P =0.079<0.1)정정상관。결론계통성홍반랑창환자인군해제、구체화、환상궤제대랑창환자적행복감지수유착중요적작용;침대저사영향인소적간예방식유개체심리치료、가정심리치료、단체심리치료화혼련가정취향적심리치료。
Objective To study the influential factors for Index of Well-Being of SLE patients and its psychotherapy pattern. Methods A total of 46 SLE patients,aged between 1 5 and 58,who were treated in out-patient of Endocrine Immune Rheumatism Center of Dongguan KangHua Hospital from June 1 ,201 2 to May 31 ,201 3.These patients were investigated with questionnaires of Egma Minnen av Bardndosnauppforstran,Family Assessment Device,Defense Styles questionnaire,Index of Well-Being,Index of General Affect,and Systemic Lupus Erythematosus Disease Activity Index.The results were analyzed with multiple stepwise regression analysis to study the influential factors for Index of Well-Being of SLE patients. Results Index of Well-Being had positive relation with Undoing,had negative relation with Somatization,and had positive relation with Fantasy. Conclusion Undoing,somatization and fantasy play very important roles in SLE patients'Index of Well-Being;we could treat those influential factors with individuality psychotherapy,family psychotherapy,group psychotherapy,or marital family-based psychotherapy.