摘要
目的 对植入心脏起搏器患者的心理状态进行量表化调查 ,试图发现患者的心理特点及其影响因素。方法 患者 6 0例 ,均经静脉植入心脏起搏器 ,时间超过 3个月。其中DDD或VDD起搏器 2 4例 ,VVI起搏器 36例。在随访过程中要求患者填写完成以下内容问卷或量表 :一般状况调查表 ;心脏起搏治疗相关问题调查表 ;心理健康水平评定量表 (90项症状自评量表SCL 90、社会支持量表 )。对照组为门诊体格检查的健康人 30例 ,按要求填写SCL 90量表。量表采用标准评分法进行统计分析。结果 病例组SCL 90得分与对照组比较差异有显著性。病例组患者抑郁、焦虑、躯体化等心理症状得分高于对照组 (P <0 0 5 )。病例组患者的SCL 90总分与患者的经济情况、心脏起搏方式、躯体症状和社会支持相关 (P <0 0 5 )。结论 与正常人比较长期心脏起搏患者的平均心理健康水平较低。经济情况、社会支持、躯体症状、起搏方式等是患者心理健康的影响因素。在随访过程中 ,应重视患者的心理问题 ,并进行针对性的心理支持和治疗。
Objective The purpose of this study is to investigate the psychological condition of patients with a cardiac pacemaker implanted,and to analyze the relative factors.Methods Sixty patients with a cardiac pacemaker implanted were enrolled into this study including 24 patients with DDD or VDD pacemaker and 36 with VVI pacemaker,more than 3 months post operation.The questionnaires and scales were asked to be filled by all the patients during the regular follow up period.Including common condition questions,questionnaire about cardiac pacing therapy,Symptom Checklist(SCL-90)and Social Support Scale.We set up a control group consisted of 30 healthy persons whose age,sex and education matched. Results There were significant differences of SCL-90 scores between the two groups.The grades of depression,anxiety and other symptoms in patients with a pacemaker implanted were higher than those in control group ( P <0.05).The total SCL-90 scores in patient group were correlated with their economic conditions,mode of cardiac pacemakers,social supports as well as physical symptoms( P <0.05). Conclusion Patients with a cardiac pacemaker have some psychological problems such as depression and anxiety.Their psychological conditions are worse than normal.Psychological supports and therapies should be done to the paced patients.
出处
《中华心律失常学杂志》
2002年第2期69-71,共3页
Chinese Journal of Cardiac Arrhythmias
关键词
心脏起搏
心理健康
生活质量
Cardiac pacing
Psychology
Quality of life
