西安市养老机构老年人生活质量与抑郁患病率的相关性研究

[目的]了解西安市养老机构老年人抑郁症状发生情况及其生活质量现况,探讨老年人生活质量与抑郁症状患病率的相关性。[方法]采用随机整群抽样的方法使用老年抑郁量表(GDS)和健康相关生活质量量表(SF-36)以及自行设计的危险因素调查表对西安市20所养老机构464名老年人进行问卷调查。[结果]养老机构老年抑郁症状患病率为31.3%;单因素分析结果显示,有抑郁症状老年人的SF-36各维度平均值均明显低于无抑郁组(P<0.001);各维度得分与抑郁总分呈显著负相关(P<0.001);多元线性回归分析表明,总体健康、活力、社会功能、心理健康和情感职能5个维度对老年抑郁症状的发生有显著影响(P<0.05)。[结论]养老机构老年人总体生活质量处于中等偏下水平,且与抑郁症状患病率密切相关,养老机构管理人员应重视老年人心理健康,实施有效干预,提高老年人生活质量。     

老年人健康相关生活质量与抑郁症状发生率的关系

目的探讨老年人健康相关生活质量与抑郁症状发生率之间的关系。方法分层随机、整群抽取西安市社区老年人1933名，应用老年抑郁量表（the geriatric depression scale，GDS）及简明健康测量表（the medical outcomes study 36-itemshort form healthsurvey，MOSSF-36）进行横断面调查。采用Mann-Whitney U检验、Pearson等级相关和非条件Logistic回归等方法分析数据。结果抑郁组患者的SF-36各维度平均值均低于无抑郁组，有显著性差异（P〈0．01）；各维度低分组抑郁症状发生率明显高于高分组，两组有显著性差异（P〈0．01）；各维度得分与抑郁量表得分显著负相关（P〈0．01）；Logistic回归分析表明：活力、心理健康、总体健康、生理功能、精神健康总评分对老年抑郁症状的发生有显著性影响（P〈0．05）。结论健康相关生活质量与老年抑郁症的发生率密切相关。     

儿童阻塞性睡眠呼吸暂停低通气综合征生活质量和焦虑抑郁情绪症状的分析

目的探讨阻塞性睡眠呼吸暂停低通气综合征(OSAHS)对儿童生活质量和焦虑抑郁情绪症状的影响。方法对OSAHS患儿进行生活质量、焦虑和抑郁情绪症状调查。病例组选取青少年OSAHS患者120例,选择同期健康青少年100名作为对照组。以儿童阻塞性睡眠呼吸暂停疾病特异性生活质量调查表(OSA-18)、儿童焦虑相关情绪筛查量表(SCARED)、儿童抑郁症状障碍评价量表(CDI)对研究对象进行评估,比较OSAHS组患儿与对照组儿童各维度得分的差异。以SPSS 16.0统计软件进行结果分析。结果 OSAHS患儿生活质量各维度(睡眠障碍、身体症状、情绪症状、白天功能、监护人关心的问题)的评分均值均明显高于健康对照组,差异有统计学意义(P均<0.001)。OSAHS患儿组SCARED、CDI症状得分分别为(25.23±3.36)分和(21.36±2.33)分,显著高于对照组的(18.22±1.26)分及(17.21±0.98)分,差异有统计学意义(t=19.74,P<0.001;t=16.62,P<0.001)。OSAHS患儿焦虑抑郁情绪症状主要相关的生活质量维度包括睡眠障碍、身体症状和监护人关心的问题,P均<0.001。结论 OSAHS影响儿童生活质量、焦虑抑郁情绪症状,采取适当的临床处理,可明显提高患儿的生活质量,并改善其焦虑抑郁情绪症状,有利于OSAHS患儿的身心健康发展。     

医院焦虑抑郁量表评价重症肌无力患者生活质量分析

目的:应用医院焦虑抑郁量表(HAD)评价重症肌无力(MG)患者的生存质量,并比较其和简明健康调查表(SF-36)在评价结局方面的一致性。方法:MG患者29例(病例组)和健康人27例(对照组)纳入研究,收集2组基本资料,分别采用HAD和SF-36对2组进行评定,比较2组情绪状况和生活质量的差异及HAD和SF-36评价的一致性和相关性。结果:病例组HAD量表的总分、焦虑亚量表和抑郁亚量表得分均高于对照组(P<0.05)。病例组SF-36量表中生理功能、生理职能、情感职能、生命活力、社会功能维度得分和总得分均低于对照组(P<0.05)。SF-36总评分与HAD总得分、HAD焦虑量表得分和HAD抑郁量表得分具有明显的相关性。结论:MG患者的焦虑抑郁情况普遍存在,生存质量明显下降,HAD和SF-36疗效评价结局一致性良好。     

基于刺激-机体-反应模式下心理弹性支持对剖宫产产后抑郁初产妇抑郁程度、心境状态及生活质量的影响

目的:探讨基于刺激-机体-反应(S-O-R)模式下心理弹性支持对剖宫产产后抑郁初产妇抑郁程度、心境状态及生活质量的影响。方法:选取医院2020年12月—2022年12月收治的142例剖宫产产后抑郁初产妇为研究对象,按照随机数字表法将其分为研究组、常规组各71例,常规组产后予以常规健康教育,研究组给予基于S-O-R模式下的心理弹性支持,比较两组抑郁程度、心境状态、睡眠质量及生活质量。结果:研究组爱丁堡产后抑郁量表(EPDS)得分均低于常规组(P<0.05);研究组中文版压力知觉量表(CPSS)得分均低于常规组(P<0.05);研究组匹兹堡睡眠质量指数(PSQI)各维度得分均低于常规组(P<0.05);研究组世界卫生组织生活质量问卷(WHOQOL-100)各维度得分均高于常规组(P<0.05)。结论:基于S-O-R模式下心理弹性支持能帮助剖宫产产后抑郁初产妇转变心境状态,降低心理压力,减轻产后抑郁程度,改善睡眠质量,提升生活质量。     

抑郁老年人日常生活活动能力与生存质量的关系研究

[目的]探讨抑郁老年人日常生活活动能力与生存质量的关系。[方法]采用整群抽样方法,在安徽省蚌埠市社区中随机抽取1个社区,采用一般情况调查表、世界卫生组织编制的生存质量测定表简表(WHOQOL-BREF)、日常生活活动能力(ADL)量表和老年抑郁量表简版(GDS-15)对社区内60岁及以上老年人进行问卷调查。[结果]在调查的746名老年人中,老年抑郁患病率为15.7%。抑郁组老年人日常生活活动能力及生存质量低于无抑郁组(P0.05);抑郁老年人日常生活活动能力总分及各维度得分与生存质量总分及各维度得分呈负相关(r值为-0.673~-0.241,P0.05)。[结论]日常生活活动能力与抑郁老年人的生存质量密切相关,应改善老年人的日常生活活动能力,提高其生存质量。     

老年癌症患者生活质量的影响因素分析

目的 了解老年癌症患者生活质量、应对方式、社会支持、抑郁的状况及其相关性,提出护理对策.方法 应用生活质量问卷、应对方式问卷、社会支持评定量表、抑郁自评量表对100例老年癌症患者进行调查,分析生活质量得分及其与应对方式、社会支持、抑郁得分的相关性.结果 (1)生活质量:女性情绪功能得分低于男性(P<0.01);疾病知情者的角色功能得分高于不知情者(P<0.05);不同教育程度患者角色功能、总体生活质量、疼痛之间差异有统计学意义(P<0.05);自费组总体生活质量得分低于医保或合作医疗组(P<0.05).(2)抑郁:分值为(49.73±8.75)分,发生率43%,其中轻度35例,中度6例,重度2例.(3)相关性分析:本组的客观支持、社会支持总分与社会功能呈一定正相关(P<0.05);求助倾向性与认知功能呈一定正相关(P<0.01),自责、幻想、退避、合理化倾向性与生活质量的个别维度呈一定负相关(P<0.05或P<0.01).(4)多元逐步回归分析:抑郁、求助、医疗费来源是生活质量的主要影响因素.结论 老年癌症患者中女性、不知病情、文化程度低、自费患者的生活质量状况较差;生活质量与积极应对和客观支持呈正相关,与消极应对呈负相关;抑郁、求助、医疗费来源是生活质量的主要影响因素.     

肝癌术后患者心理弹性与焦虑、抑郁及生活质量的相关性研究

目的探讨原发性肝癌术后患者心理弹性与焦虑、抑郁及生活质量的相关性。方法选取2016年1月～2017年1月于本院住院的152例肝癌术后患者作为研究对象,采用Conner-Davidson心理弹性量表对患者心理弹性进行评估,采用肝癌患者生活质量测定量表(QOL-LC量表)评估患者的生活质量,采用焦虑自评量表(SAS量表)和抑郁自评量表(SDS量表)对患者的焦虑、抑郁状况进行调查,并分析出心理弹性与焦虑、抑郁及生活质量的相关性。结果经调查患者CD-RISC得分(61.86±11.84)分,其中坚韧维度(30.38±6.78)分、自强维度(20.14±4.63)分、乐观维度(10.35±2.42)分;SAS量表得分为(41.54±9.67)分,显著高于国内常模(29.78±10.07)分,t=14.036,P=0.000;SDS量表得分为(40.79±8.15)分,显著高于国内常模(33.46±8.55)分,t=10.386,P=0.000,其中92例(68.42%)患者存在焦虑或抑郁,60例(31.58%)患者无焦虑或抑郁。肝癌术后患者心理弹性水平较低,与生理维度、社会/家庭维度、情感维度和功能维度呈正相关,与症状维度呈负相关,差异有统计学意义(P0.05)。结论心理弹性高能够提高患者对抗压力的能力,增强对其疾病的恢复的信念,从而减轻患者焦虑和抑郁;心理弹性得分越高,总体健康状况得分越高,生活质量越好;因此加强患者心理弹性,能有效改善肝癌术后患者的生活质量。     

应对方式对癫痫患者生活质量和抑郁情绪的影响研究

目的探讨不同的应对方式对癫痫患者生活质量和抑郁情绪的影响。方法对入组101例癫痫患者采用自制的一般情况调查表、简易应对方式量表(SCSQ)、流调中心用抑郁自评量表(CES-D)和癫痫患者生活质量量表(QOLIE-31)进行调查,并以应对倾向将患者分为积极应对组和消极应对组,采用两独立样本t检验比较两组患者的生活质量和抑郁情况。结果 (1)除发作担忧维度外,积极应对组QOLIE-31量表总的生活质量维度、情感健康维度、认知功能维度、能力/疲倦维度等评分均高于消极应对组[(18.37±1.25)分vs.(17.31±1.31)分、(20.18±1.13)分vs.(18.94±1.24)分、(30.84±2.58)分vs.(29.08±2.34)分、(27.65±0.97)分vs.(26.56±1.26)分],其中药物影响维度差异显著(t=2.147,P<0.05),总的生活质量、情感健康、认知功能和能力疲倦等维度差异非常显著(t=4.155,5.240,4.878,3.595,P<0.01)。(2)积极应对组CES-D评分明显低于消极应对组,二组间差异非常显著(t=-4.081,P<0.01)。结论积极应对方式能改善癫痫患者生活质量,降低其抑郁发病率。     

恶性肿瘤放射治疗患者心理状况调查分析

目的:探讨恶性肿瘤放射治疗(放疗)患者的心理状况,为其心理护理提供理论依据.方法:采用症状自评量表(SCL-9O)、抑郁自评量表(SDS)、焦虑自评量表(SAS)和特质应对方式问卷(TCSQ)对77例肿瘤放疗患者(恶性肿瘤组)和42例健康对照组进行测试,并分析其相关性.结果:恶性肿瘤组SCL-90总分及各因子分均显著高于健康对照组(P<0.05或P<0.01),主要表现在躯体化、抑郁、焦虑和精神病性.恶性肿瘤组SAS、SDS得分及情绪异常率均明显高于健康对照组(P<0.05或P<0.01),显示他们有较多的抑郁、焦虑情绪反应.恶性肿瘤组SAS、SDS得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分呈正相关(P<0.05或P<0.01).恶性肿瘤组积极应对得分与健康对照组无显著差异(P>0.05),而消极应对得分明显高于健康对照组(P<0.05).恶性肿瘤组积极应对得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分、SAS、SDS呈负相关(P<0.05或P<0.01);恶性肿瘤组消极应对得分与SCL-90总分、总均分、阳性项目数、阳性症状均分及各因子分、SAS、SDS呈正相关(P<0.05或P<0.01).结论:肿瘤放疗患者存在诸多方面的心理问题,有的放矢地进行护理干预可以缓解其身心压力,对提高其治疗护理依从性和战胜疾病的信心是必要的.     

Study on the quality of life and its related factors for older adults in communities in Beijing,China

Objectives: To describe the quality of life (QOL) of adults ≥60 years of age in communities in Beijing and explore demographic, clinical, and psychological factors associated with QOL. Methods: This was a cross-sectional study. A total of 363 older adults were recruited, in which 313 completed the questionnaires. Depressive symptoms were measured with the Self-Rating Depression Scale (SDS) and QOL was analyzed with the 36-item shor t form (SF-36). The t-test and Mann-Whitney U tests were used to compare QOL by gender and age group. Factors associated with QOL were determined using multiple linear regression. Results: Among 313 older adults, depressive symptoms were observed to be prevalent to the extent of 16.6％. Overall, participants had higher QOL in the domains of social role functioning and emotional role functioning, with lower QOL in the domains of physical functioning and general health perceptions. There were no significant differences in QOL between women and men. However, there were significant differences between different age groups, with older adults having better mental QOL than younger adults. Better physical QOL was associated with less depressive symptoms, having a partner, and younger age (R2 = 28.7％). Better mental QOL was associated with less depressive symptoms, less chronic disease, and older age (R2 = 34.7％). Conclusions: With aging, physical QOL was lower and mental QOL was better. Less depressive symptoms, having a spouse or par tner, and young–old age asser t positive influence on physical QOL of the older adults; and less depressive symptoms, no chronic disease, and older age asser t positive influence on mental QOL.     

The role of psychological and behavioral variables in quality of life and the experience of bodily pain among persons living with HIV

With increased life expectancy of individuals living with HIV, quality of life (QOL) has become a focus of treatment. More research is needed to address pain-related QOL and modifiable variables, such as health behaviors, depressive symptoms, and coping styles, which could be included in treatment protocols to improve QOL among individuals with HIV. Objectives of this study were to (1) examine relationships among health behaviors, psychological variables, and QOL, particularly pain-specific QOL, (2) examine the relationships among coping, depressive symptoms, and QOL, and (3) compare QOL scores of individuals with HIV and population-based normative data. HIV positive men and women not currently on highly active antiretroviral therapy were recruited during regular visits to an HIV outpatient clinic. They completed the Medical Outcome Study Health Survey SF-36 scale, which includes a physical components scale, a mental components scale, and a bodily pain subscale. They also completed questionnaires assessing health behaviors, depressive symptoms, and coping styles. Participants (n = 97) scored significantly lower on most aspects of QOL than age-matched Canadian and U.S. norms. Hierarchical multiple regressions revealed that physical activity and CD4 cell count were independently related to lower physical components scale scores; smoking and depressive symptoms were independently associated with lower mental components scale scores; and education, physical activity, and depressive symptoms were independently associated with lower pain-related QOL. Depressive symptoms mediated the relationship between coping styles and the mental components scale and pain-related QOL. Results suggest that targeting depressive symptoms, physical activity, and coping strategies as part of comprehensive treatment protocols could help improve pain-specific QOL and overall QOL among individuals with HIV.     

门诊抑郁症患者医药费用及生命质量研究

目的:分析门诊抑郁症患者用药情况,研究其因患抑郁症而导致的年经济负担,评价抗抑郁药物(帕罗西汀)的疗效以及对生命质量的影响。方法:多中心合作研究,对652例符合抑郁症诊断标准患者进行用药情况和经济负担相关信息调查。其中180例用帕罗西汀治疗6个月,采用HAMD-17、HAMA和SF-36分别在治疗前、治疗3个月和6个月进行疗效与生命质量评价。结果:(1)抑郁症门诊患者用药SSRIs占主导地位(90．18％);(2)上海市门诊抑郁症患者的年经济负担高达1．33亿元,其中因门诊治疗抑郁症患者而花费的直接医疗费用为0．67亿元;(3)抑郁症门诊患者的生命质量显著下降(QOL<50分),但治疗后QOL评分显著提高(>70分,P=0．00),并且抑郁症状和焦虑症状的缓解率(HAMD或HAMA<8分)分别达70％和88％。结论:抑郁症会对患者、家庭以及社会造成沉重的经济负担,但如果及时给予治疗,帕罗西汀能显著改善抑郁和焦虑症状和提高其生命质量。     

Effects of kettlebell training and detraining on mood status and sleep and life quality of healthy women

Background and purposeKettlebell exercise have become popular because of its ability to simultaneously train aerobic/anaerobic systems, low cost and easy access, and the great potential for physical fitness programs with a focus on public health. However, little is known about its effects on mood status, sleep, and quality of life (QOL) parameters. The aim of the present study was to examine the effects of kettlebell training/detraining on the prevention of depressive and anxiety symptoms and QOL and sleep quality.MethodsThe sample was composed of 17 healthy women (age: 26.0 ± 5.0 years; body mass: 60.9 ± 12.5 kg; height: 164.6 ± 5.5 cm). The study was organized into four consecutive phases: pre-intervention (PRE), intervention (kettlebell training, 12 weeks, three times/week), post-intervention (POST) and detraining (D, four weeks). The questionnaires SF-36 (QOL), Beck (depressive symptoms), State-Anxiety Inventory (acute anxiety symptoms), POMS (mood state) and the Pittsburgh Sleep Quality Index (sleep quality) were administered at PRE/POST/D phases.ResultsQOL, anxiety, sleep quality, and mood state exhibited no differences between PRE/POST/D. Levels of depressive symptoms significantly decreased (22.0%, p = 0.003) between PRE and POST phases, and remained low and similar to POST levels after D.ConclusionTwelve weeks of kettlebell training was able to reduce and prevent depressive/anxiety symptoms in healthy women and these results were maintained after short-term detraining. Thus, kettlebell training might be considered an alternative method on the promotion of mental health and prevention of mood disorders and consequently can improve QOL even in health people.     

老年慢性病患者常见症状与生存质量的相关性研究

目的 探讨老年慢性病患者常见症状间的相互关系及其对生存质量的影响,以寻找提高其生存质量的护理对策.方法 采用焦虑自评量表、老年人抑郁量表、SF-36量表对230例老年慢性病患者进行常见症状及生存质量调查,并分析各种症状间的关系以及症状与生存质量的相关性.结果 老年慢性病患者生存质量八大项目得分偏低.常见躯体症状包括躯体疼痛、头晕、疲乏、睡眠障碍发生率依次为25.73%、33.80%、25.00%、22.05%.常见心理症状焦虑和抑郁得分为38.35±7.26、8.71±5.21.且各种常见症状之间呈正相关(r=0.80～0.612,P<0.05),各种常见症状与生存质量呈负相关(r=-0.175～-0.623,P<0.05).结论 在老年慢性病患者居家护理过程中,须及时采取积极有效护理措施控制或减轻病人症状,且躯体症状护理与心理护理应并重,措施实施与原因排查应同步,主要症状与次要症状要兼顾,以提高其生存质量.     

The contribution of optimism and quality of life to depression in an acute coronary syndrome population.

BACKGROUND: Numerous longitudinal studies have revealed that depression following an acute cardiac event poses a risk factor for poor cardiac outcomes. It is therefore important to identify modifiable predictors of depression in order to develop a variety of interventions with this population. AIMS: The aim of the present research was to determine whether the relationship between optimism and depressive symptoms was mediated by self-reported quality of life (QOL) in acute coronary syndrome patients. METHODS: Two weeks following hospital discharge (Time 1) 59 participants completed a self-report questionnaire. Four weeks later (Time 2), 49 of these participants completed the same questionnaire. RESULTS: At Time 1, the relationship between optimism and depressive symptoms was partially mediated by functional QOL and symptom QOL. Furthermore, the relationship between Time 1 optimism and Time 2 depressive symptoms was partially mediated by Time 1 functional QOL. When each of the Time 1 variables were used to predict Time 2 depressive symptoms, only optimism continued to predict depressive symptoms over and above the influence of Time 1 depressive symptoms and other covariates. CONCLUSION: These findings suggest the underlying importance of optimism in influencing depressive symptoms in acute coronary syndrome patients, and indicate that optimism and perceptions of functional QOL may be a possible rehabilitation target for this population.     

老年慢性病患者常见症状与生存质量的相关性研究

目的 探讨老年慢性病患者常见症状间的相互关系及其对生存质量的影响,以寻找提高其生存质量的护理对策.方法 采用焦虑自评量表、老年人抑郁量表、SF-36量表对230例老年慢性病患者进行常见症状及生存质量调查,并分析各种症状间的关系以及症状与生存质量的相关性.结果 老年慢性病患者生存质量八大项目得分偏低.常见躯体症状包括躯体疼痛、头晕、疲乏、睡眠障碍发生率依次为25.73%、33.80%、25.00%、22.05%.常见心理症状焦虑和抑郁得分为38.35±7.26、8.71±5.21.且各种常见症状之间呈正相关(r=0.80～0.612,P<0.05),各种常见症状与生存质量呈负相关(r=-0.175～-0.623,P<0.05).结论 在老年慢性病患者居家护理过程中,须及时采取积极有效护理措施控制或减轻病人症状,且躯体症状护理与心理护理应并重,措施实施与原因排查应同步,主要症状与次要症状要兼顾,以提高其生存质量.     

老年慢性病患者常见症状与生存质量的相关性研究

目的 探讨老年慢性病患者常见症状间的相互关系及其对生存质量的影响,以寻找提高其生存质量的护理对策.方法 采用焦虑自评量表、老年人抑郁量表、SF-36量表对230例老年慢性病患者进行常见症状及生存质量调查,并分析各种症状间的关系以及症状与生存质量的相关性.结果 老年慢性病患者生存质量八大项目得分偏低.常见躯体症状包括躯体疼痛、头晕、疲乏、睡眠障碍发生率依次为25.73%、33.80%、25.00%、22.05%.常见心理症状焦虑和抑郁得分为38.35±7.26、8.71±5.21.且各种常见症状之间呈正相关(r=0.80～0.612,P<0.05),各种常见症状与生存质量呈负相关(r=-0.175～-0.623,P<0.05).结论 在老年慢性病患者居家护理过程中,须及时采取积极有效护理措施控制或减轻病人症状,且躯体症状护理与心理护理应并重,措施实施与原因排查应同步,主要症状与次要症状要兼顾,以提高其生存质量.     

老年慢性病患者常见症状与生存质量的相关性研究

目的 探讨老年慢性病患者常见症状间的相互关系及其对生存质量的影响,以寻找提高其生存质量的护理对策.方法 采用焦虑自评量表、老年人抑郁量表、SF-36量表对230例老年慢性病患者进行常见症状及生存质量调查,并分析各种症状间的关系以及症状与生存质量的相关性.结果 老年慢性病患者生存质量八大项目得分偏低.常见躯体症状包括躯体疼痛、头晕、疲乏、睡眠障碍发生率依次为25.73%、33.80%、25.00%、22.05%.常见心理症状焦虑和抑郁得分为38.35±7.26、8.71±5.21.且各种常见症状之间呈正相关(r=0.80～0.612,P<0.05),各种常见症状与生存质量呈负相关(r=-0.175～-0.623,P<0.05).结论 在老年慢性病患者居家护理过程中,须及时采取积极有效护理措施控制或减轻病人症状,且躯体症状护理与心理护理应并重,措施实施与原因排查应同步,主要症状与次要症状要兼顾,以提高其生存质量.