消化科住院患者的健康自测

Self-rated health of inpatients with digestive disorders in the department of digestion

目的:了解消化科住院患者的自测健康状况,并与正常人群对照。方法:于2002-01/06随机选取广州市白云区解放军第一五七医院消化科住院患者(包括胃肠道炎症、溃疡、消化道出血、肝胆胰病变及消化道肿瘤)50例,同时依据性别、年龄(±5岁)与消化系统疾病住院患者按1∶1配对,随机在广州市白云区社区人群中选取50例正常人作为对照人群。采用自测健康评定量表修订版进行健康状况现场测试。自测健康评定量表包含:生理健康子量表(身体症状与器官功能、日常生活功能、身体活动功能)、心理健康子量表(正向情绪、心理症状与负向情绪、认知功能)、社会健康子量表(角色活动与社会适应、社会资源与社会接触、社会支持)3个分量表,9个维度的内容,主要评定各分量表总分和自测健康评定量表总分,以及分量表各维度内容评分。患者于住院前及住院接受治疗1周后测试。对照人群在统一指导下,完成量表的自评。每人完成该量表的测试大约需要15min。结果:消化科住院患者首次现场测试量表回收率94%,正常对照人群96%。在首次参与测试的消化科住院患者中,胃肠道炎症、溃疡及消化道出血占64%,肝胆胰病变占28%,消化道肿瘤占8%。消化科住院患者及正常人群的首次测试量表的完成率均为96%。消化科患者住院接受治疗1周后测试量表的回收率为100%,量表的完成率为94%。①住院前消化科患者与正常人群在身体症状与器官功能、日常生活功能、身体活动功能、生理健康子量表总分、心理症状与负向情绪、认知功能、心理健康子量表总分、角色活动与社会适应、社会资源与社会接触以及自测健康评定量表总分方面的评分均低于正常人群,差异有显著性意义(P<0.05)。②患者住院治疗后1周后自测健康评定量表各维度评分与其治疗前接近,差异均无显著性意义(P>0.05)。结论:消化科住院患者的自测健康比正常人群差。患者住院后经1周的短时间治疗后,自测健康状况(生理、心理和社会健康状况)无明显变化。说明自测健康评定量表可作为评价消化系统疾病患者健康状况的有效方法和工具。

AIM： To assess the self-rated health of inpatients with digestive disorders in department of digestion and compare with the normal population. METHODS Totally 50 inpatients with gastrointestinal inflammation, ulcer, gastrointestinal bleeding, liver disorders, gallbladder disorders, pancrea disorders and gastrointestinal tumor, admitted to the Department of Digestion, No. 157 Hospital of Chinese PLA in Guangzhou, were randomly selected as the subjects from January to June 2002. Meanwhile, the normal control group was selected from communities of Baiyun District, Guangzhou in ratio of 1：1 through the pair matching procedures according to gender and age （＋5 years）. The Self-rated Health Measurement Scale, Version 1.0 （SRHMS V1.0） was used for spot survey to investigate their self-rated health, which included 3 subscales and 9 dimensions： physical health with dimensions of physical symptom, organic function, daily life activities, physical mobility; psychosocial health with dimensions of positive emotion, psychosocial symptom, negative emotion and cognitive function; social health with dimensions of role activity and social adaptability, social resource and social contact, social support. The total scores of each dimension, subscale and the scale were calculated. The patients were investigated before and one week after their admission. The population as control was gathered for investigation under the same guidance. The time to finish the scale was about 15 minutes. RESULTS： The recovery rate of the first survey among patients with digestive disorders was 94% and that among normal control was 96%. Among the subjects of the first survey, there were 64% with gastrointestinal inflammation, ulcer and bleeding, 28% with liver, gallbladder or pancrea disorder, and 8% with gastrointestinal tumor. The finishing rates of first survey of patients and normal control were all 96%. The recovery rate of the inpatients＇ second survey, performed 1 week after the admission, was 100% with a finishing rate of 94%. ①The scores of patients before admission were significantly lower than those of the normal control in dimensions of physical symptom and organic function, daily physical activities, physical mobility, total score of physical health subscale, psychosocial symptom and negative emotion, total score of psychosocial health subacale, role activity and social adaptability, social resource and social contact and total score of the SRHMS V1.0, which hadsignificant differences （P 〈 0.05）. ②）The self-rated health of the inpatients in each dimension had no significant differences from that before admission （P 〉 0.05）. CONCLUSION： The self-rated health of inpatients with digestive disorders is worse than the normal population. After short-period treatment for the inpatients, the self-rated health （physical, psychosecial and social health status） has no significant change, which indicates that SRHMS V1.0 is an effective tool for the health evaluation among inpatients with digestive disorders.