肺高压患者焦虑、抑郁心理状况与社会支持的相关性研究  

Study in correlation of anxiety and depression condition with social support of patients with pulmonary hypertension

作　　者：顾芬[1] 胡敏[1] 姚娟[1] 朱艳[1] 陆一骏[1] 蒋鑫[1] 荆志成[1] 

机构地区：[1]同济大学附属上海市肺科医院,200433

出　　处：《中国实用护理杂志》2011年第14期20-23,共4页Chinese Journal of Practical Nursing

基　　金：上海市肺科医院院级课题（fk0960）

摘　　要：目的 探讨社会支持干预对肺高压（pulmonary hypertension,PH）患者焦虑、抑郁状况的影响,为临床护理肺高压患者提供科学的理论依据.方法 采用自行设计的PH一般状况调查表、焦虑自评量表（SAS）、抑郁自评量表（SDS）、社会支持评定量表（SSRS）,对131例住院PH患者进行问卷调查,对患者的焦虑、抑郁状况与社会支持水平进行统计分析.结果 PH患者焦虑、抑郁心理状况明显高于国内正常人群,差异显著;131例患者中16例患者存在焦虑占12.21%,21例患者存在抑郁占16.03%.28例患者处于高水平社会支持,92例患者处于中等水平社会支持,11例患者处于低水平社会支持,处于中等水平及以上社会支持的患者占91.6%.焦虑、抑郁评分分别与社会支持总分、客观支持分、主观支持分存在显著负相关;不同类型PH患者的焦虑、抑郁得分差异显著.特发性肺动脉高压患者的焦虑、抑郁评分与先天性心脏病所致肺动脉高压患者的焦虑、抑郁评分差异显著.肺静脉闭塞病抑郁得分与先天性心脏病所致肺动脉高压抑郁得分差异显著.结论 护理人员在护理PH患者时,对不同类型的PH患者应给予针对性的社会支持力量,注意调动患者的社会支持源泉,帮助其采取积极的态度面对疾病,增加对治疗护理的依从性.Objective To investigate the effects of social support intervention on anxiety and depression of pulmonary hypertension（PH）patients,then provide a scientific basis for nursing of patients with pulmonary hypertension.Methods The general condition of PH questionnaire,self-rating anxiety scale （SAS）,self-rating depression scale（SDS）,social support rating scale（SSRS）were distributed to 131 patients with PH.Then make statistical analysis of patients＇anxiety,depression and social support conditions.Results The score of anxiety and depression psychological conditions of patients with pulmonary hypertension was significantly higher than normal population,the difference wag statistically significant.Among 131 patients,16 patients with anxiety,accounting for 12.21% ;21 cases of patients with depression,accounting for 16.03% .28 patients at a high level of social support,92 patients at a medium level of social support,11 patients at a low level of social support,a total of 91.60% of the patients in the middle and higher levels of social support.Anxiety and depression scores had significant negative correlation with social support,objective support points and subjective support points.The anxiety,depression difference among different types of pulmonary hypertension was statistically significant.The difference of anxiety and depression scores between patients with idiopathic pulmonary arterial hypertension and patients with pulmonary hyper tension caused by congenital heart disease were significant.The depression scores between pulmonary hy pertension caused by pulmonary veno-occlusive disease and congenital heart disease were significantly different.Conclusions When nurses care pulmonary hypertension patients.those with different types of PH should be given targeted social support.Attention should be paid to transfer the source of social support to help them adopt a positive attitude to face the diseabe,then improve the treatment and care compliance of patients.

关 键 词：肺高压 肺动脉高压 焦虑 抑郁 社会支持 

分 类 号：R473.5[医药卫生—护理学]