157例职业中毒住院病人心理健康状况分析及护理对策

Analysis and treatment on the psychological health status of 157 patients with occupational poisoning and the nursing measures

目的 了解职业中毒住院病人心理健康状况 ,并针对心理健康状况寻求最佳心理护理方法。方法 对本院15 7例职业中毒住院病人采用症状自评量表 (SCL 90 )进行问卷调查。将其因子分与国内常模进行比较。结果 职业中毒住院病人的SCL 90总分为 161 19± 49 70 ,9项因子分最小为 1 44± 0 47,最大为 1 97± 0 75。总分和躯体化、强迫、抑郁、焦虑、恐怖、精神病性 6项因子分明显高于全国常模 ,差异有非常显著性 (P <0 0 1)。结论 职业中毒住院病人存在明显的心理问题 ,需要加强心理护理。

Objective To investigate the psychological health status of the patients with occupational poisoning and to find out optimal nursing methods for resolving the psychological health problems. Methods A Self-design Symptom Checklist-90 (SCL-90) questionnaire was used in this study. 157 hospitalized patients were asked to complete the SCL-90 forms independently, the factorial scores were compared with the national norm. Results The sum score of the SCL-90 was 161.19±49.70, the minimal factorial score was 1.44±0.74 and the maximum was 1.97±0.75, the total scores and the factorial scores of the somatization, blahs, anxiety, terror psychosis symptoms were significantly higher than those of the national norm shown on the SCL-90 ( P <0.01). Conclusion It showed that the psychological problems were observed among patients with occupational poisoning and the psychological nursing needs to be strengthened.