心脏起搏器携带者心理状况及影响因素的分析  

Analysis on Psychological Status and Influence Factors of Pacemaker Carrier

作　　者：刘秋鸣[1] 李萍[1] 徐芒华[1] 施莉琼[1] 郭华[1] 吴艳斌[1] 

机构地区：[1]上海第二医科大学附属宝钢医院,201900

出　　处：《上海护理》2002年第2期8-10,共3页Shanghai Nursing

摘　　要：目的　分析心脏起搏器携带者的心理状况和影响因素。方法　采用SCL 90症状自评量表、医学应对问卷 ,对 70例心脏起搏器携带者进行调查并统计分析。结果　起搏器携带者SCL 90阳性项目数显著高于国内常模 ( <0 0 0 1) ,男性携带者敌对因子分显著高于女性。SCL 90与年龄呈负相关 ,与“面对”和“屈服”应对方式呈正相关 ,与“回避”应对方式无关。结论　起搏器携带者存在较严重的心理问题 ,其中男性和相对年轻者尤甚 ,“面对”和“屈服”应对方式不利于起搏器携带者身心健康。护理人员在心理护理过程中 ,应提供充分的信息 ,注意男女起搏器携带者的心理变化特点 ,给予心理支持 ,帮助其采用有交往的应对措施 ,减少心理压力。Objective To analyze the psychological status and influence factors of pacemaker carriers. Method SCL-90, Medical Coping Modes Questionnaire were used to investigate 70 cases of cardiac pacemaker carriers with statistical analysis. Results The number of positive items of pacemaker carriers in SCL-90 was significantly higher than the national norm (P<0,001). The score of hostile factor of male carriers was significantly higher than that of female carriers. The scale of SCL-90 was negatively correlated with age, while it was positively correlated with confrontation and surrender. But it had no correlation with avoidance. Conclusion Pacemaker carriers have serious psychological problems, which are more serious among males and young ones. Misuse of confrontation and avoidance are not of benefit to mental health. Carriers should be given enough information, attention should be paid to psychological characteristics of male and female. Mental support shoud be given to carriers helping them to adopt beneficial coping mode so as to alleviate psychological pressure.

关 键 词：携带者 心脏起搏器 心理状况 应对方式 SCL-90 男性 年轻 目数 结论 心理问题 

分 类 号：R473.5[医药卫生—护理学]