哮喘疾病患者的心理痛苦程度与影响因素分析  

Analysis of psychological pain and influencing factors in asthma patients

作　　者：赵瑞 王娜 姜菁菁 ZHAO Rui;WANG Na;JIANG Jingjing(Cao County People's Hospital,RICU Department,Heze 274400,China)

机构地区：[1]曹县人民医院呼吸与危重症科,山东菏泽274400

出　　处：《心理月刊》2025年第4期48-50,共3页

摘　　要：目的分析哮喘疾病患者的心理痛苦程度与影响因素。方法选取2023年10月~2024年9月期间收治的130例哮喘患者进行调查,包括自拟一般资料量表、心理痛苦温度计(DT)评分、贬低-歧视感知量表(PDD)、健康坚韧性量表(HRHS)、领悟社会支持量表(PSSS)。分析130例哮喘患者的心理痛苦现状,使用单因素与Logistic多因素回归分析哮喘患者心理痛苦的影响因素。结果130例哮喘患者整体处于中度的心理痛苦状态,DT评分6.70±1.32分,其中存在心理痛苦的患者88例,正常心理波动的患者42例。单因素分析显示,正常心理波动组患者文化程度、月收入、病情程度、PDD评分、HRHS评分、PSSS评分与心理痛苦组对比,结果差异显著(P<0.05)。Logistic多因素回归分析显示,文化水平、月收入、健康坚韧性、社会支持度是哮喘患者心理痛苦的保护因素(P<0.05),病情程度、病耻感是哮喘患者心理痛苦的危险因素(P<0.05)。结论哮喘患者整体处于中度的心理痛苦状态,主要与文化程度、月收入、病情程度、病耻感、健康坚韧性、社会支持度有关,临床应予以足够的重视。Objective To analyze the degree of psychological distress and influencing factors in patients with asthma.Methods A survey was conducted on 130 asthma patients admitted between October 2023 and September 2024,including a self-designed general information scale,a distress thermometer(DT),a perceived devaluation-discrimination scale(PDD),a health-related hardiness scale(HRHS),and a perceived social support scale(PSSS).Analyze the psychological distress status of 130 asthma patients and use univariate and Logistic multiple regression analysis to identify the influencing factors of psychological distress in asthma patients.Results The psychological pain of 130 asthma patients was generally at a moderate level,with a DT score of 6.70±1.32 points.Among them,88 cases had a degree of psychological pain,and 42 cases had normal psychological fluctuations.Univariate analysis showed that there were significant differences(P<0.05)in the education level,monthly income,severity of illness,PDD score,HRHS score,PSSS score between the normal psychological fluctuation group and the psychological pain group.Logistic multiple regression analysis showed that cultural level,monthly income,health resilience,and social support were protective factors for psychological distress in asthma patients(P<0.05),while the severity of the condition and the sense of shame were risk factors for psychological distress in asthma patients(P<0.05).Conclusion The overall level of moderate psychological distress in asthma patients is mainly related to their educational level,monthly income,severity of illness,sense of shame,health resilience,and social support,and should be given sufficient attention in clinical practice.

关 键 词：哮喘疾病 心理痛苦程度 健康坚韧性 病耻感 社会支持度 

分 类 号：R47[医药卫生—护理学]