综合治疗重症急性胰腺炎患者的生存质量及其精神健康相关影响因素的研究

Study on the Related Factors of Quality of Life and Mental Health of SAP Patients by Comprehensive Treatment

目的探讨综合治疗重症急性胰腺炎患者的生存质量,并对相关精神健康影响因素进行分析。方法入选2010年1月至2012年12月我院进行综合治疗的重症急性胰腺炎患者65例,设为观察组,同时选取55例同期常规治疗患者作为对照组,应用SF-36和SAS量表进行调查,分析其生存质量及精神健康相关影响因素。结果 SF-36量表评估中,观察组在生理机能、社会功能和精神健康三个维度的得分明显高于对照组,差异具有统计学意义(P<0.05);对影响焦虑的相关因素进行多元回归分析后,发现并发症、住院经历和疾病了解情况对焦虑影响较明显(P<0.05)。结论综合治疗的SAP患者与采用常规疗法的患者相比,出院后的生存质量较好,值得在临床进行推广。

Objective To explore the quality of life of patients with severe acute pancreatitis（SAP） who recieved comprehensive treatment, and to analyse the related mental health influencing factors. Methods 65 SAP patients who were treated with comprehensive treatments from January 2010 to December 2012 in our hospital were selected as observation group; meanwhile, 55 SAP patients who receiced routine treatments were selected as control group. The related factors influencing the quality of life and the mental health were studied through SF-36 and SAS rating scale. Results According to SF-36 rating scale, the score of physical function, social function and mental health of the observation group were significantly higher than those of the control group, with statistical significance（P 0.05）.According to the multiple regression analysis on the related factors for anxiety, it was found that the complications, hospitalization and the knowledge of SAP had significant influence on anxiety（P 0.05）. Conclusions Compared with the patients who received routine treatments,the patients who received comprehensive treatments has better quality of life after discharging. It is worthy of clinical promotion.