《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (06): 593-594.

• 心理康复 • 上一篇    下一篇

阿尔茨海默病照料者心理健康状况分析

陈振霞   

  1. 商丘市第二人民医院,河南商丘市 476000
  • 收稿日期:2008-02-22 出版日期:2008-06-01 发布日期:2008-06-01

Psychological States of Caregivers of Patients with Alzheimer Disease

CHEN Zhen-xia   

  1. The Second People's Hospital, Shangqiu 476000, Henan, China
  • Received:2008-02-22 Published:2008-06-01 Online:2008-06-01

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摘要： 目的调查阿尔茨海默病(AD)照料者的心理状况。方法采用自行设计的调查表及症状自评量表(SCL-90)、汉密尔顿抑郁量表(HAMD)、汉密尔顿焦虑量表(HAMA)对75例AD患者及65例非AD患者的主要照料者进行测查。结果AD患者照料者的SCL-90总分、总均分、阳性项目数、阳性项目均分、躯体化、强迫、人际关系、抑郁、焦虑、敌对等因子分以及HAMD、HAMA量表评分高于非AD患者照料者(P<0.05～0.01)。结论AD患者的照料者心理健康水平低于非AD患者照料者,焦虑和抑郁情绪障碍是主要的心理问题。

关键词: 阿尔茨海默病, 照料者, 心理健康

Abstract: Objective To investigate the psychological status and mood disorders of the caregivers of patients with Alzheimer disease (AD).Methods Seventy-five caregivers mainly caregiving AD patients and sixty-five caregivers mainly caregiving non-AD patients were asked and assessed with Symptom Checklist-90 (SCL-90), Hamilton Depression Scale (HAMD) and Hamilton Anxiety Scale (HAMA).Results The total scores, average scores, positive items, average scores of positive items, physical symptoms, obsession, interpersonal relation, depression, anxiety and hostility on SCL-90 of the caregivers caregiving AD patients were significantly higher than those caregiving non-AD patients ( P<0.05～0.01). The scores of HAMD and HAMA of caregivers caregiving AD patients were significantly higher than those caregiving non-AD patients ( P<0.01).Conclusion The mental health status of caregivers of AD patients is significantly lower than those of non-AD patients, and depression and anxiety are main mood disorders.

Key words: Alzheimer disease, caregiver, mental health