社区门诊中老年慢性病患者的生活质量调查

Investigation of quality of life in elderly and middle-aged patients with chronic diseases in community outpatient clinic

目的:探讨社区门诊的中老年慢性病患者生活质量及其影响因素。方法:采用问卷填写法,包括自编的一般情况问卷、自编的睡眠问卷、综合医院用焦虑抑郁量表(hospitalanxietyanddepressionscale,HADS),生活经历调查量表(lifeexperiencesscale,LES),简明健康状况调查表(shortformof36,SF-36)等,对受试者进行4次集体心理干预,所得数据输入STATE7.0软件并对生活质量的影响因素进行分析。结果:90例受试者中,焦虑得分≥7者26例(29%),抑郁得分≥7者33例(37%)。31.1%的受试者有负性生活经历。不同经济状况的受试者负性生活经历及所患躯体疾病的差别有统计学意义。15.6%的受试者有失眠,有性别、经济状况、情绪和生活经历的差异。年龄≥75岁、所患慢性躯体疾病数目≥2种的受试者的生理功能、生理职能、躯体疼痛3个子量表得分下降(P<0.05～0.01)。失眠受试者的生活质量生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、心理健康7个子量表下降(P<0.05～0.01)。经济状况不同,受试者的躯体疼痛和社会功能子量表得分差异有统计学意义(P<0.05)。产生抑郁和/或焦虑情绪的受试者总体健康、情感职能、心理健康3个子量表评分下降。短期集体心理干预并不能改善患者的生活质量。结论:中老年慢性病患者年龄增大、伴发多种?

AIM:To explore the quality of life(QOL) and its influencing factors in elderly and middle aged patients with chronic diseases in community outpatient clinic. METHODS:Ninety patients with chronic disease were surveyed by self made general status questionnaire and sleep questionnaire,hospital anxiety and depression scale(HADS),life experiences scale(LES) and short form of 36(SF 36).All the patients received group psychological intervention for 4 times,the data were inputted to the STATE 7.0 software,and the factors that affected the QOL were analyzed. RESULTS:There were 26(29%) and 33(37%) patients,whose scores of anxiety and depression were ≥7,respectively,and 31%of them had negative life experience.There were significant differences in the negative life experience and severity of diseases among the patients with different economic status.About 15.6%of the patients suffered form agrypnia,and there were differences in sex,economic status,emotion and life experience.The scores of physiological function,physiological role and body pain decreased in those ≥75 years old and with more than two kinds of chronic diseases(P< 0.05-0.01).The scores of physiological role,body pain, total health,vigor,social function,emotional role and mental health were decreased in patients with agrypnia(P< 0.05-0.01).The scores of body pain and social function were significantly different among those with economic status(P< 0.05). The scores of total health,emotional role and mental health were decreased in patients with depression and/or anxiety. Short term group psychological intervention could not ameliorate the QOL in patients with chronic diseases. CONCLUSION:The quality of life in elderly and middle aged patients with chronic diseases can be influenced by the interaction of increase of age, complication of several diseases,negative emotion, sleeping disorder,economic status and other factors,and short term group psychological intervention failed to improve the QOL because of negative emotions.