精神分裂症伴糖尿病住院患者生存质量的调查

Investigation on quality of life of hospitalized schizophrenic patients with diabetes and related factors

目的 了解住院精神分裂症合并糖尿病患者生存质量及伴发焦虑、抑郁情绪的现状,探讨其相关的影响因素.方法 应用糖尿病患者生存质量特异性量表（DSQL）、焦虑自评量表（SAS）、抑郁自评量表（SDS）,对206例精神分裂症合并糖尿病患者进行调查.结果 精神分裂症合并糖尿病患者伴发焦虑、抑郁的比例分别为11.2%和30.1%;生存质量与病程、并发症、合并症等因素相关（P〈0.01）;病程10年以上、并发症4个以上、伴发焦虑、抑郁的患者生存质量差异统计学意义（P〈0.05）;焦虑、抑郁与年龄、并发症、病程等因素呈正相关（P〈0.01）,与文化、经济收入呈负相关（P〈0.01）.结论 有糖尿病并发症、伴焦虑、抑郁是影响精神分裂症患者生存质量的主要因素,预防和控制糖尿病并发症,改善不良情绪是提高精神病患者生存质量的关键因素.

Objective To understand the anxiety,depression and quality of life of hospitalized schizophrenic patients with diabetes,and to explore its associated factors.Methods A total of 206 hospitalized schizophrenic patients with diabetes were assessed with diabetes-specific quality of life scale（DSQL）,self rating anxiety scale （SAS）,and self-rating depression scale （SDS）.Results The degree of anxiety and depression were 11.2% and 30.1%;the influence factors of the quality of life are disease duration,complications and co-mobidities.Duration of more than 10 years,four or more complications were associated with anxiety and depression in patients with a significant difference in the quality of life（P〈.05）;Age,complication,duration and other factors were the positive-related factors of anxiety and depression（r = 0.20 ～0.55,P〈.01）;And the cultural,economic and income were the negatively related factors of anxiety and depression（r = - 0.12 ～ - 0.26,P〈.01）.Conclusions Complications of diabetes accompanied by anxiety,depression are the main factors influencing patient＇ s quality of life.Preventing and controlling the complications of diabetes and improving the mood are the key factors for improving the quality of life of mental patients.