55例类风湿关节炎患者心理健康状况调查分析

Investigation and Analyses on Mental Health Status of 55 Patients with Rheumatoid Arthritis

目的:为全面了解类风湿关节炎住院患者的心理健康状况。方法:应用症状自评量表(SCL-90),对55例类风湿关节炎住院患者进行测试,并与健康人全国常模进行比较。结果:类风湿关节炎住院患者的躯体化、强迫症状、抑郁、焦虑和恐怖因子分值均显著高于健康人国内常模(P<0.05),人际关系因子明显低于健康人全国常模(P<0.05),敌对、偏执和精神病性等因子与健康人全国常模比较差异无统计学意义(P>0.05)。结论:类风湿关节炎住院患者存在不同程度的精神心理问题,进行恰当的心理干预是必要的。

Objective：To do more comprehensive understanding on the mental health status of hospitalized patients with rheumatoid arthritis.Methods：Total of 55 hospitalized patients with rheumatoid arthritis were independently tested by symptom checklist-90（SCL-90） and compared with national norms of healthy people.Results：Compared with the national norms of healthy people,the factor scores of somatization,obsession,depression,anxiety and phobic anxiety of the hospitalized patients with rheumatoid arthritis were significantly higher than those of the national norms of healthy people（P0.05）,while the factors of interpersonal relationship were significantly lower than those of the national norms of healthy people（P0.05）.And there was no statistical significance comparing between the factors of hostility,paranoid ideation and psychosis with the national norms of healthy people（P0.05）.Conclusion：It is necessary for the hospitalized patients with rheumatoid arthritis to carry out proper psychological intervention because they suffer from psychological and emotional problems in some extent.