摘要
目的 探讨影响消化性溃疡不同病期患者预后的相关社会心理因素。方法 采用症状自评量表、生活事件量表、社会支持评定量表、吸烟问卷和饮酒问卷对消化性溃疡的三期病例 (活动期、愈合期、疤痕期 )患者各 5 0例进行测试和评定。结果 活动期病例SCL 90中的躯体化、人际关系、抑郁、焦虑、偏执等因子分值较高 ,有统计学意义 (P <0 .0 5～ 0 .0 0 1) ,在负性事件刺激量、生活事件总刺激量、主观支持、对支持利用度和总分、吸烟评分上三个组病例之间也有显著性差异 (P <0 .0 5～ 0 .0 0 1)。结论 不良心理因素、负性生活事件刺激、社会支持程度下降以及吸烟是消化性溃疡难以愈合的危险因素 ,是影响其预后的重要社会心理因素。
Objective To explore the relevant psychosocial factors of prognosis in patients with peptic ulcer by different period. Methods The patients with peptic ulcer in the three stages (active,healing,scarring stages,50 cases each) were studied with Symptom Check List-90 (SCL-90),Life Event Scale (LES),Social Support Rating Scale (SSRS),Russell's Reasons for Smoking Questionnaire (RRSQ) as well as Alcohol Use Questionnaire (ADS). Results The scores of the somatization,interpersonal,depression,anxiety and crankiness in the patients of active stage were significantly higher than other two stages ( P <0.05～0.001); The scores of poor and total life events,subjective support,supportive utility and smoking had significant difference in the patients between three stages ( P <0.05～0.001). Conclusion The harmful mental factor,stimulus of poor life events,reduction of social support and smoking are the dangerous factors of cause peptic ulcer difficult to heal and the important psychological factors to affect the prognosis of peptic ulcer.
出处
《中国行为医学科学》
CSCD
2003年第5期509-510,共2页
Chinese Journal of Behavioral Medical Science
