社会支持对慢性乙型肝炎患者生活质量的影响

Effect of social support on the quality of life in patients with chronic hepatitis B

目的:调查慢性乙型肝炎患者的社会支持状况,分析其与生活质量的关系。方法:以2002-12/2004-12高州市人民医院收治的58例慢性乙型肝炎患者为观察对象,年龄≥18岁。所有患者接受生活质量自评量表测评,≥124.30分为高评分组(n=41),<124.30分为低评分组(n=17),应用社会支持评定量表评价慢性乙型肝炎患者的社会支持水平,分析社会支持水平与生活质量的相关性。总体生活质量分数为50～250分,分数越高表示生活质量越高。社会支持评定量表得分越高,说明患者获得越多的社会支持。结果:58份问卷均完整合格,全部纳入分析。58例慢性乙型肝炎患者的总体生活质量的平均分为(124.30±25.34)分。①主观支持评分:高评分组在与朋友、同事、邻居和家庭成员关系等4项上的评分均高于低评分组(t=2.132～2.459,P<0.05)。②客观支持评分:高评分组患者在近1年居住环境、既往遇到困难时获得的经济支持和精神安慰来源3项上得分均高于低评分组(t=2.113～2.358,P<0.05)。③个人利用度:高评分组患者在遇到烦恼时的倾吐方式、求助方式以及参与各类团体组织活动等3项上得分高于低评分组(t=2.127～2.235,P<0.05)。结论:高生活质量者不论主观支持、客观支持还是个人利用度方面评分结果均高于低生活质量者,说明慢性乙型肝炎患者的生活质量与社会支持程度密切相关。

AIM： To investigate the social support status in patients with chronic hepatitis B, and analyze its association with quality of life.METHODS： Fifty-eight patients with chronic hepatitis B over 18 years of age, who were treated in Gaozhou People＇s Hospital from December 2002 to December 2004, were assessed with the self-rating quality of life scale,and they were divided into high score group （≥ 124.30 points, n=41） and low score group （〈 124.30 points, n=17）. Their social support levels weree valuated with the social support rating scale, and then the association between social support level and quality of life was analyzed, the score of total quality of life ranged 50 to 250 points, the higher the score, the better the quality of life; Higher score of social support rating scale indicated that the patients obtained more social support.RESULTS： All the 58 questionnaires were complete and qualified, and then involved in the analysis of results. The average score of total quality of life in the 58 patients with chronic hepatitis B was （124.30±25.34）points. ① Score of subjective support： The scores of the relationships with friend, partner, neighbour and family member were all higher in the high score group than in the low score group （t=2.132 to 2.459, P 〈 0.05）. ②Scores of objective support： The scores of living environment in recent 1 year, obtained economic support and mental comfort when encountered difficulty in the past were all higher in the high score group than in the low score group （t=2.113 to 2.358, P 〈 0.05）. ③Individual utilization： The scores of manners for pouring out one＇s heart and seeking help when encountered worry, and the score of participating in community and activity were all higher in the high score group than in the low score group （t=2.127 to 2.235. P 〈 0.05）.CONCLUSION： Patients with high quality of life have higher scores in subjective and objective supports and individual utilization, it is indicated that the quality of life in patients with chronic hepatitis B is closely associated with the degree of social support.