学术论文

      心脏射频消融术前军队患者的心理状况分析

      Psychological situation in military patients before cardiac radiofrequency ablation

      摘要:
      目的了解军队患者拟行心脏射频消融术前的心理健康状况,为探索心律失常的“双心”整合治疗模式提供心理学的依据。方法纳入拟行心脏射频消融术的军队患者169例,采用症状自评量表(SCL-90)对其进行术前心理测评,并将其测评结果与军人常模进行比较;同时采用Logistic回归分析人口学信息、所属部队(分为边防部队、作战部队、驻京部队及干休所)、心律失常类型、对疾病认知度等资料与SCL-90的躯体化、焦虑、抑郁、恐怖因子的关系。结果拟行心脏射频消融术的军队患者术前SCL-90的躯体化、焦虑、抑郁、强迫、恐怖等因子得分均显著高于国内军人的常模,其中预激综合征、阵发性室上性心动过速患者的躯体化较其他病种更加显著,对疾病认知度中等或差的患者发生躯体化、焦虑的概率较高,来自边防部队的患者更易出现焦虑、强迫、恐怖等情绪;(17~30)岁患者以恐怖情绪为主,(31~50)岁患者以强迫情绪为主。结论心脏射频消融术前军队患者普遍存在心理障碍,尤其是对疾病缺乏认知、来自边防部队的患者更易出现焦虑等情绪障碍,同时不同年龄的患者出现的情绪化障碍特点有所不同。
      Abstract:
      Objective To understand the psychological situation in military patients before radiofrequency ablation (RFA), and provide the psychological evidence for the integrated therapeutic mode for arrhythmia. Methods The military patients (n=169) with planned radiofrequency ablation were chosen, and given pre-operation psychological assessment by applying SCL-90 and the outcomes were compared with military norm. The relationship among demographic information, troops (frontier forces, combat forces, Beijing forces and sanitarium for retired cadres), types of arrhythmia and disease awareness and factors of somatization, anxiety, depression and phobia in SCL-90 was analyzed by using Logistic regression. Results The scores of factors of somatization, anxiety, depression, compulsion and phobia in SCL-90 were higher in the military patients compared with military norm before RFA, and somatization was more significant in the patients with pre-excitation syndrome and paroxysmal supraventricular tachycardia than those with other diseases. The probabilities of somatization and anxiety were higher in the patients with lower disease awareness. Anxiety, compulsion and phobia were more common in the patients from frontier forces, and phobia was common in the patients aged from 17 to 30 and compulsion was common in those aged from 31 to 50. Conclusion The military patients generally have psychological disorders before RFA, especially lower disease awareness. Anxiety was more common in the patients from frontier forces, and the characteristics of psychological disorders are different in differently aged patients.
      作者: 王娟 [1] 易蕊 [1] 谭琛 [2] 郭娟 [1] 门爱民 [3] 王敏 [1] 李俊峡 [2]
      Author: WANG Juan [1] YI Rui [1] TAN Chen [2] GUO Juan [1] MEN Ai-min [3] WANG Min [1] LI Jun-xia [2]
      作者单位: 北京军区总医院医务部, 北京,100700 北京军区总医院心血管疾病研究所 北京军区总医院护理部
      年,卷(期): 2013, (4)
      分类号: R541.7
      机标分类号: R54 R47
      在线出版日期: 2013年9月23日