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目的探讨社会人口学因素对类风湿性关节炎患者心理健康状况的影响,为进一步干预积累临床资料。方法用一般情况调查表、社会支持量表(SSRS)和症状自评量表(SCL-90)对80例类风湿性关节炎患者进行调查,比较本组患者SCL-90评分与国内常模的差别,分析患者社会人口学资料与SCL-90评分之间的关系。结果本组患者SCL-90评分,除人际关系和精神病性因子外,其余各因子分和总分以及阳性项目数显著高于国内常模(t=10.250,6.848,5.179,6.013,2.914,9.749,2.163,7.679,5.707;P均<0.05);多元回归分析,社会支持、付费类别、经济状况、户籍因素进入SCL-90总分回归方:y=225.682-1.488x1+20.468x2-19.625x3+12.313x4(F=51.756,P=0.000),并能预测SCL-90评分总变异的72%。结论类风湿性关节炎患者心理健康状况较差,社会支持、付费类别、经济状况和户籍是影响患者心理健康的主要社会人口学因素。
Objective To investigate the influence of socio-demographic factors on the mental health of patients with rheumatoid arthritis and to accumulate clinical data for further intervention. Methods Eighty patients with rheumatoid arthritis were investigated using the General Questionnaire, the Social Support Scale (SSRS) and the Symptom Checklist of Symptoms (SCL-90). The SCL-90 scores in this group were compared with those of the national norm Differences were analyzed between the patient’s socio-demographic data and the SCL-90 score. Results The scores of SCL-90 in this group were significantly higher than those in other countries (t = 10.250,6.848,5.179,6.013,2.914,9.749, respectively) except for interpersonal relationship and psychotic factors, 2.163,7.679,5.707; P <0.05); multiple regression analysis, social support, pay category, economic status, household factors into the SCL-90 score regression equation: y = 225.682-1.488x1 +20.468x2-19.625x3 +12.313 x4 (F = 51.756, P = 0.000), and predicted 72% of the total variation in SCL-90 score. Conclusions Patients with rheumatoid arthritis have poor mental health. Social support, pay category, economic status and household registration are the main socio-demographic factors that affect the mental health of patients.