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目的调查系统性红斑狼疮(SLE)患者心理干预前后的心理状况。方法67例SLE患者分别于心理干预前后填写症状自评量表(SCL-90)及自制的SLE患者心理影响因素调查表。结果SLE患者心理千预前与中国常模比较,SCL-90阳性项目数、阳性均分及各种因子均高于中国常模。躯体化、强迫、人际关系、抑郁、焦虑、恐怖、精神病性7种因子与中国常模相比,有非常显著性差异;敌对、偏执与中国常模相比,有显著性差异。而干预后再次测评结果显示:SCL-90各项评分均有下降,干预前后两组相比,总均分,阳性项目数,躯体化、强迫、抑郁、焦虑、恐怖7项有显著性差异,睡眠及饮食情况也明显改善。提示心理干预对改善患者紧张、焦虑、忧郁等不良情绪有明显疗效。结论SLE患者心理健康状况普遍较差,而心理干预后,可明显改善患者的心理状况,提高患者的生活质量。
Objective To investigate the psychological status of patients with systemic lupus erythematosus (SLE) before and after psychological intervention. Methods Sixty-seven patients with SLE were enrolled in the SCL-90 questionnaire before and after psychological intervention and the self-made SLE questionnaire. Results Compared with Chinese norm, the number of SCL-90 positive items, positive mean score and various factors of SLE patients before psychological intervention were higher than those of Chinese norm. The factors of somatization, compulsion, interpersonal relationship, depression, anxiety, horror and psychosis were significantly different from those of norm in China. There were significant differences between hostile and paranoid Chinese norm. However, the results of re-evaluation after intervention showed that all the scores of SCL-90 decreased. There were significant differences in total score, number of positive items, somatization, compulsion, depression, anxiety and horror between the two groups before and after intervention. Sleep and diet also significantly improved. Prompted psychological intervention to improve patient tension, anxiety, depression and other negative emotions have a significant effect. Conclusion The mental health of SLE patients is generally poor, but psychological intervention can significantly improve the psychological status of patients and improve the quality of life of patients.