慢性心力衰竭患者心理社会因素调查

A study of psychological and social factors in patients with chronic heart failure

目的:探讨慢性心力衰竭患者的心理、社会因素状况。方法:采用症状自评量表和社会支持评定量表对186例慢性心力衰竭患者进行测试,并与156例健康人作为对照,评价两组间的区别。结果:慢性心力衰竭患者躯体化、抑郁、焦虑、恐怖等因子分明显高于对照组,差异有显著性(P<0.05或P<0.01)。慢性心力衰竭患者的客观支持、主观支持、支持利用度及支持总分均低于健康对照组,差异有显著性(P<0.05)。结论:慢性心力衰竭患者心理健康状况较差、社会支持低,在进行躯体治疗时应实施心理干预,并应加强社会支持以改善其临床预后。

Objective：To investigate the condition of mental health and social support in patients with chronic heart failure.Methods：Questionnaires were performed in 186 patients with chronic heart failure and 156 healthy volunteers as control group using Symptom Checklist 90（SCL-90） and Social Support Rating Scale（SSRS）.Results： Somatization,depression,anxiety,and phobic anxiety of the chronic heart failure group were higher than those of the control group（P〈0.05 or 0.01 respectively）.The SSRS results of subjective and objective supports,use of support and total score of social supports of the chronic heart failure group were lower than those of the control group（P〈0.05）.Conclusions： Our results suggest that the disordered mental conditions and lower social support in patients with chronic heart failure need psychosocial interventions and social support in addition to medical care.