肺癌患者配偶身心健康水平与影响因素分析  

Analysis of the psychosomatic health of spouses of lung cancer patients and its influencing factors

作　　者：李玉梅[1] 王敏[1] 胡敏[1] 陈建芳[1] 赵娟[1] 金一青[1] 

机构地区：[1]同济大学附属上海市肺科医院,上海200433

出　　处：《上海护理》2008年第3期12-15,共4页Shanghai Nursing

基　　金：同济大学附属上海市肺科医院科研基金资助(fk0614)

摘　　要：目的描述肺癌患者配偶的身心健康状况与其影响因素,为针对性的心理干预提供依据。方法采用非实验设计的描述性研究方法,应用90项症状自评量表(SCL-90)和自行设计的相关影响因素问卷,调查住院的肺癌患者配偶的身心健康状况。结果肺癌患者配偶的身心健康状况总体水平差,SCL-90测评结果显示,10项因子中躯体化、强迫、抑郁、焦虑和恐怖5项因子分均明显高于国内常模(P(0.01;P(0.05),经单因素分析,影响肺癌患者配偶身心健康状况的主要因素有配偶的年龄、文化程度、宗教信仰、家庭经济状况和医药费支付方式。各影响因素调查结果显示,发生角色转变者61例,占93.8%;发生一定程度的社会隔离57例,占87.7%;婚姻受到影响34例,占52.3%。结论医务人员应重视肺癌患者配偶的心理疏导,做好相关的健康教育,提供良好的社会支持系统改善患者配偶的身心健康状况。Objective To analyse the psychosomatic health and its influencing factors in spouses of lung cancer patients. Methods SCL-90 and self-designed correlated influencing factors questionaire were used to study the psychosomatic health of spouses of lung cancer patients by non-experimental descriptive study method. Results The overall psychosomatie health of spouses of lung cancer patients spouses was poor. The scores of 5 of 10 factors, namely somatization, obsession, depression, anxiety and phobia in lung cancer patient＇ s spouses were significantly higher than those of the domestic norm. Age, education- al level, religious faith, family economy and way of medical payment were main factors influencing the psychosomatic health. Conclusion Medical personnel should pay attention to the psychosomatic health of their patient＇ s spouses, and give them appropriate health education and social support.

关 键 词：肺肿瘤 配偶 身心健康 症状自评量表 

分 类 号：R473.73[医药卫生—护理学]