| 摘要: |
| ［摘要］ 目的 探讨门诊老年慢性阻塞性肺疾病患者精神心理因素及社会支持情况。方法 采用统一的指导语，运用症状自评量表(SCL-90)及社会支持评定量表(SSRS)对264例老年慢性阻塞性肺疾病患者(观察组)和142例健康志愿者(对照组)进行调查。结果 门诊老年慢性阻塞性肺疾病患者躯体化、强迫症状、焦虑、恐怖、抑郁、精神病性因子及SCL-90阳性项数的均数等指标均明显高于对照组(P<0.05或P<0.01)；SSRS评定门诊老年慢性阻塞性肺疾病患者的客观、主观支持及支持总分均明显低于对照组(P<0.05或P<0.01)。结论 门诊老年慢性阻塞性肺疾病患者病后心理健康状况较差，社会支持低。因此，在进行躯体治疗的同时应实施心理干预。 |
| 关键词: 慢性阻塞性肺疾病 心理学 自我评价 社会支持 |
| DOI：10.3969/j.issn.1674-3806.2011.08.04 |
| 分类号:R 563.5 |
| 基金项目:佛山市科技局医学科技攻关项目（编号：201008199） |
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| A study of the psychological and psychical factors in older patients with chronic obstructive pulmonary disease |
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LIAO Wei-ping, ZHU Li-yang
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Integrate Ward, Wuzhongpei Memorial Hospital of Shunde District, Foshan Guangdong 528333, China
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| Abstract: |
| ［Abstract］ Objective To investigate the psychological and psychical factors and the social supports in the older patients with chronic obstructive pulmonary disease (COPD). Methods Questionnaires were performed in 264 patients with COPD and 142 healthy volunteers using Symptom Checklist 90 (SCL-90) and Social Support Rating Scale (SSRS). Results The data of somatization, obsessive-compulsiveness, anxiety, phobic anxiety and paranoid ideation, psychotism and the mean of positive factors of SCL-90 of the COPD group were significantly higher than those of the control group (P<0. 05 or P<0. 01). The SSRS results of subjective and objective supports and total score of social supports of the COPD group were much lower than those of the control group (P<0. 05 or P<0. 01). Conclusion Our results suggest that the disordered mental conditions and lower social support in patients with COPD need psychosocial interventions in addition to medical care. |
| Key words: Chronic obstructive pulmonary disease Psychology Self assessment (psychology) Social support |
