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内科住院患者心理状况分析

Status of Mental Health of Medical Inpatients

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【作者】 庞金凤杨绍清高志俊李建明

【Author】 Pang Jinfeng,Yang Shaoqing,Gao Zhijun,et al.Tangshan Youyi Hospital,Tangshan 063000,P.R.China

【机构】 唐山市友谊医院华北煤炭医学院心理学系

【摘要】 目的探讨内科住院患者的心理健康状况,为有针对性地对患者实施心理干预,促进身体恢复提供依据。方法采用症状自评量表(SCL-90)对内科住院患者进行调查。结果内科住院患者心理问题发生率为86.7%,其心理健康得分明显高于国内常模(躯体化t=14.11,强迫t=9.96,人际关系敏感t=8.62,抑郁t=10.64,焦虑t=11.92,敌对t=10.59,恐怖t=11.87,偏执t=11.12和精神病性t=12.20,P均小于0.001);不同性别的内科住院患者只在偏执因子上存在显著差异(t=2.08,P<0.05);不同工作性质的内科住院患者在躯体化(t=-2.12,P<0.05)、强迫(t=-2.37,P<0.05)、人际关系敏感(t=-1.99,P<0.05)、抑郁(t=-2.54,P<0.05)、恐怖(t=-2.38,P<0.05)、偏执(t=-2.28,P<0.05)和精神病性(t=-2.51,P<0.05)上存在显著差异;脑力患者在这些方面的得分明显低于体力患者。不同年龄、文化程度和婚姻状况的内科住院患者的心理健康不存在显著差异。结论内科住院患者心理问题的发病率较高,心理健康状况较差,受其工作性质影响,而性别、年龄、文化程度和婚姻状况对其影响不大。

【Abstract】 Objective To explore the status of mental health of medical inpatients.Methods Medical inpatients were measured with SCL-90.Results 86.7% medical inpatients were suffered from psychological problem and all subscales’ scores of the SCL-90 were higher than the norm.There were significant differences in Somatization(t=-2.12,P<0.05),Obsessive-Compulsive(t=-2.37,P<0.05),Interpersonal sensitivity(t=-1.99,P<0.05),Depression(t=-2.54,P<0.05),Photicanxiety(t=-2.38,P<0.05),Paranoid ideation(t=-2.28,P<0.05) and Psychoticism(t=-2.51,P<0.05) between the medical inpatients who working on various jobs,but there were no significant difference between age,degree of education and marital status.Conclusion Medical inpatients had much more psychological problems and their psychological status was lower and influenced by job category.

【关键词】 内科住院患者症状自评量表心理健康
【Key words】 Medical inpatientsSCL-90Mental health
  • 【文献出处】 中国健康心理学杂志 ,China Journal of Health Psychology , 编辑部邮箱 ,2009年09期
  • 【分类号】R395
  • 【被引频次】14
  • 【下载频次】117
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