《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (08): 723-724.

• 临床研究 • 上一篇    下一篇

老年反流性食管炎患者心理健康状况评估和影响因素分析

李军1a; 朱宇欣1a; 彭超英1b   

  1. 1.解放军总医院a.南楼消化科;b.第九诊室,北京市 100853
  • 收稿日期:2006-05-17 出版日期:2006-08-01 发布日期:2006-08-01

Analysis of Mental Health and Correlative Factors of Elderly Patients with Reflux Esophagitis

LI Jun, ZHU Yu-xin, PENG Chao-ying   

  1. The Department of Digestive Tract Disease, the General Hospital of PLA, Beijing 100853, China
  • Received:2006-05-17 Published:2006-08-01 Online:2006-08-01

摘要: 目的分析老年反流性食管炎患者的心理状况及其影响因素。方法采用症状自评量表(SCL90)和自行设计的心理卫生相关因素调查表,对86例老年反流性食管炎患者进行心理测试。结果该组患者的SCL90总分为(137.5±27)分,阳性项目数为(29.9±17),明显高于国内常模(P<0.01),除精神病性及敌对因子分外,其余因子分均高于国内常模(P<0.05~0.01),按显著性排列,前3位是躯体化、抑郁和焦虑。本组患者的SCL90总均分符合正态分布。结论老年反流性食管炎患者的心理健康水平明显低于正常人群,医源性应激和疾病的长期化倾向是影响患者身心健康的两个主要原因。

关键词: 反流性食管炎, 症状自评量表, 老年人

Abstract: ObjectiveTo analyze the mental health level and the correlative factors of elderly reflux esophaditis patients.Methods86 elderly reflux esophagitis patients were tested with Symptom Check List-90 (SCL-90) and the Correlative Factor Inquiry List.ResultsThe total SCL-90 scores of the patients was 137.5±27, the number of symptomatic items was 29.9±17, which was significantly higher than that of domestic norm ( P<0.01). Besides of psychopathic and phobic, other factor scores of SCL-90 were also significantly higher than that of domestic norm ( P<0.05~0.01). The somatization, depression and anxiety were first three factors according to significant level. The constitution of patients showed the normal distribution at the level of total SCL-90 score.ConclusionMental health level of elderly reflux esophaditis patients is lower than that of normal people. The two primary reasons are long-term trend and stress of disease.

Key words: reflux esophagitis, Symptom Check List-90, elderly