摘要
目的 :探讨皮质醇增多症患者的精神症状及其危险因素。方法 :采用单因素及多因素回归法对 75例患者进行研究。结果 :本组精神症状发生率为 70 .6 % ,经单因素分析发现 :睡眠障碍、活动受限、合并心脑血管及肾脏并发症、收缩压和舒张压增高、低血钾等因素与精神症状的发生呈极显著相关关系。Logistic回归分析显示 :女性、超重、餐后 2h血糖与精神症状的发生呈极显著正相关关系 ;睡眠质量、并发症的发生、舒张压增高与精神症状的发生呈极显著负相关关系。结论 :要重视超重、肥胖的女性患者 ,出现睡眠障碍、伴有高血压、高血糖及合并症患者的精神疏导、社会家庭支持 ,减轻精神症状的发生程度 。
Objective:To study the mental disorder in the 75 patients with Cushing's syndrome and relates risk factors. Methods: Case analysis study was carried out to explore the mental disorder in the patients with Cushing's Syndrome Results: 73.6% patients developed mental disorder. Univariate analysis showed that the following variables were significantly associated with a high risk for the mental disorder: sleeping disorder, movement obstacle, complications, systolic pressure and diastolic pressure, serum potassium. By logistic regression analysis, six variables were identified as independent of each other and highly predictive for mental disorder of the patients. They were women, over-weight,2h postprandial blood glucose . But sleeping disorder, accompanying with complications and diastolic pressure were negatively associated with mental disorder of the patients . Conclusions: Medical staffs should pay more attention to the patients with Cushing's Syndrome especially those who are over-weight women, accompanying with sleeping disorder, hypertension, hyperglycemic and complications. Family support should be strenghen to decrease the level of mental disorder and avoid the accidents of commit suicide.
出处
《中华护理杂志》
CSCD
北大核心
2002年第11期805-808,共4页
Chinese Journal of Nursing
关键词
库欣综合征
精神障碍
危险因素
护理
Cushing syndrome
Mental disorders
Risk factors
Nursing care
