主动脉夹层术后患者心理状况及躯体症状对生活质量的影响

Impacts of psychological status and somatic symptom on quality of life among patients after surgery for aortic dissection

目的 探讨主动脉夹层术后患者心理状况、躯体症状对其生活质量的影响及作用机制,为制订干预计划提供参考。方法 采用广泛性焦虑障碍量表、患者健康问卷抑郁量表、躯体症状量表、12项简明健康状况调查表对327例主动脉夹层术后患者进行调查,根据相关性分析结果提出假设,应用AMOS软件进行结构方程模型分析。结果 主动脉夹层术后患者生活质量得分(81.56±7.36)分,焦虑得分2.00(0,3.00)分,抑郁得分2.00(0,3.00)分,躯体症状得分5.00(2.00,8.00)分;焦虑、抑郁、躯体症状对生活质量有直接影响,焦虑、抑郁通过躯体症状对生活质量有间接影响(均P<0.05)。结论 主动脉夹层术后患者生活质量处于中等偏上水平,应早期对主动脉夹层术后患者的心理状况与躯体症状进行动态评估与监测,及时进行心理干预和症状管理,以改善其生活质量。

Objective To explore the impacts of psychological status and somatic symptoms on quality of life and its mechanism among patients after surgery for aortic dissection,so as to provide a reference for developing targeted intervention plan.Methods A total of 327 patients after surgery for aortic dissection were investigated by using the Generalized Anxiety Disorder(GAD-2),Patient Health Questionnaire(PHQ-2),Somatic Symptom Scale-8(SSS-8) and 12-Item Short-Form Health Survey(SF-12).Hypotheses were proposed based on correlation analysis results,and structural equation model was analyzed using AMOS software.Results The SF-12 score of the patients after aortic dissection was(81.56±7.36) points,the score of GAD-2 was 2.00(0,3.00) points,the score of PHQ-2 was 2.00(0,3.00) points,and the score of SSS-8 was 5.00(2.00,8.00) points.The score of GAD-2,PHQ-2 and SSS-8 had direct effects on the score of SF-12,and the score of GAD-2 and PHQ-2 had indirect effects on the score of SF-12 through the score of SSS-8(P<0.05 for all).Conclusion The quality of life in patients after surgery for aortic dissection is at a medium and above level.Their psychological status and somatic symptoms should be dynamically assessed and monitored in early stage,and psychological intervention and symptom management should be carried out in time to improve their quality of life.