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108例肝硬化患者情绪、家庭负担与生活质量的相关性
引用本文:武晓云,乔昆,赵璇.108例肝硬化患者情绪、家庭负担与生活质量的相关性[J].四川精神卫生,2017,30(2):144-148.
作者姓名:武晓云  乔昆  赵璇
作者单位:1. 兰州市第三人民医院,甘肃 兰州,730050;2. 兰州大学,甘肃 兰州,730000;3. 兰州军区兰州总院,甘肃 兰州,730050;4. 兰州军区五里铺干休所,甘肃 兰州,730000
基金项目:甘肃省兰州市科技局(2014-1-48)
摘    要:目的探讨肝硬化患者的情绪、社会支持、家庭负担与生活质量的相关性。方法通过整群抽样方法选取兰州市某三甲医院108例肝硬化患者,采用一般情况调查表、医院焦虑抑郁量表(HADS)、社会支持评定量表(SSRS)、诺丁汉健康量表(NHP)和疾病家庭负担量表(FBS)进行评定。结果 HADS-A评分≥9分者107例(99.1%),HADS-D评分≥9分95例(88.0%)。年龄50岁、50≤年龄≤60岁、年龄60岁的三组患者在疼痛(P=0.010)、活动(P=0.002)、NHP总评分(P=0.024)方面差异均有统计学意义;NHP中除睡眠以外的5个维度和总评分与HADS-A、HADS-D、HADS总评分呈正相关(P0.05或0.01),NHP的精力、情感和总评分与FBS各维度评分及总评分呈正相关(P0.05或0.01);FBS总评分、抑郁、家庭经济负担和年龄对预测NHP总评分作用显著。结论 FBS总评分、抑郁、家庭经济负担、年龄对肝硬化患者的生活质量影响明显。

关 键 词:肝硬化  焦虑  抑郁  社会支持  生活质量  诺丁汉健康量表  疾病家庭负担量表

Relationship among emotion, family burden and quality of lifein 108 patients with liver cirrhosis
Wu Xiaoyun,Qiao Kun,Zhao Xuan,Zhou Peng,Yu Xiaohui,Wang Zhaolin,Zhang Peng.Relationship among emotion, family burden and quality of lifein 108 patients with liver cirrhosis[J].Sichuan Mental Health,2017,30(2):144-148.
Authors:Wu Xiaoyun  Qiao Kun  Zhao Xuan  Zhou Peng  Yu Xiaohui  Wang Zhaolin  Zhang Peng
Abstract:Objective To explore the relationship among emotional, social support, family burden and quality of life in patients with liver cirrhosis.Methods A total of 108 patients with liver cirrhosis were selected from a hospital in Lanzhou City by cluster sampling method.They were assessed with basic questionnaire, Hospital Anxiety and Depression Scale(HADS), Social Support Rating Scale(SSRS), Nottingham Health Profile(NHP) and Family Burden Scale of Disease(FBS).Results There were 107 (99.1%) cases with HADS-A≥9 points and 95 (88.0%) cases with HADS-D≥9 points.Patients under 50 years old, between 50 to 60 years old and over 60 years old had statistical difference in terms of pain (P=0.010), activity (P=0.002) and total score of NHP (P=0.024).Except the sleep dimension in NHP, the total score of NHP, the other five dimensions were positive correlated with HADS-A, HADS-D and HADS total score(P<0.05 or 0.01).Energy, emotion of NHP and its total score were positive correlated with every dimension score of FBS and its total score(P<0.05 or 0.01).The total score of FBS, depression, family economic burden and age had significant effects on predicting the total score of NHP.Conclusion FBS total score, depression, family economic burden and age exert significant influence on the quality of life in patients with liver cirrhosis.
Keywords:Liver cirrhosis  Anxiety  Depression  Social support  Quality of life  Nottingham Health Profile  Family Burden Scale of Diseases
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