CAJ | 학술논문

目的：探讨社会支持评定量表在迷走性晕厥（VVS）患者使用的价值。方法：采用肖水源编制的“社会支持评定量表（SSRS）”，对门诊或住院患者中的200例VVS患者进行调查，在我院体检中心抽取100名正常人作为对照（正常对照组）。结果：迷走性晕厥患者社会支持各项得分及总分均显著低于正常人[（33.50±8.64）分比（37.22±9.15）分]（P＜0.05或＜0.01）；与男性患者相比，女性患者在主观支持[（17.63±6.72）分比（18.62±7.56）分]、支持利用度[（7.51±2.26）分比（8.92±2.82）分]及总体社会支持[（34.32±10.61）分比（36.79±7.86）分]方面得分显著增加，但客观支持[（9.28±4.15）分比（8.37±3.49）分]得分显著减少（P＜0.05或＜0.01）；与中老年组比较，青年组患者的主观支持[（17.08±6.34）分比（19.51±6.73）分]及总体社会支持[（33.18±10.74）分比（36.87±8.73）分]方面显著增加，但支持利用度[（8.47±2.60）分比（7.53±1.95）分]显著减少（P＜0.05或＜0.01）。结论：社会支持评估有助于迷走性晕厥患者的个体化诊疗，提高其生活质量。
목적：탐토사회지지평정량표재미주성훈궐（VVS）환자사용적개치。방법：채용초수원편제적“사회지지평정량표（SSRS）”，대문진혹주원환자중적200례VVS환자진행조사，재아원체검중심추취100명정상인작위대조（정상대조조）。결과：미주성훈궐환자사회지지각항득분급총분균현저저우정상인[（33.50±8.64）분비（37.22±9.15）분]（P＜0.05혹＜0.01）；여남성환자상비，녀성환자재주관지지[（17.63±6.72）분비（18.62±7.56）분]、지지이용도[（7.51±2.26）분비（8.92±2.82）분]급총체사회지지[（34.32±10.61）분비（36.79±7.86）분]방면득분현저증가，단객관지지[（9.28±4.15）분비（8.37±3.49）분]득분현저감소（P＜0.05혹＜0.01）；여중노년조비교，청년조환자적주관지지[（17.08±6.34）분비（19.51±6.73）분]급총체사회지지[（33.18±10.74）분비（36.87±8.73）분]방면현저증가，단지지이용도[（8.47±2.60）분비（7.53±1.95）분]현저감소（P＜0.05혹＜0.01）。결론：사회지지평고유조우미주성훈궐환자적개체화진료，제고기생활질량。
Objective:To explore the value of social support rating scale using in patients with vasovagal syncope (VVS) .Methods:Social support rating scale (SSRS) established by XIAO Shui-yuan was used .A total of 200 VVS patients were collected from inpatients and outpatients and they received social support status investigation ,another 100 normal people were collected from our physical examination center were regarded as control (normal control group) .Results:Compared with normal control group ,there were significant reductions in scores of each item and total score of social support [ (37.22 ± 9.15) scores vs .(33.50 ± 8.64) scores] in VVS group ,P<0.05 or <0.01 ;compared with male patients ,there were significant rise in scores of subjective support [ (17.63 ± 6.72) scores vs . (18.62 ± 7.56) scores] ,utilization of support [ (7.51 ± 2.26) scores vs .(8.92 ± 2.82) scores] and total social sup-port [(34.32 ± 10.61) scores vs .(36.79 ± 7.86) scores] ,and significant reduction in objective support score [(9.28 ± 4.15) scores vs .(8.37 ± 3.49) scores] in female patients , P<0.05 or <0.01;compared with middle-aged and aged group ,there were significant rise in scores of subjective support [ (17.08 ± 6.34) scores vs .(19.51 ± 6.73) scores] and total social support [(33.18 ± 10.74) scores vs .(36.87 ± 8.73) scores] ,and significant reduction in uti-lization of support score [ (8.47 ± 2.60) scores vs .(7.53 ± 1.95) scores] in young group ,P<0.05 or <0.01. Con-clusion:Social support assessment is help to perform individualized diagnosis and therapy for patients with vasovagal syncope ,and help to improve their quality of life .