摘要
目的探讨功能性便秘(functional constipation,FC)患者的精神心理状况、自主神经功能,并分析患者症状、精神心理状况、自主神经功能三者之间的相关性。方法采用Zung的焦虑自评量表(Self-rating Anxiety Scale,SAS)和抑郁自评量表(Self-rating Depressive Scale,SDS),HANS-1000型自主神经生物反馈仪记录心率变异性评估59例FC患者的精神心理状况和自主神经功能。同时选择115例健康人作为对照组纳入本研究。结果(1)FC患者的精神心理状况异常,与国内常模相比,存在明显焦虑(P<0.05)和抑郁心理(P<0.01)。(2)FC患者存在自主神经功能改变,与健康对照组相比,反映自主神经功能的心率变异性的3个指标差异有统计学意义(P<0.05)。(3)FC患者症状总积分与SAS及SDS得分呈正相关(r为0.327、0.390,P<0.05)。(4)FC患者SAS、SDS得分、症状积分与心率变异性相关性均无统计学意义(P>0.05)。结论FC患者存在精神心理状况及自主神经功能的改变,症状与心理状况呈正相关,但与自主神经功能之间的关系尚不明确,自主神经功能在FC发病中的作用还有待进一步研究。
Objective To study psychological status and autonomic nervous function among patients with functional constipation and their correlations with symptoms.Methods A survey was conducted among 59 patients （observation group） and 115 health subjects （control group） to evaluate patients＇ psychological status and autonomic nervous function through SAS,SDS and HRV.Results （1） Abnormal psychological statuses were observed among FC patients whose scores of SAS and SDS were markedly higher than domestic norm （P0.05 or P0.01）.（2） The autonomic nervous functions among FC patients were altered.Three indexes of HRV were statistically significant among FC patients and health subjects （P0.05）.（3） The total scores of symptoms were positively correlated to those SAS and SDS （P0.05）.（4） The scores of SAS,SDS and symptoms were all not correlated with HRV（P0.05）.Conclusion Symptoms among FC patients are positively correlated with the altered psychological status but its relationship with autonomic nervous function remains unclear.
出处
《护理学报》
2010年第7期4-7,共4页
Journal of Nursing（China）
基金
江苏省社会发展基金(BS2005065)
关键词
功能性便秘
症状
精神心理状况
自主神经功能
相关性
functional constipation
symptom
psychological status
autonomic nervous function
correlation
