摘要
目的 了解冠心病患者自我概念、心理健康水平以及两者的相互关系。方法 应用自我概念量表与 90项症状自评量表 (SCL 90 )对 117例住院的冠心病患者进行调查。结果 74.4%的冠心病患者为中度正性自我概念得分者 ,2 5 .6%为中度负性自我概念得分者 ;男性患者的自我概念水平高于女性 ,且有显著性差异 ;冠心病患者“躯体化、人际关系、抑郁、焦虑、敌对”等因子得分高于全国常模 ,且有显著性差异 ;女性患者“躯体化、强迫、抑郁、焦虑、恐怖”等因子得分高于男性 ,有显著性差异 ;冠心病患者自我概念得分与SCL 90总分呈负相关 (r =-0 .5 61,P <0 .0 1)。结论 冠心病患者的自我概念处于中度水平 ,心理健康状况较差 ;自我概念得分越高者 ,心理健康水平也越好。提示要提高患者的心理健康水平 。
Objective This study is to explore the self-concept,mental health and the relationship between them in coronary heart disease (CHD) patients.Methods 117 CHD patients were investigated by using Self-concept Scale and Symptoms Checklists (SCL-90).Results 74.4% patients were moderate positive self concept owners,while 25.6% patients were moderate negative self concept owners.Male patients got the higher self concept scores than the female patients and the difference was significant. The somatization, interpersonal sensitivity,anxiety,depression and hostility scores of CHD patients were significantly higher than those of Chinese norm.Somatization,obsessive-compulsiveness,depression,anxiety,phobic anxiety scores were lower in male patients than in female patients and the difference was statistically significant. The scores of the self concept negatively related to the total scores of SCL-90 (r=-0.561,P<0.01).Conclusion CHD patients were moderate self concept owners and had poor mental health. The results suggest that the higher the scores of self concept, the better status of their mental health.A positive self concept in CHD patients helps to enhance mental health.
出处
《解放军护理杂志》
2004年第9期26-28,共3页
Nursing Journal of Chinese People's Liberation Army
