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湿疹患者的心理状况及其对睡眠质量的影响(1)
http://www.100md.com 2018年12月1日 《世界睡眠医学杂志》 201812
     摘要 目的:研究湿疹患者的心理状况以及对睡眠质量的影响。方法:选取2016年5月至2017年5月上海交通大学医学院附属新华医院皮肤科收治的湿疹患者60例为观察组,另选择60例正常人为对照组,使用症状自测量表(SCL-90)对2组人员的心理状况进行评定,比较2组人员的心理状况。之后使用抑郁自评量表(SDS)、焦虑自评量表(SAS)评定湿疹患者的抑郁和焦虑情况。结果:观察组患者与对照组人员比较,各项心理相关指标差异有统计学意义(P<0-05);在60例湿疹患者中,18例患者有抑郁情绪,21例患者有焦躁情绪;有焦虑和抑郁的湿疹患者与没有此症状的湿疹患者的各项睡眠指标比较,差异有统计学意义(P<0-05)。结论:湿疹患者的抑郁和焦虑等心理问题会对他们的睡眠质量造成不良影響,因此医务人员既要进行常规的药物治疗,还要及时发现他们的心理问题予以解决并予以护理干预。

    关键词 湿疹患者;心理状况;睡眠质量

    中图分类号:R758-23文献标识码:Adoi:10-3969/j-issn-2095-7130-2018-12-044

    Psychological Status of Patients with Eczema and its Influence on Sleep Quality

    Zhang jie

    (Medical Department of Xinhua Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai,200092)

    Abstract Objective:To study the psychological status of eczema patients and its effect on sleep quality-Methods:From May 2016 to May 2017 in Medical Department of Xinhua Hospital Affiliated to Medical College of Shanghai Jiao Tong University dermatologist for treatment of 60 cases of eczema patients as the research object,using the sleep quality questionnaire and 60 patients with 60 cases of normal sleep quality assess,later with self-reported depression scale (SDS),self rating scale (SAS) to assess the patient′s anxiety depression,anxiety-Results:Compared with the general population,eczema patients had statistically significant differences in the relevant indicators (P<0-05)-Among the 60 patients with eczema,18 patients had depression and 21 patients had anxiety-The scores of their self-rating scale were statistically significant compared with those of normal people (P<0-05)-The difference in sleep indexes between the anxiety group and the depression group was also statistically significant (P<0-05)-Conclusion:The depression and anxiety of eczema patients and other psychological problems will have an adverse impact on their sleep quality,so medical staff should not only carry out routine drug treatment,but also timely find out their psychological problems to solve and give nursing intervention.

    Key Words Eczema patients;Psychological status;The quality of sleep

    湿疹是一种在各种内外因素的共同作用下产生的比较常见的皮肤病,在门诊皮肤科就诊的患者中,有30%是湿疹病患者,但对于具体的致病原因,仍然不够明确[1]。这种病情一般出现在人体表面,影响患者形象,再加上频繁发作,容易造成患者内心的自卑,产生抑郁或焦虑等负面情绪,既影响睡眠质量,又影响治疗的效果。为了深入研究负面情绪对湿疹患者睡眠质量的具体影响情况,我院进行了详细的研究,现报道如下。

    1 资料与方法

    1-1 一般资料 选取2016年5月至2017年5月上海交通大学医学院附属新华医院皮肤科收治的湿疹患者60例为观察组,另选择60名健康人群为对照组。观察组年龄35~78岁,平均年龄(45-2±3-6)岁。对照组年龄34~79岁,平均年龄(44-6±4-1)岁。, 百拇医药(张洁)
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