基于全方位心理健康评估的血液病患者心理模型图的构建  

Construction of psychological model map for patients with hematological diseases based on comprehensive mental health assessment

作　　者：高梦冉 张薇[2] 司纪剑 任建兰[2] 刘洁[2] 付蓉[2] GAO Meng-ran;ZHANG Wei;SI Ji-jian;REN Jian-lan;LIU Jie;FU Rong(Graduate School,Tianjin Medical University,Tianjin 300070,China;Department of Hematology,General Hospital,Tianjin Medical University,Tianjin 300052,China;Department of Psychology,General Hospital,Tianjin Medical University,Tianjin 300052,China)

机构地区：[1]天津医科大学研究生院,天津300070 [2]天津医科大学总医院血液科,天津300052 [3]天津医科大学总医院心理科,天津300052

出　　处：《天津医科大学学报》2022年第5期549-554,共6页Journal of Tianjin Medical University

摘　　要：目的:探讨血液病患者心理状况及患者个人信息、疾病相关信息与心理状况的相关性,构建血液病患者不良心理模型图。方法:选取2020年11月—2021年3月天津医科大学总医院319例血液病患者为研究对象,采用GAD-7、PHQ-9、AIS、SCSQ、CD-RISC量表全方位评估患者心理状况,通过相关性分析明确患者个人信息、疾病相关信息与心理状况的相关性,整合数据构建心理模型图。结果:本研究共发放问卷328份,收回有效问卷319份。319例血液病患者不同程度焦虑、抑郁及失眠占比分别为39.5%、54.2%、57.7%,积极应对平均分中位数2.00,消极应对平均分中位数1.25,心理弹性总分中位数68.00。患者个人信息、疾病相关信息与心理量表部分因素相关,心理量表各因素彼此相关,均有统计学意义(P<0.05)。结论:全方位评估并构建模型图,血液病患者心理状况表现为心理弹性差、焦虑抑郁交织、难以入眠、难以积极应对,部分个人信息、疾病相关信息与心理状况负相关。Objective:To explore the psychological status of patients with hematological diseases,and the correlation between basic information,disease-related information and psychological status,and to construct the negative psychological model diagram of patients with blood diseases.Methods:From November 2020 to March 2021,319 patients with blood diseases in General Hospital of Tianjin Medical University were selected as the respondents.GAD-7,PHQ-9,AIS,SCSQ,CD-RISC scales were used to comprehensively assess patients′psychological conditions.The correlation between personal information,disease-related information and psychological status was determined through correlation analysis,and a negative mental model graph was constructed by integrated data.Results:A total of 328 questionnaires were distributed and 319 valid questionnaires were recovered.The proportion of 319 patients with different degrees of anxiety,depression and insomnia in different degrees was 39.5%,54.2%and 57.7%,respectively.The median average scores of positive and negative coping styles were 2.00 and 1.25,and the median total score of resilience was 68.00.The patients′personal information,disease-related information were related to some factors of the psychological scale,and the factors of the psychological scale were related to each other with statistical significance(P<0.05).Conclusion:By comprehensive assessment and construction of model diagram,the psychological status of patients with blood diseases is manifested as poor resilience,anxiety and depression intertwined,difficult to sleep,difficult to actively cope.In addition,some personal information and disease related information are negatively related to psychological conditions.

关 键 词：血液病 心理社会肿瘤学 心理模型图 心理干预 

分 类 号：R552[医药卫生—血液循环系统疾病] R749.2[医药卫生—内科学]