躯体形式疼痛障碍患者近亲属的心理健康状况及家庭健康教育

The Mental Health Condition of First-degree Relatives of Patients with Persistent Somatic Form of Pain Disorder,and to Further Explore the Implementation Methods of Health Education

目的分析持续的躯体形式的疼痛障碍患者近亲属的心理健康状况,探讨健康教育实施方法。方法选取我院经住院治疗的持续的躯体形式的疼痛障碍患者45例,患者入院一周对他们的亲属行SCL-90、SAS、SDS测评,SCL-90与常模比较;第2/3/4周对亲属进行健康教育,第5周再次行SAS、SDS测试。结果①患者亲属SCL-90中强迫、人际关系、抑郁、焦虑、偏执、精神病性因子分数明显高于国内常模,普遍存在焦虑、抑郁情绪,差异性有统计学意义(P<0.05);②实施健康教育后SAS、SDS得分明显低于实施前,前后得分差异性有统计学意义(P<0.05)。结论持续的躯体形式的疼痛障碍患者的亲属存在焦虑、抑郁等心理问题。对其实施健康教育可以提高亲属对疾病的认识能力,减轻他们的心理负担,又可以建立良好的医患关系,从而配合医师对患者的治疗,促进患者远期康复。

Objective To investigate the mental health condition of first-degree relatives of patients with persistent somatic form of pain disorder,and to further explore the implementation methods of health education.Methods A total of 45 first-degree relatives of patients with persistent somatic form of pain disorder were selected,and the mental health status of first-degree relatives were evaluated with Symptom check list-90(SCL-90),SAS and SDS when the patients were admitted within one week,which then would be compared with normal mode.Nursing health education was provided for relatives during the second to fourth week.In the fifth week,the SAS and SDS tests were performed again.Results The SCL-90 score of first-degree relatives in significantly higher than domestic norm,in dimensions of somatization,force,interpersonal relationship,depression,anxiety,paranoid and psychotic factor(P<0.05);After the implementation of health education,SAS and SDS scores were significantly lower than before the implementation,and the differences were statistically significant(P<0.05).Conclusion The Anxiety and depression symptoms were prevalent among first-degree relatives.The implementation of health education can improve the ability of family members understanding of disease,alleviate their psychological burden,and can establish a good doctor-patient relationship,so as to cooperate with the doctor for the treatment,which in turn facilitate the patient recovery.