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目的 探讨截肢患者伴发焦虑、抑郁症状的特点。方法 对31例截肢患者进行症状自评量表(SCL—90)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、汉密顿焦虑量表(HAMA)、汉密顿抑郁量表(HAMD)、社会支持评定量表(SSRS)测评。同时以年龄、性别相匹配的31名健康人为对照。结果 截肢患者常有焦虑、抑郁症状,其心身健康程度显著低于对照组,表现在SCL—90中的总分和部分因子分、SDS、SAS、HAMA、HAMD总分显著高于对照组,(P<0.01),而SSRS总分显著低于对照组(P<0.01)。结论 对伴发焦虑、抑郁症状的截肢患者应及时给予心理治疗、抗焦虑剂、抗抑郁剂治疗及良好的家庭照顾和社会支持非常必要。
Objective To investigate the characteristics of amputation patients with anxiety and depression. Methods Totally 31 amputation patients were assessed by SCL-90, SAS, SDS, HAMA, Scale (HAMD), social support rating scale (SSRS) evaluation. At the same time, 31 healthy individuals matched by age and sex were compared. Results Amputation patients often had anxiety and depressive symptoms, and their mental and physical health were significantly lower than that of the control group. The total score and partial factor scores of SCL-90, SDS, SAS, HAMA and HAMD scores were significantly higher than those of the control group P <0.01), while the total score of SSRS was significantly lower than that of the control group (P <0.01). Conclusion Amputation patients with anxiety and depressive symptoms should be promptly given psychological treatment, anti-anxiety agents, antidepressants and good family care and social support.