家庭环境对冠心病患者心理健康的影响  

Influence of family environment on mental health in patients with coronary heart disease

作　　者：王晶[1] 谷沫丽[1] 曹佳[1] 王莎莎[1] 徐蕾[1] 王翠[1] 王佳佳[1] 武晓春[1] 

机构地区：[1]解放军总医院第一附属医院干一科,北京100048

出　　处：《中华现代护理杂志》2015年第8期941-944,共4页Chinese Journal of Modern Nursing

摘　　要：目的：探讨家庭环境对冠心病患者心理健康的影响。方法共纳入100例冠心病患者作为研究对象，采用症状自评量表对受试者的心理健康进行评分，并与常模比较，同时根据总得分将冠心病患者分为心理健康组与心理不健康组，采用家庭环境量表中文版进行调查。结果冠心病组患者躯体化、社交敏感、抑郁、焦虑、敌对、恐怖、偏执、精神病性评分及总分均高于常模，差异有统计学意义（P＜0.05）。100例冠心病患者中心理不健康者60例，心理健康40例。不同心理健康冠心病患者家庭环境比较结果发现，心理不健康组患者亲密度、情感表达、独立性、成功性、娱乐性得分，受教育年限、收入水平明显低于心理健康组，丧偶例数高于心理健康组，差异有统计学意义（P＜0.05）。躯体化与亲密度、情感表达呈负相关（P＜0.05）；社交敏感、抑郁、焦虑与亲密度、情感表达、独立性、成功性、娱乐性、受教育年限、收入呈负相关（P＜0.05），与丧偶呈正相关关系（P＜0.05）；敌对、恐怖、精神病性与亲密度、情感表达、独立性、成功性、受教育年限呈负相关（P＜0.05）。结论家庭环境中多种因素可以影响冠心病患者的心理健康，在实际生活中可以通过积极改善相关因素促进冠心病患者保持良好的心态，有利于其病情的稳定及康复。Objective To explore the relationship between mental health and family environment in patients with coronary heart disease. Methods A total of 100 heart disease patients had been chosen as samples to evaluate mental health by symptom checklist （SCL-90） and compare with norm. According to the result of evaluation, all samples were divided into mental health group and mental ill health group and investigated by family environmental scale （ FES） in Chinese version. Results The scores of somatization, interpersonal sensitivity, depression, anxiety, hostility, terror, psychotic in patients with coronary heart disease were significantly higher than that in the normal group （ P 〈 0. 05）. There were 60 patients with psychological unhealthy, and 40 cases with psychological health. The scores of intimacy, the emotional expression, independence, success, entertaining scores, years of the education and income in psychological unhealthy group were significantly lower than these in the mental health group （ P 〈 0. 05）. There were negatively correlated between somatization and intimacy, the emotional expression （P 〈 0. 05）. The same trend presented between interpersonal sensitivity, depression, anxiety and intimacy, the emotional expression, independence, success, entertaining, years of the education and income （ P 〈 0. 05）, but showed a positively correlation between interpersonal sensitivity, depression, anxiety and people without spouse （ P 〈 0. 05）. There were negatively correlated between hostile, terror, psychoticism and intimacy, the emotional expression, independence, success, years of the education （P 〈 0. 05）. Conclusions A variety of factors in the family environment can affect the mental health of patients with coronary heart disease. We can actively improve the relevant factors to promote patients with coronary heart disease to keep good mental state, so as to contribute to the stability of disease and recovery.

关 键 词：冠心病 家庭环境 心理健康 

分 类 号：R473.2[医药卫生—护理学]