溃疡性结肠炎患者生存质量调查及心理社会影响因素分析

Analysis on Quality of Life and Psychosocial Affecting Factors in Patients with Ulcerative Colitis

目的:探讨溃疡性结肠炎患者生存质量及与心理社会影响因素的关系。方法:应用SF-36量表中文版、焦虑自评量表、简易应对方式问卷、社会支持量表对68名溃疡性结肠炎患者进行调查,并与60名健康人群进行比较。结果:溃疡性结肠炎患者SF-36量表各维度得分显著低于健康人群(<0.01);患者焦虑水平高于对照组(<0.05),并且处于较高水平(高于全国常模,<0.001);消极应对显著高于对照组(<0.05);积极应对和社会支持与其生存质量呈正相关(<0.05),焦虑和消极应对与生存质量呈负相关(<0.05)。结论:溃疡性结肠炎患者生存质量低下,优质的护理工作可提升心理社会干预效果,以及提高患者的生存质量。

Objective： To investigate the quality of life（QOL）in patients with Ulcerative colitis （UC）and the factors related to the QOL of patients with UC. Methods： A survey was carried out in 68 patients with UC, the means of Chinese version of SF-36, SAS, Simplified Cop- ing Style Scale and Social Support Questionnaire were used in this study. These data of the UC patients were compared with that of 60 normal persons. Results： The score of SF-36 in UC patients was significantly lower than those normal persons（P〈0.0l）. The score of SAS in UC pa- tients was significantly higher than those normal persons CP〈0.05）, and it also was higher than the national norms（P〈0.001）, the score of nega- tive copying style in UC patients was higher than those in normal（P〈0.05）. Positive coping style and social support is positively correlated with QOL（P〈0.05）. Anxiety and negative copying style is negatively correlated with QOL（P〈0.05）. Conclusion： QOL of UC patients was low. Nursing treatment should focus on the psychological and social intervention to promote natients＇ life aualitv.