Objective To explore the mental health status of elderly patients with physical diseases based on SCL - 90,in order to provide references for the mental nursing and relevant work for elderly patients with physical diseases. Methods We made a retrieval in CNKI,Wanfang,ⅤIP and other electronic databases for 2004—2013 literatures about the assessment of the mental health status of elderly patients with physical diseases by SCL - 90. A total of 71 pieces of literature that accorded with inclusion criteria were acquired,including 90 effective samples and 8 632 subjects. According to ICD- 10,the subjects were divided into seven categories including digestive system,circulatory system,respiratory system, orthopedics,five sense organs,tumor( all kinds of cancer)and others( such as sleep disorder and unidentified disease) . Compared with the SCL - 90 adult norm,related statistics of meta - analysis are computed by SPSS 11. 5 on the collected data. Comparison was made in SCL - 90 factor scores among elderly patients with different categories of physical diseases. Results The average effect size of the SCL - 90 factor scores of the seven categories of subjects was - 0. 09 ~ 1. 43. The subjects were not significantly different from the adult norm in the scores of interpersonal sensitivity of subjects with diseases of digestive system, respiratory system and orthopaedics and the score of obsessive - compulsive symptom of subjects with diseases of respiratory system (P > 0. 05),while all other factor scores of subjects were higher than the adult norm(P < 0. 05). The subjects with different physical diseases were significantly different in SCL - 90 factor scores(P < 0. 05). Conclusion The mental health of elderly patients with physical diseases is in an alarming condition,and different physical diseases have different influences on the mental health of elderly patients. Therefore,it's necessary to carry out corresponding mental interventions to them.%目的：探讨基于症状自评量表（SCL -90）的老年躯体疾病患者心理健康状况，为老年躯体疾病患者的心理护理和相关工作提供依据。方法通过检索中国知网、万方和维普等电子数据库，收集2004—2013年运用SCL -90对老年躯体疾病患者心理健康状况进行评估的研究文献，共获得符合标准的研究文献71篇，有效样本90个，被试8632名。按国际疾病分类标准（ICD -10）将被试划分为7大类，分别为消化系统、循环系统、呼吸系统、骨科类、五官类、肿瘤类（含各类癌症）和其他类（如睡眠障碍及未明确疾病类型等）疾病患者。以SCL -90成人常模为比较标准，采用 SPSS 11.5统计软件对收集到的数据进行元分析相关统计量的计算，并对不同躯体疾病老年患者SCL -90各因子得分进行比较。结果7类躯体疾病老年患者SCL -90各因子得分的平均效果量（ d）为-0.09～1.43。除消化系统、呼吸系统和骨科类疾病老年患者的人际关系敏感因子得分及呼吸系统疾病老年患者的强迫症状因子得分与成人常模比较，差异无统计学意义（P ＞0.05）外，各类躯体疾病老年患者其余因子得分均高于成人常模，差异有统计学意义（P ＜0.05）。不同躯体疾病老年患者SCL -90各因子得分间差异均有统计学意义（P ＜0.05）。结论老年躯体疾病患者的心理健康状况令人堪忧，且不同躯体疾病对老年患者心理健康的影响不同，需对其进行针对化的心理干预。
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