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[目的]调查扩张型心肌病(Dilated Cardiomyopathy,DCM)患者的心理健康状况,并探讨其护理对策。[方法]采用症状自评量表SCL-90对42例扩张型心肌病患者和42例正常人对照分别进行调查;应用t检验对两组的调查结果进行统计分析。[结果]SCL-90量表显示,与正常人相比,扩张型心肌病患者的9项指标较正常人高,其中在躯体化、人际关系、抑郁、焦虑、恐怖和敌对性等6项得分更高,症状较重,差异显著。[结论]扩张型心肌病患者存在不良的心理状况,主要表现在躯体化症、人际关系敏感、抑郁、焦虑和恐怖、敌对性等。护理时应密切观察病情变化,对于伴有不良心理状况的患者需加强心理护理。此外,对扩张型心肌病患者及家属的院外指导亦是减少危险因素的重要护理措施。
[Objective] To investigate the mental health status of patients with dilated cardiomyopathy (DCM) and to explore their nursing strategies. [Methods] Twenty-four patients with dilated cardiomyopathy and 42 normal controls were investigated by SCL-90. T-test was used to analyze the results of the two groups. [Results] The SCL-90 scale showed that 9 items of dilated cardiomyopathy patients were higher than those of normal controls, including 6 items of somatization, interpersonal relationship, depression, anxiety, terror and hostility Higher, severe symptoms, significant differences. [Conclusion] There are some adverse psychological conditions in patients with dilated cardiomyopathy, mainly in somatization, interpersonal sensitivity, depression, anxiety and terror, hostility and so on. Care should be closely observed changes in condition, for patients with adverse psychological conditions need to strengthen psychological care. In addition, out-of-hospital guidance for dilated cardiomyopathy patients and their families is also an important care to reduce risk factors.