银屑病患者社会疏离的潜在剖面及与焦虑抑郁的关系研究  

Latent profiles of social alienation in psoriasis patients and their relations to anxiety and depression

作　　者：钱俊英 闫帅 李秀珍 王君芝 张灿玲 Qian Junying;Yan Shuai;Li Xiuzhen;Wang Junzhi;Zhang Canling(Department of Nur-sing,The First Affiliated Hospital of Shandong First Medical University,Jinan 250014,China)

机构地区：[1]山东第一医科大学第一附属医院护理部,山东济南250014

出　　处：《护理学杂志》2024年第21期89-93,共5页Journal of Nursing Science

基　　金：山东第一医科大学青年科学基金培育资助计划项目(202202-030)。

摘　　要：目的探讨银屑病患者社会疏离的潜在剖面及其与焦虑、抑郁的关系,为采取针对性措施促进患者的心理健康提供参考。方法采用方便抽样方法,选取376例银屑病患者为研究对象。采用一般资料调查表、一般疏离感量表、痛苦表露指数量表、医院焦虑抑郁量表进行调查。对银屑病患者社会疏离水平进行潜在剖面分析并分析其影响因素,比较不同社会疏离感类别患者的焦虑、抑郁评分。结果银屑病患者社会疏离可以分为社会疏离中水平组(73.4%)、高水平-怀疑感组(18.6%)、低水平-无意义感组(8.0%)3个潜在类别;个人月收入、患病时间、皮损是否暴露、皮损面积大小、皮损有无瘙痒、痛苦表露水平是银屑病患者社会疏离潜在剖面的影响因素(均P<0.05)。3个潜在类别患者的焦虑、抑郁评分比较,差异有统计学意义(均P<0.05)。结论银屑病患者社会疏离存在异质性,高社会疏离患者的焦虑、抑郁水平相对较高。应根据不同社会疏离类别患者的影响因素进行针对性干预,以促进患者心理健康。Objective To determine the latent profiles of social alienation in psoriasis patients and their relations to anxiety and depression,so as to provide reference for conducting targeted measures to promote patients′mental health.Methods A convenience sample of 376 psoriasis patients were invited to fill out a general information questionnaire,the General Alienation Scale,the Distress Disclosure Index,and the Hospital Anxiety and Depression Scale.Latent profile analysis was performed to identify classes of social alienation and the influencing factors were also analyzed,then anxiety and depression scores of patients in different classes of social alienation were compared.Results Three classes were identified:a moderate class(73.4%),a high alienation and uncertainty class(18.6%)and a low alienation and meaninglessness class(8.0%).Personal monthly income,duration of illness,whether skin lesions exposed or not,size of skin lesions,presence of itching,and distress disclosure level were the influencing factors of profiles of social alienation(all P<0.05).The anxiety and depression scores had significant differences among the 3 classes(both P<0.05).Conclusion There is heterogeneity in social alienation in psoriasis patients,and those with high social alienation have relatively higher levels of anxiety and depression.Targeted interventions should be carried out according to the influencing factors,thus to promote their psychological health.

关 键 词：银屑病 社会疏离 潜在剖面分析 焦虑 抑郁 痛苦表露 瘙痒 心理护理 

分 类 号：R473.75[医药卫生—护理学]