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目的探讨原发性高血压的心理社会因素的相关特征,帮助临床在防治心身疾病中寻找有效的途径。方法采用国际通用的艾森克人格问卷(EPQ)、症状自评量表(SCL-90)、社会支持评定量表(SSRS)等组成定式问卷,分别对100例原发性高血压病人(高血压组)及110例健康体检人群(对照组)进行问卷调查,对两组心理因素进行分析。结果高血压组在EPQ调查中N、E、P分均高于对照组(P<0.05);SCL-90调查表明焦虑、恐惧因子分也显著增高(P<0.01);社会支持总分主观支持、社会支持的利用均降低(P<0.05)。结论原发性高血压就诊时就存在心理健康状况不良,有着明显的抑郁和焦虑情绪;个性特征上带有明显的情绪不稳,对社会的利用度下降。做好相关的心理社会干预措施是防治心身疾病的有效途径之一。
Objective To explore the related features of psychosocial factors of essential hypertension and to help clinical find effective ways in the prevention and treatment of psychosomatic diseases. Methods The questionnaire was composed of the questionnaire of EPQ, SCL-90 and SSRS, which were used in the study of 100 essential hypertension patients Blood pressure group) and 110 healthy people (control group) were surveyed, the psychological factors were analyzed. Results The scores of N, E and P in hypertension group were higher than those in control group (P <0.05). The SCL-90 survey showed that the scores of anxiety and fear factor were significantly higher (P <0.01). The social support score was subjectively supported , The use of social support decreased (P <0.05). Conclusions There is a poor mental health status at the time of the diagnosis of essential hypertension, with obvious depression and anxiety. The personality traits have obvious emotional instability and the utilization of the society is decreased. To do a good job of related psychological and social interventions is an effective way to prevent psychosomatic diseases.