摘要
目的 :了解慢性肾衰竭血透患者的心理卫生状况。方法 :用SCL - 90量表对 6 5名慢性血透患者进行测量 ,测量结果与国内正常人群进行比较 ,并对该人群心理问题发生率作出估计。结果 :血透患者的SCL - 90总分(14 9.4 6± 5 0 .88)分 ,总均分 (1.6 6± 0 .5 7)分 ,阳性项目数 (34.0 3± 2 3.0 7)个 ,阳性均分 (2 .4 6± 0 .84 )分 ,在本组人群中心理障碍的检出率为 15 .38% ,男性与女性之间无差异 (χ2 =0 .0 0 4 ,P >0 .0 5 ) ,血透患者组的SCL - 90因子分中躯体化、抑郁、焦虑、精神病性、强迫、敌意和恐怖因子与国内正常人群有差异 (P <0 .0 5～ 0 .0 0 1)。结论 :慢性肾衰竭血透患者的心理卫生状况明显低于国内正常人群 ,其中 15 .38%的患者存在心理障碍 ,主要以躯体化、抑郁、焦虑、精神病性为主 。
Objective:To study the mental health condition in chronic renal failure(CRF) patients with maintenance hemodialysis(MHD).Methods:65 CRF patients with MHD were measured with symptom-check-list-90 (SCL-90). The results of SCL-90 scores in the measurement were compared with Chinese normal subjects, and valued the incidence rate of mental problem of the patients.Results:The total scores of SLC-90 in the patients with MHD were 149.46±50.88 and the total average score was 1.66±0.59,the number of positive items was 34.03±23.07 and the average score of positive items was 2.46±0.84. The detectable rate of mental problem in the patients was 15.38%. The difference between male and female is no significance (χ 2=0.004, P >0.05). The score of SCL-90 about somatization, depression, anxiety, psychosis, compulsion, hostility and fear in the patients were significantly higher than those in the normal subjects ( P <0.05～0.001).Conclusion:The mental health condition in the CRF patients with MHD is remarkable poorer than that in the normal subjects and 15.38% CRF patients were with mental problem, which of them mainly with somatization , depression, anxiety, psychosis. The treatment of somatization disease should consider the diagnosis and treatment of mental problem.
出处
《中国中西医结合肾病杂志》
2003年第7期391-392,共2页
Chinese Journal of Integrated Traditional and Western Nephrology
基金
浙江省教育厅基金资助项目(No .2 0 0 2XYQ0 3 )
