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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
Emotional, memory and daily function among health care worker survivors with SARS

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石川 1   于欣 1 *   洪楠 2   陈楚桥 3   陈玉芳 1   何毅 1  
文摘 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。
其他语种文摘 Objective: To investigate the emotional, memory and daily function as well as psychosomatic relations 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 depression with the Self-Rating Depression Scale (SDS), pain with Visual Analogue Scale (VAS), daily function with Activities of Daily Living Scale (ADLS), and memory function with World Health Organization-University of California-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 experienced 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 daily 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.
来源 中国心理卫生杂志 ,2011,25(9):660-665 【核心库】
关键词 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
地址

1. 北京大学精神卫生研究所, 卫生部精神卫生学重点实验室, 北京, 100191  

2. 北京大学人民医院, 北京, 100044  

3. 中国科学院心理研究所, 北京, 100101

语种 中文
文献类型 研究性论文
ISSN 1000-6729
学科 内科学;神经病学与精神病学
基金 国家985基金
文献收藏号 CSCD:4328042

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