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目的了解心脏起搏患者术前社会心理状况及其影响因素。方法采用症状自评量表(SCL-90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、社会支持评定量表(SSRS)评价125例心脏起搏患者心脏起搏术前社会、心理状况及其影响因素。结果症状自评量表调查显示:125例心脏起搏患者存在以焦虑(60人)、躯体化(57人)、恐怖(38人)、抑郁(55人)、人际关系(34人)为主要表现的心理问题,其因子得分均高于国内常模,差异有显著性(P均<0.01)。焦虑自评量表(SAS)、抑郁自评量表(SDS)积分明显高于25例对照组,差异有显著性(P均<0.01),而社会支持评定量表(SSRS)积分则明显低于对照组,差异有显著性(P<0.01)。多元逐步回归分析显示症状自评量表(SCL-90)积分与经济收入、病情严重程度、人际关系、家庭生活显著关联(P均<0.01)。结论心脏起搏患者存在焦虑、躯体化、恐怖、抑郁、人际关系等明显心理问题,社会支持不满意。同时经济收入、病情严重程度、人际关系、家庭生活是影响患者心理状况的主要因素。
Objective To understand the preoperative psychosocial status and its influencing factors in patients with cardiac pacing. Methods 125 patients with cardiac pacing underwent cardiac pacing by using Self-rating Symptom Inventory (SCL-90), Self-rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS) and Social Support Rating Scale (SSRS) Pre - society, psychological conditions and their influencing factors. Results: A total of 125 patients with cardiac pacing had anxiety (60), somatization (57), horror (38), depression (55) and interpersonal relationship (34) The performance of psychological problems, the factor scores were higher than the domestic norm, the difference was significant (P <0.01). The self-rating anxiety scale (SAS) and self-rating depression scale (SDS) scores were significantly higher than those of the 25 control subjects (P <0.01), while the score of social support rating scale (SSRS) was significantly lower In the control group, the difference was significant (P <0.01). Multiple stepwise regression analysis showed that SCL-90 scores were significantly correlated with income, severity of illness, interpersonal relationship and family life (all P <0.01). Conclusions There are obvious psychological problems such as anxiety, somatization, horror, depression and interpersonal relationship in patients with cardiac pacing, and the social support is not satisfied. At the same time economic income, the severity of illness, relationships, family life is the main factor affecting the psychological status of patients.