老年人述情障碍和心身状况的相关分析与护理研究  

Nursing research and correlates between alexithymia and psychosomatic status among elderly people

作　　者：卢乐萍[1] 汪荷[1] 黄津芳[1] 郭欣[1] 林杰[1] 

机构地区：[1]辽宁沈阳军区总医院门诊部,110015

出　　处：《中华现代护理杂志》2013年第8期914-917,共4页Chinese Journal of Modern Nursing

摘　　要：目的探讨老年人情绪表达不良与心身状况的相关问题和心理护理方法。方法采用多伦多述情障碍量表（TAS-26）和临床症状自评量表（SCL-90）对130例老年患者进行调查，了解其述情障碍情况，并与全国常模比较，提出干预方法。结果述情障碍的老年患者心理健康水平低于全国常模，TAS-26的总分为（72．68±8．99）分，缺乏描述情感的能力因子为（16．34±3．66）分和缺乏认识、区别情绪和躯体感受的能力因子为（19．29±4．56）分，均与心身问题呈正相关（r值为0．211～0．384，P〈0．01），缺乏幻想因子为（18．96±4．25）分，与抑郁和恐怖呈负相关（r值分别为-0．177，-0．189，P〈0．05），外向性思维因子为（18．43±4．35）分，与强迫、焦虑和精神病性呈正相关（r值分别为0．174，0．175，0．182，P〈0．05）。结论患有述情障碍的老年人心身健康水平明显偏低，与SCL-90某些因子存在特有的相关性，提示应作为生命早期心理干预的关注重点。Objective To explore the nursing research and correlates between alexithymia and psychosomatic status among elderly. Methods Totals of 130 elderly people were surveyed with Toronto Alexithymia Scale （ TAS-26 ） and Symptom Checklist 90 （ SCL-90 ）. The results were compared with national norm. Results The psychology health level of elderly was significantly lower than that of national norm （ P 〈 0.01 ）. Total average（72.68 _＋ 8.99） of TAS-26, Factor I-lacking of the ability of describe emotion（ 16.34±3.66） and Factor Ⅱ -lacking of understanding and making the difference between emotional and physical ability （ 19.29 ＋ 4.56） were found positively related with psychosomatic diseases（ r = 0. 211 N 0. 384,P 〈0. 01 ）, Factor m -lacking of fantasy （ 18.96± 4.25 ） was negatively related with depression and horror/ dread （ r = -0. 177, -0. 189, respectively; P 〈 0. 05 ）, Factor IV-externally oriented thinking （ 18.43 ±4. 35 ） was positively related with obsessive, anxiety and psychosis （r = 0. 174,0. 175,0. 182, respectively; P 〈 0.05 ）. Conclusions The psychological health level of elderly person is lower, it is a key point of psychological intervention at early stage of life ,for it relates with SCL-90 factors.

关 键 词：因素分析 老年人 护理 述情障碍 身心健康 

分 类 号：R473[医药卫生—护理学]