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    李萍, 贾守梅, 苗宇. 单双相抑郁障碍病人躯体化症状的状况[J]. 蚌埠医科大学学报, 2019, 44(1): 84-89. DOI: 10.13898/j.cnki.issn.1000-2200.2019.01.024
    引用本文: 李萍, 贾守梅, 苗宇. 单双相抑郁障碍病人躯体化症状的状况[J]. 蚌埠医科大学学报, 2019, 44(1): 84-89. DOI: 10.13898/j.cnki.issn.1000-2200.2019.01.024
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    LI Ping, JIA Shou-mei, MIAO Yu. Investigation on the somatic symptoms of patients with unipolar and bipolar depressive disorders[J]. Journal of Bengbu Medical University, 2019, 44(1): 84-89. DOI: 10.13898/j.cnki.issn.1000-2200.2019.01.024
    Citation: LI Ping, JIA Shou-mei, MIAO Yu. Investigation on the somatic symptoms of patients with unipolar and bipolar depressive disorders[J]. Journal of Bengbu Medical University, 2019, 44(1): 84-89. DOI: 10.13898/j.cnki.issn.1000-2200.2019.01.024
    shu

    单双相抑郁障碍病人躯体化症状的状况

    Investigation on the somatic symptoms of patients with unipolar and bipolar depressive disorders

      摘要
    • 摘要:
      目的调查单双相抑郁障碍病人的躯体化症状的状况及特点。
      方法采用便利抽样方法，用一般情况问卷、躯体症状问卷（SSI）、汉密尔顿抑郁量表（HAMD），对94例抑郁障碍病人的一般资料、躯体化症状、抑郁情绪进行调查。所有资料输入SPSS20.0进行描述性和相关性统计分析。
      结果病人躯体症状的均分为（48.16±15.121）分，26.6%的病人的躯体化症状已达中重度。抑郁障碍病人的躯体症状与饮食情况、重大生活事件、用药不良反应出现的症状有关（P < 0.05~P < 0.01）；饮食状况良好者其躯体症状总分和非疼痛躯体症状分数明显低于饮食情况一般和食欲下降者（P < 0.05~P < 0.01）；一年内经历2次以上重大生活事件者，其疼痛症状分数明显高于未经历或经历1次生活事件者（P < 0.05）；存在3种及以上用药不良反应的病人，其躯体化症状总分和非疼痛症状分数显著高于无药物不良反应或仅有1种不良反应者（P < 0.01）；躯体症状总分、疼痛维度和非疼痛维度躯体症状和病人的抑郁程度均呈正相关（r=0.337、0.325、0.316，P < 0.01）。
      结论躯体症状在抑郁障碍病人中较为普遍。护理人员重视病人饮食情况、药物不良反应的管理，及经历重大生活事件病人的情绪管理，从而促进抑郁障碍病人的全面康复。

       

      Abstract:
      ObjectiveTo investigate the status and characteristics of somatic symptoms in patients with unipolar and bipolar depressive disorders.
      MethodsThe general information, somatic symptoms and depression in 94 patients with depressive disorders were investigated using the symptom questionnaire(SSI), Hamilton Depression Scale(HAMD) and general questionnaire, and all data were analyzed using SPSS20.0 software.
      ResultsThe average score of SSI of patients was(48.16±15.121), and the somatic symptoms of 26.6% patients were the moderate to severe levels.The somatic symptoms of patients with depressive disorders were significantly correlated with the diet, life events and side effects of medication(P < 0.05 to P < 0.01).The total score of somatic symptoms and non-pain somatic symptom score in patients with good diet were significantly lower than those in patients with normal diet and anorexic(P < 0.05 to P < 0.01).The score of pain symptoms in patients with experiencing more than 2 major life events in one year was significantly higher than that in patients without experiencing or with experiencing one major life event(P < 0.05).The total score of somatization symptoms and non-pain symptoms score in patients with three or more adverse drug reactions were significantly higher than those in patients without or with one adverse drug reaction(P < 0.01).The total score of somatic symptoms, dimension of pain and non-pain were positively correlated with the depression degree of patients(r=0.337, 0.325 and 0.316, P < 0.01).
      ConclusionsSomatic symptoms is more common in patients with depressive disorder.The diet, management of adverse drug reactions, and emotional management of patients experiencing major life events should be concerned by nurses, so that the comprehensive rehabilitation of patients with depressive disorders is promoted.

       

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