风湿科门诊患者心理状况调查研究

Investigation of mental status of rheumatoid out-patients

目的调查风湿科门诊患者的心理健康状况，为开展心理干预治疗提供依据。方法采用一般情况调查表、疼痛视觉模拟评分量表（VAS）、症状自评量表（scl-90）调查102例各类风湿性疾病的门诊病患者，调查方式为随机抽样调查。结果与国内常模相比，风湿类疾病患者的Scl-90总均分为1．58±0．47、抑郁因子分为1．95±0．74、焦虑因子分为1．95±0．74，显著高于国内常模（P〈0．05）；文化程度高、病程长、疼痛程度高与抑郁因子分值呈正相关（F=15．730，P〈0．01，R^2=0．450）；文化程度高、病程长、疼痛程度高与焦虑因子分值呈正相关（F=9．784，P〈0．01，R^2=0．338）。结论①风湿科门诊患者多存在焦虑抑郁等心理健康问题；②病程长、疼痛程度高、文化程度高的风湿性疾病患者患焦虑抑郁等心理疾病的可能性较高。

Objective To investigate the mental health of rheumatoid out-patients, and to provide fundation for mental intervention. Methods One hundred and two rheumatoid out-patients were investigated with general state questionaire, visual analogue scale （VAS） and Symptom Checklist 90 （Scl-90）, the method was random sampling. Results Rheumatics＇ Scl-90 con-equipartition score was 1.58 ± 0. 47, depression score was 1.95 ± 0. 74 and anxiety score was 1.95 ±0. 74, which were higher than the normal （P 〈 0. 05）. Rheumatoid out-patients＇ depression and anxiety were directly correlated with educational background, disease course and the degree of pain （P 〈 0. 01 ）. Conclusions Rheumatoid patients have symptoms of mental disorders to a certain extent. Patients with long disease course, high degree of pain and educational background are more likely to have mental disease such as anxiety and depression in rheumatics .