抑郁发作患者自测健康状况及相关因素研究

A study on self-rating health condition and related factors in hospitalized depressive patients

目的探讨住院抑郁发作患者自测健康状况及其影响因素。方法采用自编一般情况问卷、自测健康状况评定量表(SRHMS)、多伦多述情量表(TAS)、自评抑郁量表(SDS)对105例住院的抑郁发作患者与120名健康志愿者(对照组)进行评定,并进行t检验、相关与回归分析。结果 (1)SRHMS总分及因子分显著低于对照组(P<0.05或P<0.01)。(2)抑郁发作患者SRHMS总分及多个纬度与SDS、TAS总分及其多个纬度呈显著相关(r=0.227～0.507,P<0.01)。(3)SDS总分、经济状况、治疗信心、总体疗效及婚姻家庭生活应激依次进入抑郁发作患者SRHMS总分的回归方程。结论抑郁发作患者健康状况不良,SDS总分、经济状况、治疗信心、总体疗效及婚姻家庭生活应激可能是其不良健康状况的重要影响因素。

Objective To investigate self-rating health condition and related factors in hospitalized patients with depression. Methods A total of 105 patients with depression and 120 healthy controls were assessed with a self-designed questionnaire, self-rating health measurement scale version 1.0 （SRHMS）, toronto alexithymia scale （TAS） and self - rating depression scale （ SDS ）. T test, correlation and regression analysis were carried out. Results （ 1 ） Compared with controls, patients with depression showed significant lower scores in the total score of SRHMS and three factors （P 〈 0.05 or P 〈 0.01 ）. （2） There were many factors such as the total scores of SDS, TAS and its factors showed significant correlation with total score and most factor scores of SRHMS in patients with depression （r = 0. 227 - 0. 507, P 〈 0.01 ）. （3） Total scores of SDS, economic status, confidence of therapy, general therapeutic effect and stress of marriage - domesticity entered the regression equation for the total socre of SRHMS in patients with depression by turns. Conclusion Patients with depression suffered from bad health status. The total scores of SDS, economic status, confidence of therapy, general therapeutic effect and stress of marriage - domesticity may be responsible for bad health status in patients with depression.