系统性红斑狼疮患者心理障碍及影响因素分析

doi:10.3969/j.issn.1006-6233.2018.02.033

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Abstract Objective: To investigate the prevalence of psychological disorders in patients with systemic lupus erythematosus (SLE) and analyze the influencing factors. Methods: 80 patients with SLE treated in our hospital during the period from February 2012 to April 2017 were selected as the subjects, and 80 healthy volunteers who underwent physical examination in our hospital during the same period were also enrolled in the study. All subjects were evaluated with the symptom check list-90 (SCL-90), and the level of mental health was compared between the two groups. According to the results of SCL-90 screening, patients with SLE were divided into mental disorder group and no-mental disorder group. The clinical data such as age, gender, course of disease, recurrence frequency, disease activity, visceral involvement, adverse drug reactions, education level, occupation status, economic income, marital status and residence were compared between groups. Results: The total score of SCL-90 of patients with SLE was significantly higher than that of healthy volunteers [(154.29±28.51) vs (132.17±25.69) ](P < 0.05). In 80 patients with SLE, 29 patients had mental disorders detected by SCL-90, and the detection rate was 36.3% (29/80). The proportions of patients whose course of disease was longer than 6 months, patients with disease in active phase, patients with visceral involvement, patients with adverse drug reactions, patients whose education level was lower than high school, unemployed patients, patients whose income was less than 50 thousand yuan / year and unmarried or divorced patients in the mental disorders group were significantly higher than those in the non-mental disorder group (P < 0.05). Conclusion: The risk of mental disorders is relatively higher in patients with SLE. The course of disease, disease activity, visceral involvement, adverse drug reactions, educational level, occupational status, economic income and marital status have significant effect on the occurrence of mental disorders in patients with SLE.

Key words： Systemic lupus erythematosus Psychological disorders Influencing factors

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	YU Yao
	PANG Dongrui

Cite this article:

YU Yao,PANG Dongrui. Analysis of Psychological Disorders and Influencing Factors in Patients with Systemic Lupus Erythematosus[J]. HeBei Med, 2018, 24(2): 301-305.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.02.033 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I2/301

[1] 李万菊,丁小雪,蒲卉明.系统性红斑狼疮糖皮质激素治疗后骨密度变化及干预措施[J].医学临床研究,2015,32(3):546~548.
[2] 高小华,周文君,裔粉娣,等.同伴支持对系统性红斑狼疮患者生活质量及心理的影响[J].护理学报,2015,22(23):70~73.
[3] 禹玉兰,吕昭萍,万崇华,等.系统性红斑狼疮生命质量量表反应度及可行性评价[J].中华行为医学与脑科学杂志,2017,26(5):471~475.
[4] 宋红梅,李冀.评估和改善系统性红斑狼疮患儿的健康相关生活质量[J].中华实用儿科临床杂志,2016,31(21):1605~1607.
[5] 中华医学会风湿病学分会.系统性红斑狼疮诊治指南(草案)[J].中华风湿病学杂志,2003,7(8):508~513.
[6] 冯正直,张大均.中国版SCL-90的效度研究[J].第三军医大学学报,2001,23(4):481~483.
[7] 邬锐,苏江,陈栖栖,等.系统性红斑狼疮患者血脂水平与肾脏并发症相关性探究[J].湖南师范大学学报(医学版),2016,13(4):36~38.
[8] 朱桂启,刘美霞,侯娜莉,等.干扰素诱导基因MNDA表达与系统性红斑狼疮的相关性研究[J].中国基层医药,2015,22(13):1944~1946.
[9] 郭文静,陈琳洁,李志军,等.系统性红斑狼疮患者外周血浆细胞样树突状细胞的变化及意义[J].蚌埠医学院学报,2016,41(8):995~999.
[10] 宋洋,吕良敬.多维健康评定量表在中国系统性红斑狼疮人群中的信度及效度研究[J].中华风湿病学杂志,2015,19(1):4~9.
[11] 付豆,丁国华,王惠明,等.血尿酸水平与系统性红斑狼疮活动度及其肾损害的关系[J].山东医药,2017,57(5):43~45.
[12] 赵浩,王丹,薛鸾,等.滋阴清热法治疗阴虚内热型系统性红斑狼疮临床疗效观察[J].四川中医,2016,34(12):96~99.
[13] 徐丽玲,郭乾育,蔡小燕,等.糖皮质激素治疗系统性红斑狼疮患者的现况调查[J].中华内科杂志,2017,56(4):290~294.