中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2015年
24期
90-93
,共4页
魏忠梅%段永暖%王欣%宋晓彤
魏忠梅%段永暖%王訢%宋曉彤
위충매%단영난%왕흔%송효동
心理健康%社会支持%住院患者%症状自评量表
心理健康%社會支持%住院患者%癥狀自評量錶
심리건강%사회지지%주원환자%증상자평량표
Mental health%Social support%Hospitalized patients%Symptom checklist scale
目的：调查神经外科住院患者心理健康状况与社会支持,并对二者的相关性进行分析。方法选取2013年9月~2014年9月在河北医科大学第二医院神经外科进行治疗的50例住院患者作为观察组,并选取2012年6月~2013年6月在河北医科大学第二医院进行健康体检者50名作为对照组,采用症状自评量表(SCL-90)和社会支持评定量表对患者和健康体检者进行评估,对所得数据采用SPSS 15.0统计学软件进行处理。结果①两组调查对象的SCL-90评分结果：除妄想、精神病性评分比较差异无统计学意义(t=0.53、0.71,均P>0.05)外,其他各项目因子(躯体化、强迫、人际敏感、抑郁、焦虑、敌对、恐怖)比较,差异均有高度统计学意义(t=9.87、5.74、4.56、4.48、4.88、4.21、6.69,均P<0.01)。②观察组社会支持各项因子主观支持、客观支持、支持利用度及总分与对照组比较,差异均有高度统计学意义(t=8.36、8.39、4.27、11.84,均P<0.01)。③社会支持与SCL-90各症状因子及总均分的相关性分析结果显示,人际敏感、抑郁、焦虑、敌对、恐怖及总均分与社会支持各项目呈负相关(P<0.05)。结论住院患者心理健康水低于健康体检者,与住院患者的社会支持程度较低有关。临床医护人员应加强对住院患者心理健康状况及社会支持的关注。
目的：調查神經外科住院患者心理健康狀況與社會支持,併對二者的相關性進行分析。方法選取2013年9月~2014年9月在河北醫科大學第二醫院神經外科進行治療的50例住院患者作為觀察組,併選取2012年6月~2013年6月在河北醫科大學第二醫院進行健康體檢者50名作為對照組,採用癥狀自評量錶(SCL-90)和社會支持評定量錶對患者和健康體檢者進行評估,對所得數據採用SPSS 15.0統計學軟件進行處理。結果①兩組調查對象的SCL-90評分結果：除妄想、精神病性評分比較差異無統計學意義(t=0.53、0.71,均P>0.05)外,其他各項目因子(軀體化、彊迫、人際敏感、抑鬱、焦慮、敵對、恐怖)比較,差異均有高度統計學意義(t=9.87、5.74、4.56、4.48、4.88、4.21、6.69,均P<0.01)。②觀察組社會支持各項因子主觀支持、客觀支持、支持利用度及總分與對照組比較,差異均有高度統計學意義(t=8.36、8.39、4.27、11.84,均P<0.01)。③社會支持與SCL-90各癥狀因子及總均分的相關性分析結果顯示,人際敏感、抑鬱、焦慮、敵對、恐怖及總均分與社會支持各項目呈負相關(P<0.05)。結論住院患者心理健康水低于健康體檢者,與住院患者的社會支持程度較低有關。臨床醫護人員應加彊對住院患者心理健康狀況及社會支持的關註。
목적：조사신경외과주원환자심리건강상황여사회지지,병대이자적상관성진행분석。방법선취2013년9월~2014년9월재하북의과대학제이의원신경외과진행치료적50례주원환자작위관찰조,병선취2012년6월~2013년6월재하북의과대학제이의원진행건강체검자50명작위대조조,채용증상자평량표(SCL-90)화사회지지평정량표대환자화건강체검자진행평고,대소득수거채용SPSS 15.0통계학연건진행처리。결과①량조조사대상적SCL-90평분결과：제망상、정신병성평분비교차이무통계학의의(t=0.53、0.71,균P>0.05)외,기타각항목인자(구체화、강박、인제민감、억욱、초필、활대、공포)비교,차이균유고도통계학의의(t=9.87、5.74、4.56、4.48、4.88、4.21、6.69,균P<0.01)。②관찰조사회지지각항인자주관지지、객관지지、지지이용도급총분여대조조비교,차이균유고도통계학의의(t=8.36、8.39、4.27、11.84,균P<0.01)。③사회지지여SCL-90각증상인자급총균분적상관성분석결과현시,인제민감、억욱、초필、활대、공포급총균분여사회지지각항목정부상관(P<0.05)。결론주원환자심리건강수저우건강체검자,여주원환자적사회지지정도교저유관。림상의호인원응가강대주원환자심리건강상황급사회지지적관주。
Objective To investigate the mental health condition and the degree of social support of hospitalized pa-tients in Department of Neurosurgery, and to analyze the correlation between them. Methods From September 2013 to September 2014, 50 cases of patients treated in Department of Neurosurgery, the Second Hospital of Hebei Medical U-niversity were selected as the observation group, and from June 2012 to June 2013 50 cases of healthy control with health examination in the Second Hospital of Hebei Medical University were selected as the control group. The symp-tom checklist (SCL-90) and social support rating scale were used to evaluate for the patients and the healthy control. SPSS 15.0 statistical soft ware was used to analyze the data. Results①The SCL-90 scores of the two groups:compared with the control group, delusions, psychoticism scores had no significant differences (t=0.53, 0.71, all P> 0.05); the differences in other factors of each project (somatization, compulsion, interpersonal sensitivity, depression, anxiety, hos-tility, terrorist) were statistically significant (t=9.87, 5.74, 4.56, 4.48, 4.88, 4.21, 6.69, P< 0.01). ②Of all the factors of social support: compared with control group, differences of subjective support, objective support, utilization of sup-port and total score of observation group had statistically significant (t=8.36, 8.39, 4.27, 11.84, P< 0.01). ③The re-sults of the correlation between social support and SCL-90 symptom factors and total scores showed that, interpersonal sensitivity, depression, anxiety, hostility, phobia and total score of social support were negatively correlated with social support items (P< 0.05). Conclusion The psychological health levels of hospitalized patients are lower than those of healthy people, and are associated with low levels of social support. Clinical staff should strengthen the attention of mental health status and social support of hospitalized patients.
