CAJ | 학술논문

目的：了解广东省英德市基层综合医院住院患者的心理状况及可能的影响因素。方法选取广东省英德市二级综合医院600例住院患者，采用一般情况调查表及症状自评量表（SCL-90）进行调查，对SCL-90评分筛查阳性者再采用Zung焦虑自评量表（SAS）、Zung抑郁自评量表（SDS）评估严重程度。结果600例被调查者中SCL-90评分筛查阳性235例，其躯体化、强迫、人际关系敏感、抑郁、焦虑、恐怖、偏执等SCL-90因子评分与全国常模比较，差异均有统计学意义（P＜0.05）；235例阳性患者经SAS、SDS评估，焦虑情绪检出率为32.0%（192/600），抑郁情绪检出率为41.20%（247/600）；以性别、年龄、文化程度、职业、居住时间、婚姻状况为因变量进行logistic回归模型多因素分析，235例阳性患者年龄、性别、文化程度及婚姻状况与焦虑、抑郁心理障碍有明显相关性（P＜0.05）。结论基层综合医院焦虑、抑郁心理障碍患者患病率高，值得关注。
목적：료해광동성영덕시기층종합의원주원환자적심리상황급가능적영향인소。방법선취광동성영덕시이급종합의원600례주원환자，채용일반정황조사표급증상자평량표（SCL-90）진행조사，대SCL-90평분사사양성자재채용Zung초필자평량표（SAS）、Zung억욱자평량표（SDS）평고엄중정도。결과600례피조사자중SCL-90평분사사양성235례，기구체화、강박、인제관계민감、억욱、초필、공포、편집등SCL-90인자평분여전국상모비교，차이균유통계학의의（P＜0.05）；235례양성환자경SAS、SDS평고，초필정서검출솔위32.0%（192/600），억욱정서검출솔위41.20%（247/600）；이성별、년령、문화정도、직업、거주시간、혼인상황위인변량진행logistic회귀모형다인소분석，235례양성환자년령、성별、문화정도급혼인상황여초필、억욱심리장애유명현상관성（P＜0.05）。결론기층종합의원초필、억욱심리장애환자환병솔고，치득관주。
Objective To understand the psychological status and possible influencing factors among the inpatients of Yingde second grade general hospitals. Methods 600 inpatients selected from Yingde second grade general hospitals were in vestigated by using the general questionnaire and the symptom checklist-90(SCL-90). The severity degrees of the positive patients screened by SCL-90 were evaluated by using the Zung Self-Rating Anxiety Scale and Zung Self-Rating Depression Scale. Results Among 600 investigated cases,235 cases were positive in screening by SCL-90. The SCL-90 factor scores of the somatization,ob-session,interpersonal sensitivity,depression,anxiety,terror,paranoia,etc.,had statistically significant differences compared with the national norm(P<0.05);in 235 positive cases evaluated by SAS and SDS,the detection rate of anxiety emotion was 32.0%(192/600) and which of the depression emotion was 41.2%(247/600);the Logistic regression analysis with gender,age,cultural level,occupation,inhabit time and marital status as the dependent variables showed that age,gender,cultural level and marital status had significant correlation with the psychological disorder(P<0.05). Conclusion The patients with anxiety and depression disorder have higher prevalence rate in the basic level general hospitals ,which is worth of attention.