摘要
目的:调查单双相抑郁障碍病人的躯体化症状的状况及特点。方法:采用便利抽样方法,用一般情况问卷、躯体症状问卷(SSI)、汉密尔顿抑郁量表(HAMD),对94例抑郁障碍病人的一般资料、躯体化症状、抑郁情绪进行调查。所有资料输入SPSS20.0进行描述性和相关性统计分析。结果:病人躯体症状的均分为(48.16±15.121)分,26.6%的病人的躯体化症状已达中重度。抑郁障碍病人的躯体症状与饮食情况、重大生活事件、用药不良反应出现的症状有关(P<0.05～P<0.01);饮食状况良好者其躯体症状总分和非疼痛躯体症状分数明显低于饮食情况一般和食欲下降者(P<0.05～P<0.01);一年内经历2次以上重大生活事件者,其疼痛症状分数明显高于未经历或经历1次生活事件者(P<0.05);存在3种及以上用药不良反应的病人,其躯体化症状总分和非疼痛症状分数显著高于无药物不良反应或仅有1种不良反应者(P<0.01);躯体症状总分、疼痛维度和非疼痛维度躯体症状和病人的抑郁程度均呈正相关(r=0.337、0.325、0.316,P<0.01)。结论:躯体症状在抑郁障碍病人中较为普遍。护理人员重视病人饮食情况、药物不良反应的管理,及经历重大生活事件病人的情绪管理,从而促进抑郁障碍病人的全面康复。
Objective:To investigate the status and characteristics of somatic symptoms in patients with unipolar and bipolar depressive disorders.Methods:The general information,somatic symptoms and depression in 94 patients with depressive disorders were investigated using the symptom questionnaire(SSI),Hamilton Depression Scale(HAMD)and general questionnaire,and all data were analyzed using SPSS20.0 software.Results:The average score of SSI of patients was(48.16±15.121),and the somatic symptoms of 26.6%patients were the moderate to severe levels.The somatic symptoms of patients with depressive disorders were significantly correlated with the diet,life events and side effects of medication(P<0.05 to P<0.01).The total score of somatic symptoms and non-pain somatic symptom score in patients with good diet were significantly lower than those in patients with normal diet and anorexic(P<0.05 to P<0.01).The score of pain symptoms in patients with experiencing more than 2 major life events in one year was significantly higher than that in patients without experiencing or with experiencing one major life event(P<0.05).The total score of somatization symptoms and non-pain symptoms score in patients with three or more adverse drug reactions were significantly higher than those in patients without or with one adverse drug reaction(P<0.01).The total score of somatic symptoms,dimension of pain and non-pain were positively correlated with the depression degree of patients(r=0.337,0.325 and 0.316,P<0.01).Conclusions:Somatic symptoms is more common in patients with depressive disorder.The diet,management of adverse drug reactions,and emotional management of patients experiencing major life events should be concerned by nurses,so that the comprehensive rehabilitation of patients with depressive disorders is promoted.
作者
李萍
贾守梅
苗宇
LI Ping;JIA Shou-mei;MIAO Yu(Putuo Mental Health Center,Shanghai 200065;School of Nursing,Fudan University,Shanghai 200032,China)
出处
《蚌埠医学院学报》
CAS
2019年第1期84-89,共6页
Journal of Bengbu Medical College
基金
上海市卫生和计划生育委员会科研课题面上项目(201740130)
CMB护理青年教师科研基金项目(13-168-201603)
关键词
抑郁障碍
躯体症状
抑郁情绪
depressive disorder
somatic symptom
depressive mood
