功能性消化不良煤矿职工的心理状态研究.docVIP

功能性消化不良煤矿职工的心理状态研究 　　[摘要] 目的 了解煤矿职工中功能性消化不良（FD）患者合并焦虑、抑郁的现状及睡眠质量情况。 方法 选取2016年4～8月在华北理工大学附属医院行胃镜检查的246名煤矿职工进行面访式调查，其中50名完全健康者（对照组），196例FD患者（FD组）。应用焦虑自评量表（SAS）、抑郁自评量表（SDS）他们全部进行心理测评，采用匹兹堡睡眠质量指数问卷（PSQI）评价睡眠状况。 结果 FD者SAS评分、抑郁指数、焦虑和抑郁患病率均高于对照组，差异有统计学意义（P 0.05）。FD组PSQI评分总分、主观睡眠质量、入睡时间、睡眠时间、睡眠效率、日间功能方面评分及睡眠紊乱率均高于对照组，差异有统计学意义（P 0.05）。 结论 FD煤矿职工具有较高的焦虑、抑郁障碍和睡眠障碍发生率，各级管理部门及卫生行政部门应加强对煤矿职工的心理健康教育，合理配置精神卫生资源。 　　[关键词] 功能性消化不良；矿工；焦虑；抑郁；睡眠障碍 　　[中图分类号] R573；R749.92 [文献标识码] A [文章编号] 1673-7210（2018）02（b）-0046-03 　　[Abstract] Objective To investigate the status of anxiety， depression and sleep quality in coal miners with functional dyspepsia （FD）. Methods A total of 246 coal miners examined by gastroscopy in North China University of Science and Technology Affiliated Hospital were interviewed from April to August in 2016. Among them， 50 cases were completely healthy people （control group）， 196 cases were FD patients （FD group）. They were carried out psychological assessments by self-rating anxiety scale （SAS） and self-rating depression scale （SDS）， and evaluated sleep quality was by Pittsburgh sleep quality index questionnaire （PSQI）. Results The SAS score， depression index， and rates of anxiety and depression in the FD group were higher than those in the control group， with statistically significant difference （P 0.05）. The PSQI total score， subjective sleep quality， sleep latency， sleep time， sleep efficiency and daytime function scores， and sleep disorder rate in the FD group were higher in the control group， with statistically significant difference （P 0.05）. Conclusion Coal miners with FD are with high prevalence of anxiety， depression and sleep disorders. Management department and the health administrative departments should strengthen their psychological health education and the rational allocation of mental health resources. 　　[Key words] Functional dyspepsia； Coal miner； Anxiety； Depression； Sleep disorders 　　功能性消化不良（functional dyspepsia，FD）?樽畛＜?的消化系统身心疾病之一，具有发病率高、