功能性便秘患者社会心理状况分析及护理对策  

Social and psychological status analysis of patients with functional constipation and nursing strategy

作　　者：夏瑾[1] 陈建永[1] 潘峰[1] 徐建军[1] 丁勇[1] 

机构地区：[1]杭州市红十字会医院消化内科,310003

出　　处：《中华护理杂志》2006年第3期207-210,共4页Chinese Journal of Nursing

摘　　要：目的了解社会心理因素对功能性便秘(FC)的影响及对策。方法采用艾森克个性问卷(成人版)、Zung抑郁自评量表(SDS)、焦虑自评量表(SAS)、生活事件量表(LES)和社会支持评定量表对106例FC患者(FC组)及89例无便秘者(对照组)进行评分。结果FC患者内外向分值显著低于无便秘者(P<0.001),而神经质、抑郁、焦虑、负性生活事件分值显著高于无便秘者(P<0.01),FC组神经质与SDS、SAS、LES分值之间呈正相关(P<0.01);FC组主观支持的分值明显高于对照组(P<0.01),而对支持的利用度明显低于对照组(P<0.01)。结论FC患者具有明显的内向和神经质、焦虑、抑郁个性,并与负性生活事件有关,更需要得到社会的支持。Objective To assess the influence of social and psychological factors upon the functional constipation （FC）. Methods All the participants including 106 patients with FC and 89 persons without FC were assessed by the following scales： Eysenek Personality Questionnaire （Adult Edition） revised by Gong （EPQ）, Zungs Self-Rating Depression Scale （SDS）,Self-Rating Anxiety Scale （SAS）, Life Event Scale （LES） and Xiao＇s Social Support Rating Scale （SSS）. Results The introversion and extroversion scores of FC patients were significantly lower than non-constipated persons （P^0.001）, while their scores of nervousness, depression, anxiety and negative life event were significantly higher than those of non-constipated persons （P〈0.01）. The nervousness of FC group showed positive correlation with the scores of SDS, SAS, LES （P〈0.01）. The scores of subjective support in FC group were significantly higher than another group （P〈0.01）, while the utilization ratio for support was significantly lower than another group（P〈0.01）. Conclusion FC patients had the personalities of introversion, nervousness, anxiety and depression, and had the relation with negative life events, thus they might need more support trom the society.

关 键 词：功能性便秘 个性 焦虑 护理 

分 类 号：R473.5[医药卫生—护理学]