大庆地区尘肺患者情绪及其相关因素分析

Analysis of Emotion and Related Factors of Patients with Pneumosilicosis in Daqing Region

目的了解大庆地区尘肺患者的情绪障碍及其影响因素。方法采用抑郁自评量表（SDS）和焦虑自评量表（SAS）对127例男性尘肺患者抑郁焦虑状况进行测评。结果127例尘肺患者中SDS、SAS总平均分（粗评分）大于41分、40分的分别为127例（100％）、110例（97．5％），与我国常模比较均明显增高，差异有统计学意义（P〈0．05），其中Ⅰ-Ⅲ期尘肺患者得分逐期增高，但差异无统计学意义（P〉0．05）。有并发症组的评分高于无并发症组（P〈0．01）。年龄分层SDS、SAS总平均分随年龄组增大而减少，而不同工种的尘肺患者的SDS、SAS总平均分之间比较，差异均无统计学意义（P〉0．05）。结论尘肺患者存在情绪障碍，心理手段干预应作为尘肺综合治疗的重要内容之一。

[ Objective] To understand the emotional handicap and related factors of patients with pneumosilicosis in Darling Region, [ Methods] SDS and SAS were adopted to evaluate the state of depression and anxiety among 127 male patients with pneumosilicosis. [ Results] The number of pneumosilicosis patients whose total average score （crude score） of SDS and SAS were more than 41 and 40 was 127 （ 100% ） and 110（97.5% ） respectively, which was significantly higher（ P 〈 0.05） ;compared with Chinese norm, the score increased with the increasing level of pneumosilicosis Ⅰ -Ⅲ, but the difference was not significant （ P 〉 0.05 ） The score of patients with complications was higher than that of patients without complications. Total average score of SDS and SAS decreased with the increasing age, but the differences between different types of work were not significant. [ Conclusion] Emotional disorders existed in pneumosilicosis patients, psychological intervention should be implemented as one of the important contents of comprehensive treatment for pneumosilicosis.