高血压初诊患者控烟过程中的心理状况调查

Investigation of Emotional Manifestations during Smoke Temperance in Preliminarily-diagnosed Hypertension Patients

目的调查高血压初诊患者控烟过程中的心理表现,寻找其规律性。方法选择2004年5月至2005年10月门诊初诊高血压病的吸烟患者84例,全部入选对象接受了控烟、戒烟治疗,并分别在治疗前、治疗1周和3个月后接受临床精神卫生症状自评量表(SCL-90)评估。结果高血压初诊患者控烟1周后的躯体化、强迫、人际关系、抑郁、焦虑、敌对、恐怖和精神病性等症状因子评分和SCL-90总分、总均分、阳性项目数和阳性症状均分都明显高于控烟前,同时阴性项目数明显低于控烟前(P均<0.05或0.01);初诊高血压患者控烟3个月后的躯体化、强迫、抑郁、焦虑、恐怖和精神病性等症状因子评分和SCL-90总分、总均分、阳性项目数和阳性症状均分都明显低于控烟1周后(P均<0.05或0.01);复合方法控烟组的躯体化、强迫、抑郁、焦虑和恐怖等症状因子评分和SCL-90总分、总均分、阳性项目数和阳性症状均分都明显低于简单方法控烟组(P均<0.05或0.01)。结论高血压初诊患者控烟过程中多有明显的负性情绪表现,特别是在控烟1周后;采用复合方法控烟的患者情绪变化较少。

Objective To investigate emotional manifestations during smoke temperance in preliminarily-diagnosed hypertension patients. Methods Eighty-four hypertension patients, who were smokers, visited the outpatient clinic of our hospital from 5/2004 to 10/2005;all of them were included in this study. All the patients received the therapy of smoke temperance and abatement. SCL-90 was used to assess their psychological statuses before and 1 week, 3 months after the therapy. Results One week after therapy, the scores of symptom factors （such as the somatization, obsession, interpersonal relationship, depression, anxiety, hostility and fear） and the total/mean SCL-90 score, the number of positive items, and the positive symptoms of the patients were all significantly higher than those before therapy; meanwhile, the number of negative items was less than that before therapy （ P 〈0.05 or 0.01）. Three months after therapy, the scores of symptom factors, the total/mean SCL-90 score, the number of positive items, and the positive symptoms of the patients were obviously lower than that of 1 week after therapy （ P 〈0.05 or 0.01）. The above factors in comprehensive smoke-controlling group were all significantly lower than those of simple smoke-controlling group（ P 〈0.05 or 0.01）. Conclusion There were negative emotional manifestations during smoke temperance in preliminarily-diagnosed hypertension patients, especially during 1 week after smoke temperance. Comprehensive smoke-controlling method can reduce the negative emotional manifestations in patients during smoke controlling.