CAJ | 학술논문

目的探讨老年人情绪表达不良与心身状况的相关问题和心理护理方法.方法采用多伦多述情障碍量表(TAS-26)和临床症状自评量表(SCL-90)对130例老年患者进行调查,了解其述情障碍情况,并与全国常模比较,提出干预方法.结果述情障碍的老年患者心理健康水平低于全国常模,TAS-26的总分为(72.68±8.99)分,缺乏描述情感的能力因子为(16.34±3.66)分和缺乏认识、区别情绪和躯体感受的能力因子为(19.29 ±4.56)分,均与心身问题呈正相关(r值为0.211～0.384,P＜0.01),缺乏幻想因子为(18.96±4.25)分,与抑郁和恐怖呈负相关(r值分别为-0.177,-0.189,P＜0.05),外向性思维因子为(18.43±4.35)分,与强迫、焦虑和精神病性呈正相关(r值分别为0.174,0.175,0.182,P＜0.05).结论患有述情障碍的老年人心身健康水平明显偏低,与SCL-90某些因子存在特有的相关性,提示应作为生命早期心理干预的关注重点.
목적 탐토노년인정서표체불량여심신상황적상관문제화심리호리방법.방법 채용다륜다술정장애량표(TAS-26)화림상증상자평량표(SCL-90)대130례노년환자진행조사,료해기술정장애정황,병여전국상모비교,제출간예방법.결과 술정장애적노년환자심리건강수평저우전국상모,TAS-26적총분위(72.68±8.99)분,결핍묘술정감적능력인자위(16.34±3.66)분화결핍인식、구별정서화구체감수적능력인자위(19.29 ±4.56)분,균여심신문제정정상관(r치위0.211～0.384,P＜0.01),결핍환상인자위(18.96±4.25)분,여억욱화공포정부상관(r치분별위-0.177,-0.189,P＜0.05),외향성사유인자위(18.43±4.35)분,여강박、초필화정신병성정정상관(r치분별위0.174,0.175,0.182,P＜0.05).결론 환유술정장애적노년인심신건강수평명현편저,여SCL-90모사인자존재특유적상관성,제시응작위생명조기심리간예적관주중점.
Objective To explore the nursing research and correlates between alexithymia and psychosomatic status among elderly.Methods Totals of 130 elderly people were surveyed with Toronto Alexithymia Scale (TAS-26) and Symptom Checklist 90 (SCL-90).The results were compared with national norm.Results The psychology health level of elderly was significantly lower than that of national norm (P ＜0.01).Total average(72.68 ±-8.99)of TAS-26,Factor Ⅰ-lacking of the ability of describe emotion(16.34 ±3.66) and Factor Ⅱ-lacking of understanding and making the difference between emotional and physical ability (19.29 ± 4.56) were found positively related with psychosomatic diseases(r =0.211 ～0.384,P ＜ 0.01),Factor Ⅲ-lacking of fantasy (18.96 ± 4.25) was negatively related with depression and horror/ dread (r =-0.177,-0.189,respectively; P ＜ 0.05),Factor Ⅳ-externally oriented thinking (18.43 ± 4.35) was positively related with obsessive,anxiety and psychosis (r =0.174,0.175,0.182,respectively; P ＜ 0.05).Conclusions The psychological health level of elderly person is lower,it is a key point of psychological intervention at early stage of life,for it relates with SCL-90 factors.