老年功能性消化不良患者的SAS、SDS及SCL-90评分调查分析100例  

Assessment of psychological status in 100 elderly patients with functional dyspepsia

作　　者：罗晓华[1] 马宇[1] 姚反修[1] 

机构地区：[1]郑州大学第五附属医院老年病科,河南省郑州市450052

出　　处：《世界华人消化杂志》2015年第4期676-679,共4页World Chinese Journal of Digestology

摘　　要：目的:探讨临床中老年功能性消化不良患者的心理状况,并分析其护理干预措施.方法:选取郑州大学第五附属医院2011-01/2013-12间的100例老年功能性消化不良患者为研究组,并且选取同期体检健康的100名人员为对照组,采取问焦虑自评量表(selfrating anxiety scale,SAS)、抑郁自评量表(self-rating depression scale,SDS)、症状自评量表对两组的对象心理进行评估,了解心理状况.结果:研究组SAS评分和SDS评分分别为53.1分±5.4分、57.8分±4.3分;对照组SAS评分和SDS评分分别为32.7分±3.4分、33.5分±3.2分;研究组vs对照组,SAS评分和S D S评分差异有统计学意义(P<0.05);研究组vs对照组,躯体化、强迫、抑郁、焦虑评分差异有统计学意义(P<0.05).研究组中,干预后SAS、SDS评分较干预前有明显的降低,差异有统计学意义(P<0.05).结论:临床老年功能性消化不良患者存在不同程度的焦虑和抑郁等不良情绪,临床中应实施针对性的护理干预措施,从而改善患者的不良情绪.AIM： To assess the psychological status in elderly patients with functional dyspepsia, and to analyze their nursing interventions.METHODS： One hundred elderly patients with functional dyspepsia treated at the Fifth Affiliated Hospital of Zhengzhou University from January 2011 to December 2013 were included in a study group, and 100 healthy volunteers comprised a control group. The self-rating anxiety scale（SAS） and self-rating depression scale（SDS） were administered to assess the psychological status.RESULTS： The SAS and SDS scores were significantly higher in the study group than in the control group（53.1 points ± 5.4 points vs 32.7 points ± 3.4 points, 57.8 points ± 4.3 points vs 33.5 points ± 3.2 points, P 〈 0.05）. The somatization, depression and anxiety scores were also significantly higher in the study group（P 〈 0.05）. After intervention, the SAS and SDS scores decreased significantly in the study group（P 〈 0.05）.CONCLUSION： Elderly patients with functional dyspepsia show varying degrees of anxiety, depression and other negative emotions, and targeted nursing interventions can help improve the patient’s negative emotions.

关 键 词：老年 功能性消化不良 心理状况 护理干预 

分 类 号：R57[医药卫生—消化系统]