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黄胜春,贡东卫,伍毅,等.不同等级肢体残疾患者心理健康状态比较研究[J].同济大学学报（医学版）,2011,32(5):90-93. [点击复制]
HUANG Sheng-chun,GONG Dong-wei,WU Yi,et al.Mental health status and quality of life in patients with physical disabilities of different levels[J].同济大学学报（医学版）,2011,32(5):90-93. [点击复制]

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不同等级肢体残疾患者心理健康状态比较研究
黄胜春¹,贡东卫¹,伍毅²,陈优²,张艳娟³
0 字体:加大+\|默认\|缩小-
(1. 上海市杨浦区平凉社区卫生服务中心,上海200082;2. 上海市杨浦区精神卫生中心,上海200090;3. 上海市杨浦区残疾人联合会,上海200438)

摘要:

目的探讨社区内不同等级肢体残疾患者的心理健康、生活质量及社会支持的区别。方法采用一般情况、症状自评量表（Symptom Checklist 90,SCL-90）、健康状况问卷（the Short-Form-36 Health Su.rvey,SF-36）、社会支持评定量表（Social Support Rating Scale,SSRS）等对843例社区肢体残疾患者进行评定于比较分析。结果 SCL-90测评中二级肢体残疾患者9个因子均高于其他3组（P＜0.01或P＜0.05）;SF-36测评中二级肢体残疾患者在生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康7个因子低于其他3组,一级肢体残疾患者生理机能因子得分最低（P＜0.01或P＜0.05）;SSRS测试中,一级肢体残疾患者总分及主观支持得分低于其他3组（P＜0.01或P＜0.05）。结论不同等级肢体残疾患者面临的问题不同,特别是要对二级肢体残疾患者进行心理干预和社会支持。

关键词: 肢体残疾成人症状自评量表生存质量社会支持

DOI：10.3969/j.issn1008-0392.2011.05.021

基金项目:

Mental health status and quality of life in patients with physical disabilities of different levels

HUANG Sheng-chun¹,GONG Dong-wei¹,WU Yi²,CHEN You²,ZHANG Yan-juan³

(1.Pingliang Community Health Service Center of Yangpu District,Shanghai 200082,China;2.Mental Health Center of Yangpu District,Shanghai 200090,China;3.Yangpu Disabled Person’s Federation,Shanghai 200438,China)

Abstract:

Objective To investigate the mental health status and quality of life in patients with physical disability.Methods The general conditions,Symptom Checklist 90(SCL-90),the Short-Form-36 Health Survey(SF-36) and Scoial Support Rating Scale(SSRS) were surveyed in 843 patients with physical disabilities in community.Results In SCL-90 testing,patients with the second-level physical disability had higher scores in all the 9 factors than the other 3 groups.In SF-36,the scores of physical function,bodily pain,general health,energy,social function, emotional function and mental health of patients with second-level disability were significantly lower than other 3 groups,the first-level patients had the lowest scores of physiological function. In SSRS testing,the first-level patients had the lower scores of total and subjective support than the other groups(P＜0.01 or P＜0.05).Conclusion Patients with physical disability of different levels have different problems,we should give special psychological intervention and social support to the second-level disabled patients.

Key words: physical disability SCL-90 quality of life social support