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目的探讨消化内科住院老年患者的心理状况,分析相关原因。方法将我院消化内科2016年1月~12月收治的老年住院患者140例,采用症状自评量表scl-90调查老年消化内科住院患者的心理状况,以各因子下得分>2分视为阳性。结果消化内科老年住院患者的scl-90量表下躯体化、强迫、人际关系、抑郁、焦虑、敌对、偏执、精神疾病因子得分均显著高于国内常模,差异有统计学意义(P<0.05);各因子阳性率分别为:躯体化51.4%(72/140)、强迫29.3%(41/140)、人际关系40.7%(57/140)、抑郁48.6%(68/140)、焦虑50.7%(71/140)、敌对45.0%(63/140)、恐怖24.3%(34/140)、偏执39.3%(55/140)、精神35.7%(50/140)。结论消化内科住院老年患者存在明显的负面心理,以躯体化、强迫、人际关系、抑郁、焦虑、敌对、偏执、精神疾病为主,护理人员应根据老年患者的具体心理表现及诱发因素,实施针对性护理,改善心理状况,提升生活质量。
Objective To investigate the psychological status of senile patients inpatients with gastroenterology and to analyze the related causes. Methods A total of 140 hospitalized elderly patients admitted to our hospital from January to December 2016 were enrolled in this study. The psychological status of inpatients with geriatric gastroenterology was scored by SCL-90, and the score> 2 was considered as Positive. Results The scores of somatization, coercion, interpersonal relationship, depression, anxiety, hostility, paranoid and psychiatric factors in scl-90 elderly inpatients were significantly higher than those in domestic norms (P <0.05 ). The positive rates of each factor were: somatization 51.4% (72/140), compulsion 29.3% (41/140), interpersonal relationship 40.7% (57/140), depression 48.6% (68/140), anxiety 50.7% (71/140), hostility 45.0% (63/140), horror 24.3% (34/140), paranoid 39.3% (55/140) and spirits 35.7% (50/140). Conclusion There are obvious negative psychology in hospitalized elderly patients in the department of gastroenterology. Somatization, compulsion, interpersonal relationship, depression, anxiety, hostility, paranoid and mental illness are the main causes. Nursing staff should give priority to patients with specific mental symptoms and predisposing factors Sexual care, improve the psychological condition, improve the quality of life.