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老年冠心病共病患者心理特征与分析 预览

Psychological Characteristics of the Elderly with CHD plus Multimorbility
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摘要 目的观察老年冠心病共病患者心理特征。方法选取2017年2月1日—2018年1月31日住院患者及健康体检老年人共237例,共分为3组。193例冠心病共病患者为实验组,24例为冠心病单病患者为阳性对照组,20例为健康老年人为空白对照组,所有老年患者均进行症状自评量表(theSymptomChecklist90,SCL-90)测评,根据量表各因子得分情况评估老年冠心病共病患者的心理特征。结果老年冠心病共病患者在躯体化(系数:0.222,P=0.007)、强迫(系数:0.18,P=0.001),人际关系(系数:0.101,P=0.041)、抑郁(系数:0.249,P<0.001)、焦虑(系数:0.157,P=0.001)、敌对(系数:0.165,P=0.001)、恐怖(系数:0.153,P=0.008)、偏执(系数:0.096,P=0.028)、精神病性(系数:0.119,P=0.007)中评分高于冠心病单病组和健康老年组。结论老年冠心病共病患者罹患心理问题的风险较冠心病单病组增高,需引起临床的高度关注。 Objective To discuss the psychological characteristics of the elderly with coronary heart disease(CHD) plus multimorbidity. Methods 237 elderly,including the hospitalized elderly and the healthy elderly for physical examination,were selected during the period from Feb.1,2017 to Jan. 30,2018 and were divided into 3 groups:experiment group(CHD plus multimorbidity,n=193),positive control group(CHD plus no multiorbidity) and blank control group(healthy elderly, n =20);Symptom Checklist 90(SCL-90) was applied to all the elderly in the 3 groups and the psychological characteristics of the elderly with CHD plus multimorbidity were estimated based on their scores. Results The elderly in experiment group had higher scores than those in positive control group and blank control group in somatization(Coefficient:0.222,P=0.007),obsessive-compulsive(Coefficient:0.18,P=0.001),interpersonal sensitivity(Coefficient:0.101,P=0.041),Depression(Coefficient:0.249,P<0.001),anxiety(Coefficient:0.157,P=0.001),hostility(Coefficient:0.165,P=0.001),phobic anxiety(Coefficient:0.153,P=0.008),paranoid ideation(Coefficient:0.096,P=0.028),psychoticism(Coefficient:0.119,P=0.007). Conclusions The elderly with CHD plus multimorbidity have a higher risk of psychological problems than the elderly with CHD plus no multimorbidity,which should be paid attention in clinic.
作者 李慧琳 马绍骏 盛净 Li Huilin;Ma Shaojun;Sheng Jing(Department of Geriatrics,Shanghai Ninth People’s Hospital,Shanghai JiaoTong University School of Medicine,Shanghai,200011,P.R.China)
出处 《老年医学与保健》 CAS 2019年第2期160-164,共5页 Geriatrics & Health Care
关键词 老年 冠心病 共病 心理特征 症状自评量表 elderly coronary heart disease(CHD) multimorbidity psychological characteristics Symptom Checklist 90(SCL-90)
作者简介 通信作者:盛净,电子信箱:shengjing60@163.com.
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