健康教育对恶劣心境患者生活质量的影响

Effect of Health Education on Quality of Life in Sufferer Dysthymic Disorder

目的探讨健康教育对恶劣心境患者生活质量的影响。方法用入院顺序分层随机法,将120例恶劣心境患者随机分为研究组和对照组,对研究组进行个体化健康教育,在治疗前和治疗后1、3、6、12月末,用汉密尔顿抑郁量表(HAMD)、总体疗效量表(CGI)和副反应量表(TESS)评定疗效和副作用。WHOQOL—BREF量表衡量患者的生活质量。分析量表中各领域的计分。结果经12个月治疗,研究组的身心健康、心理健康、社会关系、环境因素的分值分别为75.13±6.63,91.44±11.34,90.81±1.66,92.87±11.12,对照组的身心健康、心理健康、社会关系、环境因素的分值分别为70.31±9.37、77.33±9.34、81.56±10.72、80.75±10.82。两组患者生活质量较治疗前均有显著改善(P<0.01),在心理健康、社会关系和环境因素等3个方面,研究组优于对照组(P<0.01)。结论健康教育对恶劣心境患者的生活质量有一定改善。

Objective To investigate the effect of health education on quality of life in sufferer dysthymic disorder. Methods 120 sufferer dysthymic disorders were divided into two groups randomly. The study group carried on the health education of indi- vidualization, Effects and side effects were assessed with HAMD and CGI and TESS respectively, WHOQOL--BREF instruments, were used to evaluate the patients quality of life before and after drug abministration, by menas of analyzing the scores in every do- mains, before and after 1, 3, 6, 12 months treatment. Results 12 months after treatment, the scores of physical health, psycho-logical health, social relationship, and environment in study group were 75.13±6.63, 91.44±11.34, 90. 81±1.66, 92.87±11.12, and the scores of physical halth, psychological health, social relationship, and environment in control group were 70.31±9. 37, 77.33±9.34, 81.56±10.72, 80.75±10.82. and the scores of four domains in WHOQOL--BREF instruments had been im proved significantly in two groups （P〈0.01） In the damains of mental heahh, social relationship and Environment, the study group was better than the control group（P〈0.01）. Conclusion The health education has certain improvement to quality of lift of the sufferer dysthymic disorder.