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医务人员严重急性呼吸综合征幸存者康复期情绪、记忆和日常生活功能
Alternative TitleEmotional, memory and daily function among health care worker survivors with SARS
石川1; 于欣1; 洪楠1; 陈楚桥1; 陈玉芳1; 何毅1
2011
Source Publication中国心理卫生杂志
Correspondent Emailyuxin@bjmu.edu.cn
ISSN1000-6729
Subtype期刊论文
Volume25Issue:9Pages:660-665
Contribution Rank3
Abstract目的:调查医务人员严重急性呼吸综合征(SARS)幸存者康复期的情绪、记忆和日常生活功能,探讨心身交互作用关系。方法:采用前瞻性研究。方便取样抽取北京三家医院因感染新型冠状病毒而患SARS的医务人员43名,并选取年龄、性别、受教育程度匹配的对照组41名。对照组来自这三家医院的医务人员,用抑郁自评量表(SDS)评估抑郁,视觉模拟疼痛评定量表(VAS)评定疼痛,加州洛杉矶听觉词语学习测验(WHO-UCLA AVLT)及Rey-Osterrieth复杂图形测验(ROCF)评定记忆,日常生活能力量表(ADLS)评估日常生活功能。抑郁按严重指数(被试总分/80)分为轻中重三个等级。结果:医务人员SARS幸存者存在持续和显著的抑郁(轻、中、重度抑郁分别占31%、35%和17%)和疼痛,与对照组相比,存在更多的词语插入错误(P=0.047)。疼痛与情绪(r=0.40,P=0.031)和日常生活功能得分(r=0.47,P=0.01)显著正相关。甲基强的松龙治疗时间与日常生活功能得分显著正相关(r=0.38,P=0.041)。结论:抑郁及疼痛症状是SARS幸存者需要持续关注和处理的问题,在SARS治疗中长期大量使用甲基强的松龙应当慎重。; Objective: To investigate the emotional, memory and daily function as well as psychosomatic re- lations of health care worker in Severe Acute Respiratory Syndrome (SARS) survivors. Method: A total of 43 health care worker SARS survivors and 41 healthy control subjects in three hospitals in Beijing were assessed de- pression with the Self-Rating Depression Scale (SDS), pain with Visual Analogue Scale (VAS), dally function with Activities of Daily Living Scale (ADLS), and memory function with World Health Organization-University of Cali- fornia-Los Angeles Auditory Verbal Learning Test (WHO-UCLA AVLT) and Rey-Osterrieth Complex Figure Test (ROCF). The depression was classified according to the severity index ( total score/80). Results: The cohort expe- rienced lasting and striking depression (mild, moderate and severe depression were 31%, 35 % and 17% ) and pain (VAS = 5.2 ± 2. 2). Compared with the healthy control group, SARS survivors had more intrusion errors (P = 0. 047). Pain was positively correlated with emotion (r =0. 40, P =0. 031) and dally functioning (r =0. 47, P =0. 01). The duration of methylprednisolone treatment was also positively correlated with daily functioning ( r = 0. 38, P = 0. 041 ). Conclusion: Depression and pain are the major problems of SARS survivors which should be concerned about and handled to the physicians in general or infectious disease hospitals. Long-term utilization and overdosage of glucocorticoid are cautioned against in SARS treatment.
Keyword严重急性呼吸综合征 抑郁 疼痛 记忆 日常生活功能 前瞻性研究
Subject Area医学心理学
URL查看原文
Indexed ByCSCD
Language中文
Funding Organization基金项目:985基金(985-2-027-39)
CSCD IDCSCD:4328042
Citation statistics
Document Type期刊论文
Identifierhttp://ir.psych.ac.cn/handle/311026/15049
Collection健康与遗传心理学研究室
Corresponding Author于欣
Affiliation1.北京大学精神卫生研究所卫生部精神卫生学重点实验室
2.北京大学人民医院
3.中国科学院心理研究所
Recommended Citation
GB/T 7714
石川,于欣,洪楠,等. 医务人员严重急性呼吸综合征幸存者康复期情绪、记忆和日常生活功能[J]. 中国心理卫生杂志,2011,25(9):660-665.
APA 石川,于欣,洪楠,陈楚桥,陈玉芳,&何毅.(2011).医务人员严重急性呼吸综合征幸存者康复期情绪、记忆和日常生活功能.中国心理卫生杂志,25(9),660-665.
MLA 石川,et al."医务人员严重急性呼吸综合征幸存者康复期情绪、记忆和日常生活功能".中国心理卫生杂志 25.9(2011):660-665.
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