慢性肺源性心脏病病人主观幸福感与情绪状态的相关性研究

Study on the Relationship between Subjective Well-being and Emotional State for Patients with Chronic Pulmonary Heart Disease

目的探讨慢性肺源性心脏病(肺心病)病人主观幸福感与情绪状态的现状及其相关性。方法采用幸福感指数量表、Zung焦虑自评量表(Self-Rating Anxiety Scale,SAS)和抑郁自评量表(Self-Rating Depression Scale,SDS),于2009年3—12月对4所三级甲等综合医院呼吸内科住院及门诊治疗的112例肺心病病人进行调查。结果肺心病病人幸福感体验低下(5.61±1.93)分,负性情绪较严重,其负性情绪状态与幸福感体验呈负相关;不同经济收入、付费方式病人间幸福感指数比较差异有统计学意义(P<0.05或P<0.01);不同性别、年龄、经济收入、付费方式患者间SAS和SDS得分比较差异至少1项有统计学意义(P<0.05或P<0.01)。结论肺心病病人主观幸福感与负性情绪密切相关,对肺心病病人需加强心理干预,改善情绪状态,提高患者生活质量,增强主观幸福感,促进身心健康。

Objective To discuss the relationship between subjective well-being and emotional state for patients with chronic pulmonary heart disease.Methods 112 patients were surveyed with the Index of Subjective Well-being,Self-Rating Anxiety Scale（SAS）,Self-Rating Depression Scale（SDS）.Results Patients with chronic pulmonary heart disease were with weak well-being（5.61±1.93） and serious negative emotion which was in turn negatively related with patients＇ well-being.There was statistical difference of the comparison of well-being index among patients with different income and payment（P0.05 or P0.01）.Both the two comparisons or only one comparison between the scores of SAS and SDS from patients with different gender,age,income and payment were or was with statistical significance（P0.05 or P0.01）.Conclusion There is close relationship between the well-being of patients with chronic pulmonary heart disease and their negative emotion.Psychological intervention is recommended to improve patients＇ emotion state and enhance their subjective well-being.