摘要
目的分析老年反流性食管炎患者的心理状况及其影响因素。方法采用症状自评量表(SCL90)和自行设计的心理卫生相关因素调查表,对86例老年反流性食管炎患者进行心理测试。结果该组患者的SCL90总分为(137.5±27)分,阳性项目数为(29.9±17),明显高于国内常模(P<0.01),除精神病性及敌对因子分外,其余因子分均高于国内常模(P<0.05～0.01),按显著性排列,前3位是躯体化、抑郁和焦虑。本组患者的SCL90总均分符合正态分布。结论老年反流性食管炎患者的心理健康水平明显低于正常人群,医源性应激和疾病的长期化倾向是影响患者身心健康的两个主要原因。
Objective To analyze the mental health level and the correlative factors of elderly reflux esophaditis patients. Methods 86 elderly reflux esophagitis patients were tested with Symptom Check List-90 （SCL-90） and the Correlative Factor Inquiry List. Results The total SCL-90 scores of the patients was 137.5±27, the number of symptomatic items was 29.9±17, which was significantly higher than that of domestic norm （ P 〈0.01）. Besides of psychopathic and phobic, other factor scores of SCL-90 were also significantly higher than that of domestic norm （ P 〈0. 05-0.01）. The somatization, depression and anxiety were first three factors according to significant level. The constitution of patients showed the normal distribution at the level of total SCL-90 score. Conclusion Mental health level of elderly reflux esophaditis patients is lower than that of normal people. The two primary reasons are long-term trend and stress of disease.
出处
《中国康复理论与实践》
CSCD
2006年第8期723-724,共2页
Chinese Journal of Rehabilitation Theory and Practice
