梅毒患者的家庭支持及心理状况分析与对策

Analysis of Family Support and Psychological Conditions of Syphilis Patients and the Coping Measures

目的了解梅毒患者的家庭支持情况与心理卫生状况,探讨临床护理对策。方法采用家庭支持量表及SCL-90,对56例梅毒患者进行测评,并将家庭支持总得分与阳性心理因子进行相关性分析。结果(1)本组患者的家庭支持总分为5～15(8.61±2.46)分;(2)本组SCL-90总分、阳性项目数均高于国内常模(P<0.01),躯体化、抑郁、焦虑、恐怖4个因子分与国内常模相比,差异有统计学意义(P<0.01);(3)家庭支持总得分与躯体化、焦虑存在负相关关系。结论梅毒患者存在异常心理,表现为躯体化、焦虑等,与家庭支持呈负相关。提示护理中要注重梅毒患者的家庭支持与心理卫生状况,通过发挥家庭支持作用可改善患者的心理状况。

Objective To understand the conditions of the family support and psychology of syphilis patients, and thus explore the coping measures for nursing. Methods By means of fanlily support scale and SCL-90, 56 syphilis patients were assessed, and a correlation analysis was made of the total score for fanfily support and positive psychological factors. Results The total score for family support ranged from 5 to 15 （8.61±2.46）; the total score obtained from SCL-90 analysis and the number of positive items were both higher than the national norm （P〈0.01）, with the differences between the national norm and the four factors of somatization, depression, anxiety and fear being statistical significant （P〈0.01）; and there existed negative correlation between the total score for fanfily support on the one hand and somatization and anxiety on the other. Conclusion Syphilis patients have abnormality of psychology such as somatization, anxiety, etc., which was negatively correlated to family support. This suggests that importance should be attached to the fanfily support and psychological conditions of these patients, and that family support should be brought into play to improve the patient＇s psychology.