重症监护患者心理状况分析

Mental State of Intensive Care Patient

目的探讨重症监护患者住院期间的心理状况。方法应用症状自评量表(SCL-90)对98例重症监护患者进行心理调查,分析患者住院期间心理状况和影响因素。结果①重症监护患者SCL—90测评结果与中国常模比较:SCL一90总分与各因子分差异均有统计学意义(p<0.050)。②不同的年龄阶段在躯体化、焦虑、敌意、恐怖4项因子得分相比较,差异有统计学意义(p<0.050),而在强迫、人际关系、抑郁、偏执、精神病性5项因子上的差异无统计学意义(p>0.050);不同性别和文化程度在9项因子上的差异均无统计学意义(p>0.050);病程长短在躯体化、焦虑、恐怖3项因子分差异有统计学意义(p<0.050),在其它6项因子上的差异无统计学意义(p>0.050)。结论重症监护患者的心理应激因素多,心理健康水平差。

Objective:To explore the mental state of intensive care patients in the hospital. Methods: 98 cases were asked to fill in SCL-90 to investigate the mental state ,analyzed the mental state and risk factors while the patients in the hospital. Results:①Compared with the Chinese norm : the differences of the score of SCL-90 and each factor were statistically significant(p<0.050).②Analyzed the scores of the body, anxiety, hostility and terror of the four factors among different ages ,the differences were statistically significant (p<0.050),while the scores of the force, interpersonal relationships, depression, paranoia and psychotic on the five factors had no significant difference(p>0.050);there were no significant differents in the 9 factors of different gender and educational level ;the scores of course length in the body, anxiety, terror had a significant difference(p<0.050),while the difference in the scors of other 6 factors was not significant(p>0.050).Conclusion: ICU patients had more psychological stress factors and poor mental health.