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目的了解类风湿性关节炎患者的心理健康状况。方法采用焦虑自评量表(SAS)和抑郁自评量表(SDS)调查150例类风湿性关节炎患者,调查方式为自填式。结果类风湿性关节炎患者中,焦虑自评分高于国内常模,差异有统计学意义(P﹤0.01);抑郁自评分略高于国内常模,但两者比较差异无统计学意义(t=-0.73,P>0.05)。SDS两组单项比较,其中绝望感、性兴趣减退、生活空虚感和易倦感与常模比较,差异有统计学意义(P﹤0.01)。抑郁的发生与疾病活动程度、病程及是否从业的差异有统计学意义(P﹤0.01)。结论类风湿性关节炎患者存在一定焦虑、抑郁症状,在诊治中要有针对性地进行心理干预。
Objective To understand the mental health of patients with rheumatoid arthritis. Methods 150 patients with rheumatoid arthritis were investigated by self-rating anxiety scale (SAS) and depression self-rating scale (SDS). The investigation method was self-filling. Results Among the patients with rheumatoid arthritis, the anxiety self-rating score was higher than that of the domestic norm (P <0.01), while the depression self-rating score was slightly higher than that of the domestic norm, but the difference was not statistically significant (t = -0.73, P> 0.05). There were statistically significant differences between the two groups (P <0.01). Among them, there was a significant difference between despondency, sexual interest, life emptiness and tiredness. The incidence of depression and disease activity, duration and whether the difference was statistically significant (P <0.01). Conclusion There are some anxiety and depression symptoms in patients with rheumatoid arthritis. Psychological intervention should be carried out in the diagnosis and treatment.