A Correlative Study Of The Psychosocial Factors And Syndromes Of Chinese Tradional Medicine For Blood Disease Patients

Objective:Summarize the relevant thoughts of heart body about blood disease in the ancient literature of Chinese medicine;Investigate the morbidity situation, depressed obstacle situation,individual character,the Syndrome of blood disease patient's of blood disease specialized department of general hospital; Appraise a blood disease patient and accompany and take place the relation that the influent factor,individual character psychological characteristics and the Syndrome,probe into the heart body attribute of blood disease of Chinese medicine.Method:The literature study part,from the physiological foundation of Chinese medicine,Chinese medicine cause of disease getting ill,angle to Chinese medicine ancient literature,diagnosis of Chinese medicine and treatment,etc. of Chinese medicine about blood disease heart body relevant thoughts summarize and sum up;Partly that collects 369 blood disease specialized department impatients of first affiliated hospital of Guangzhou university of traditional Chinese medicine1st hospital,use fixed investigators and the questionnaire of the unity to carry on the face-to-face investigation to the research object, filled out basic information to gather forms by oneself by the research object, receive the patient's general situation;Filling out the psychological scale, including the depressed state scale(DIS),Eysenck's personality questionnaire,the speciality deals with the way questionnaire,comprehend society support scale(PSSS),Obtain the depressed obstacle situation, individual psychological characteristics information of a blood disease patient;Investigators fill in the four methods of diagnosis questionnaire of Chinese medicine,asking the fixed physician to appraise the blood disease' s the Syndrome.Results and Conclusions:1.Retrieve 369 qustionnaires,302 parts of qualified questionnaires;2.Blood disease high to take place the age bracket between 20-39 years old;3.Depressed incidence of obstacle 86.8%,among them slightly depressed and in the majority,account for 57.3%,intermediate to account for 24.5%while being depressed,severe and depressed to account for 5%;4.Influence the individual character psychological factor of the depressed level to incline while having,mood,the society support and passivism should be reciprocal,utilize and return to the analytical method heavily and linearly progressively more,the equation:Y=0.558+0.002(passivism is replied)-0.003 (incline while being internal and external)+0.003(mood)-0.001(comprehend the society to support)(F=12.276,P＜.01).Extroversion speciality and depressed level have an nagetive relation,i.e.the more introversive,the depressed level is the higher,the coefficient is 0.003;Mood speciality and depressed level positive correlation,i.e.the more unstable the patient's mood is,the higher the depressed level is,the coefficient is 0.003;Passivism and depressed level have positive correlation,i.e.patient apt to adopt passivism reply,it take place to heavy possibility have depressed obstacle, the coefficient is 0.002;Comprehend society support competence and depressed level are positive relevant,comprehend society support to the lower competence have competence,the higher its depressed level is,it' s coefficient is 0.001.5.The general factors of influencing the depressed level has age,level of education,sex and kinds of Diseases,etc.,utilize and return to the analytical method heavily and linearly progressively more,the equation:Y=0.539+0.022 (age)-0.015(the level of education)+0.018(sex)-0.007(the kinds of Diseases)(F=9.098,P＜.01).Among them the patient's age factor and depressed level is positive correlation,it' s coefficient is 0.022,and the higher the age bracket is,the higher the depressed level is;The factor of level of education and depressed level is negatively related,it' s coefficient is 0.015,the level of education is higher than the other education level group notably for the depressed level of the patient of the undergraduate course; Sex factor and depressed level has positive correlation,i.e.women's depressed level is relatively high,it' s coefficient is 0.018;The factor of kinds of Diseases and depressed level is related negatively,and the depressed level of the lymphocyte disease group is relatively high,the coefficient is 0.007.6.Incline relevant general factors of the speciality have blood group, family's list.Among them B type and O type blood patient incline more to be export-oriented,blood patient is inclined to the Model AB introversively, patient's tendentiousness of blood of Model A is not very obvious;The only-child and other families besides old five rank and have a prominent difference at internal and external speciality levels,and only-child's patient is shown as the export-oriented makings characteristic more.7.The factor related to mood speciality has blood group:The unstable characteristic of Type A patient's mood is more obvious,the mood of the blood patient of the Type AB is relatively steady,the blood of Type A belonged to the export-oriented - unstable type,B type,O Type blood belonged to export-orientedly - stabilizing type,the blood of Model AB is introversive - Stabilizing type.8.The general factor influencing patient's spiritual quality to be inclined to has blood group,family's ranking,head - recur;Model AB blood with all other blood group there is a prominent difference at spiritual quality speciality competence,and the Model AB blood patient's spiritual quality characteristic tendentiousness is relatively obvious;The only-child ranks with all other families and is inclined to the speciality level in the spiritual quality and has a prominent difference,and the only-child's spiritual quality characteristic inclines to be other non-more obvious;The spiritual quality of the patient who is admitted to hospital for the first time inclines to be relatively obvious.9.Influence to patient's passivism is sex,age,the head - recuring,blood group to the general factor that incline;Different sex patient has different passivism to deal with inclination,and women's passivism is replied and inclined to obviously;≤19Age bracket and other age brackets of blood disease having prominent differences on the tendentiousness at passivism,and＜=19 years old age bracket patient adopt passivism and tackle of is higher than a other age brackets patient;Admitted to hospital patient by levels that passivism deal with without being influenced for the first time,and first publish blood disease patient that recur patient adopt more passivism relatively in the face of.The blood patient of the Model AB is apter to produce passivism to reply than the other blood group patient.10.Influence the patient to deal with generally factor of inclination actively is sex,age,education level;In reply,link degree have significance difference actively different sex patient,with passivism should to result in a opposite one blood disease patients male adopt reply actively more;20-39 year old age bracket and≥60 year old in reply,link degree have significance difference,and high age bracket patient adopt,reply actively more to low age bracket patient actively age bracket;The level of education is in the high school of the midstream or group's blood disease patient of the junior college to adopt and reply actively more.11.Influence and comprehend the society and support the general factor of competence and is age,sex,first publish,recur.The significance difference exists in comprehending the social degree of support in age bracket of age bracketof 20-39 years old and≥60 years old,as to with other groups, age bracket patient of 20-39 years old comprehends the society and supports one degree of levels to be relatively low;Different sex patient has significance differences to the comprehension intensity which the society supports,women comprehend the society and support competence to be relatively high;Whether the patient is admitted to hospital the comprehension level influencing the society to support for the first time,the patient recuring comprehends the society and supports competence to be relatively high;There are prominent differences in comprehending the competence of supporting of the society between blood of Model A and Model B blood,patient,blood of Model B,comprehend society intensity to support competence relatively high.12.Malignant blood disease and its depressed level and incline while being internal and external,mood,spiritual quality,covering up,the four personalities exists are obviously relevant.Among them,there is an obvious positive relation with the depressed levels,the value is 1.111(P＜.01);with incline while being internal and external(P＜.01),the mood(P＜.05),the spiritual quality(P＜.05),the covering up(P＜.01)Four items of personality there is an obviously negative relation with each other,the value is 0.87, 0.922,0.898,0.741 respectively.13.The blood disease patient's spleen syndromes has stronger connections with the depressed level,negativly relevant,the coefficient is 0.056,the value is 0.946;Blood disease kidney syndromes of patient and their incline being internal and external personality,positive reply way,have an obvious connection,with the former two,is nagetive,the coefficient is 0.060, 0.113,and the value is 0.942,0.893 respectively;And becoming positive correlation with the three,the coefficient is 0.08,the value is 1.083;The blood disease patient's liver syndromes has strong connections with the depressed level,is a positive correlation,it' s coefficient is 0.43,the value is 1.537.14.Blood disease is a kind of disease with heart body attribute of Chinese medicine.There is abundant relevant thoughts of heart body in its ancient literature of Chinese medicine is recorded,they run through the theory,method,recipe,Chinese medicine for blood disease,Through investigating,in the blood disease specialized department in the general hospital,the morbidity of blood disease patient's depressed obstacle is very high,and the patient's depressed level and personality speciality factor and Chinese medicine syndromes are closely related with each other,so,based on The thought "The unity of body and soul" in Chinese medicine,adopt the heart body cure can make better curative effect to blood disease.