糖尿病并发冠心病患者心理状态的调查

目的了解糖尿病并发冠心病患者的心理状态,为糖尿病并发冠心病患者的综合性治疗和康复干预提供心理学依据。方法采用症状自评量表（symptom checklist 90,SCL-90）调查123例糖尿病并发冠心病患者的心理状态,所得评分与国内常模进行比较,并进行男女患者SCL-90评分的比较。结果糖尿病并发冠心病组患者SCL-90总评分高于国内常模（P〈0.01）,躯体化、抑郁、焦虑及恐怖4个因子的评分也明显高于国内常模（P〈0.05或P〈0.01）;女性患者躯体化、抑郁及敌对因子得分高于男性,差异有统计学意义（P〈0.05）。结论糖尿病并发冠心病患者的负性心理情绪较严重,临床医护人员应采取切实可行的治疗及护理措施,促进患者康复。

Psychological Investigation on Diabetic Patients Complicated with Coronary Heart Disease

Objective To investigate the psychological status of the diabetic patients complicated with coronary heart disease（CHD） with a view to providing psychological evidence for comprehensive treatment and rehabilitation for the patients.Methods A total of 123 diabetic patients complicated with CHD were measured with symptom checklist 90 （SCL-90） on the psychology.Comparisons were conducted not only between the patients’ scores of SCL-90 and national norm but also between male and female patients’ scores of SCL-90.Results The scores of SCL-90 in the diabetic patients complicated with CHD were significantly higher than those of national norm（P〈0.01）.The scores of somatization,depression,anxiety,and phobic factor in the group of diabetic patients complicated with CHD were significantly higher than those of the normal（P〈0.05 or P〈0.01）.The scores in the factors of somatization,depression and hostility in the female patients were significantly higher than those of the male patients（P〈0.05）.Conclusion Serious psychological negative emotions are common in the diabetic patients complicated with CHD,which deserves more concerns to promote the rehabilitation of the patients with practicable treatments and nursing measures.