传染性非典型肺炎恢复期患者103例症状自评量表因子特点分析(英文)  

Analysis of symptom check list scores of 103 patients with severe acute respiratory syndrome in recovery stage

作　　者：汪卫东[1] 伍昱[1] 赵阳[1] 张丽娜[1] 赵军[1] 刘晓清[1] 吕文良[1] 杨荷蓉[1] 

机构地区：[1]中国中医研究院广安门医院气功康复科,北京市100053

出　　处：《中国临床康复》2005年第8期222-225,共4页Chinese Journal of Clinical Rehabilitation

基　　金："十五"期间国家高技术研究发展计划重大项目(2003AA208101)~~

摘　　要：背景:传染性非典型性肺炎(severeacuterespiratorysyndrome,SARS)作为一种应激源,给人们带来了较大的心理压力。在这场危机中,SARS患者更是处于高度的心理应激状态。心理学、病原学等与SARS的发病的相关关系仍处于研究探索阶段。心理因素在SARS病程中的作用如何呢?目的:了解SARS恢复期患者的心理状态,为解决这些患者的心理问题提供依据。设计:以患者为研究对象的抽样调查。单位:中国中医研究院广安门医院气功康复科。对象:2003-04/06北京老年病医院三病区以及其他病区的部分恢复期SARS患者(病情得到控制,趋向好转)。干预:采用症状自评量表(SCL-90)和特质应对问卷(TCSQ)对恢复期SARS患者进行心理评定。主要观察指标:①SARS恢复期患者的心理状态。②不同性别、年龄、文化程度SARS恢复期患者SCL-90评定差异。结果:①SARS恢复期患者的躯体化症状明显高于常模(P<0.05),而强迫、人际关系敏感、敌对和偏执因子都要明显地低于常模(P<0.05)。②女性SARS患者躯体化和焦虑水平明显高于常模,而人际关系敏感和偏执水平较常模低。男性患者除躯体化和精神病性以外其他因子分都显著低于男性常模。男性SARS患者在SCL-90总分、躯体化症状、焦虑和恐怖得分低于女性,差异均有显著性意义。③从各年龄组的因子分来看。BACKGROUND:As a stressor, severe acute respiratory syndrome (SARS) caused great psychological pressure during its outbreak in 2003 and SARS patients suffered a sustained psychological stress. Investigation of the correlation of SARS onset with its psychology and etiology is now ongoing and the roles that the psychological factors might play in the disease course of SARS remain undefined. OBJECTIVE:To study the psychological status of SARS patients in the recovery stage so as to provide evidence to assist the resolution of their psychological problems. DESIGN:A sampling survey based on SARS patients. SETTING:Department of Rehabilitation with Breathing Exercise, Guang'anmen Hospital,China Academy of Traditional Chinese Medicine. PARTICIPANTS:SARS patients in the recovery stage,whose conditions were controlled and showed signs of improvement,were selected from the Third Disease Department and other departments,Beijing Geriatrics Hospital between April and June in 2003. INTERVENTIONS:Psychological status of SARS patients in the recovery stage was assessed with Symptom Check List(SCL-90) and Trait Coping Style Questionnaire(TCSQ). MAIN OUTCOME MEASURES:①Psychological status of SARS patients in the recovery stage;②differences of SCL-90 scores of SARS patients in the recovery stage in relation to sexes,ages and education. RESULTS:①The somatization symptom scores of SARS patients in recovery stage were significantly higher than norm(P< 0.05), but those for compulsion, personal relationship,hostility and paranoia were significantly lower(P< 0.05).②The somatization and anxiety scores of female patients were significantly higher than the female norm.Except somatization and psychoticism,the other factors of male patients had lower scores than norm.Moreover,the scores of SCL-90,somatization,anxiety and phobia in male SARS patients were significantly lower than those in female patients.③All factors in the aged group(50-60) scored less than those in other age groups,but scores for anxiety and somatization

关 键 词：肺炎 病毒性/心理学 精神病状态评定量表 因素分析 统计学 

分 类 号：R563.1[医药卫生—呼吸系统]