扩张型心肌病患者的心理健康状况及护理对策  

PSYCHOLOGIC STATUS INVESTIGATION AND NURSING STRATEAGE FOR PATIENTS WITH DILATED CARDIOMYOPATHY

作　　者：余建英[1] 游桂英[1] 任玉英[1] 费翔[1] 

机构地区：[1]四川大学华西医院心内科,成都610041

出　　处：《现代预防医学》2009年第3期500-501,共2页Modern Preventive Medicine

摘　　要：[目的]调查扩张型心肌病(Dilated Cardiomyopathy,DCM)患者的心理健康状况,并探讨其护理对策。[方法]采用症状自评量表SCL-90对42例扩张型心肌病患者和42例正常人对照分别进行调查;应用t检验对两组的调查结果进行统计分析。[结果]SCL-90量表显示,与正常人相比,扩张型心肌病患者的9项指标较正常人高,其中在躯体化、人际关系、抑郁、焦虑、恐怖和敌对性等6项得分更高,症状较重,差异显著。[结论]扩张型心肌病患者存在不良的心理状况,主要表现在躯体化症、人际关系敏感、抑郁、焦虑和恐怖、敌对性等。护理时应密切观察病情变化,对于伴有不良心理状况的患者需加强心理护理。此外,对扩张型心肌病患者及家属的院外指导亦是减少危险因素的重要护理措施。[ Objoctives] To investigate the psychologic status of patients with dilated cardiomyopathy and to study nursing strategy. [ Methods] 42 dilated cardiomyopathy patients and 42 normal persons were investigated with symptoms in checklist （SCL-90） respeetively and statistic analysis of the results was conducted with t-test： [ Rosults] Compared with normal persons, nine items were higher in dilated eardiomyopathy patients. The score was especially high in items of somatization symptom, interpersonal relationship, depression, anxiety, hostility and phobophobia. The more heavy symptom was, the more significant difference was. [ Conclusion ] Dilated cardiomyopathy patients have unhealthy psychologic status, which is mainly shown in somatization symptoms, interpersonal relationship, depression, anxiety, hostility and phobophobia. In nursing as＇ pect, we should observe the patients＇ condition closely, and intensify the psychologic nursing for those patients with unhealthy psychologic status. In addition, it＇s an important nursing intervention in reducing risk factors to give an out-hospital instruction to dilated cardiomyopathy patients and their relatives

关 键 词：扩张型心肌病 心理状况 护理 

分 类 号：R395.6[哲学宗教—心理学]