重症急性胰腺炎患者心理健康及影响因素的研究  

Mental health and influential factors of the patients with severe acute pancreatitis

作　　者：王秀锋[1] 陈嘉屿[1] 孔德华[1] 王景艳[1] 朱玥璇 高娅妮[1] 刘海滨[1] 张方信[1] 

机构地区：[1]兰州军区兰州总医院消化内科,甘肃兰州730050

出　　处：《西北国防医学杂志》2015年第9期570-572,共3页Medical Journal of National Defending Forces in Northwest China

基　　金：甘肃省自然科学基金资助项目(1010RJZA052)

摘　　要：目的:探讨重症胰腺炎患者心理健康状况及影响因素。方法:运用抑郁自评量表(SDS)、焦虑自评量表(SAS)、简易应对方式问卷(SCSQ)对220例重症胰腺炎患者进行调查。结果:重症急性胰腺炎患者有较高的焦虑(59.5%)、抑郁(73.6%)检出率;男性患者的焦虑、抑郁得分显著高于女性患者;很不适应医院环境的患者焦虑、抑郁得分显著高于很适应医院环境的患者;疾病压力较小患者的焦虑、抑郁得分显著低于疾病压力稍大患者。积极应对与焦虑、抑郁呈显著负相关;积极应对对焦虑、抑郁有显著的负向预测作用;环境适应程度对焦虑、抑郁有显著的正向预测作用。结论:重症急性胰腺炎患者心理健康水平不佳,可通过促进其对医院环境的适应程度,培养其积极应对方式,提升心理健康水平。Objective： To investigate the mental health and influential factors of the patients with sever acute pancreatitis.Methods： SDS,SAS, SCSQ were used to investigate the mental health and simple coping styles of 220 patients with sever acute panereatitis. Results： The detection rates of anxiety（59.5%） and depression（73.6%） were higher in patients with sever acute pancreatitis. The scores of anxiety and depression were higher in male patients than that in female. Patients who were not easily adapted to the environment of hospital got high scores. Patients who had little pressure from diseases had low scores. Positive coping style was negatively correlated with anxiety and depression. Positive coping style showed the effect of negative prediction on the anxiety and depression.The adaption extent to the environmentshowed the effect of positive prediction on the anxiety and depression.Conclusion： Mental health of patients with sever acute pancreatitis may be improved by promoting the adaption to the hospital environment andby training positive coping style.

关 键 词：胰腺炎 焦虑 抑郁 应对方式 

分 类 号：R473.5[医药卫生—护理学]