摘要
目的:分析慢性伤口患者抑郁、焦虑的影响因素,以及抑郁、焦虑不良情绪与生活质量和社会支持的相互关系。方法:采用方便抽样法,选取150例慢性伤口患者,使用抑郁自评量表(Self-Rating Depression Scale,SDS)、焦虑自评量表(Self-Rating Anxiety Scale,SAS)、生活质量调查简表(Short Form 36 Health Survey,SF-36)、社会支持评定量表(Social Support Rating Scale,SSRS)评估患者的抑郁、焦虑程度、生活质量及社会支持情况。结果:慢性伤口患者抑郁检出率为45.3%,焦虑检出率为14%。慢性伤口患者年龄与其SDS,SAS标准分之间呈正相关(P<0.05),患者受教育年限,SF-36各因子,SSRS的客观支持、主观支持、社会支持总分与其SDS,SAS标准分之间呈负相关(P<0.05)。多元回归分析结果显示慢性伤口患者的伤口持续时间,SF-36的生理机能、生理职能、情感职能,SSRS的客观支持、主观支持、支持利用度、社会支持总分是其SDS标准分的独立影响因素(P<0.05),而患者的受教育年限、一般健康状况、社会功能、精神健康是其SAS标准分的独立影响因素(P<0.05)。结论:慢性伤口患者的生活质量、社会支持度降低会加重其抑郁、焦虑情绪。医护人员在对慢性伤口患者进行治疗的同时,还应充分重视其抑郁、焦虑不良情绪与生活质量和社会支持的相互影响。
Objective： To investigate the infl uential factors for depression and anxiety in patients with chronic wounds, and the relationship between depression and anxiety and social support or quality of life.
Methods： We used convenience sampling method to enroll 150 patients with chronic wounds. Self- rating Depression Scale （SDS）, Self-rating Anxiety Scale （SAS）, Short Form 36 Health Survey （SF- 36） and Social Support Rating Scale （SSRS） were used to assess the level of depression and anxiety, quality of life, and social support in patients with chronic wounds.
Results： The detection rate of depression and anxiety in patients with chronic wounds was 45.3% and 14% respectively. In patients with chronic wounds, age was positively correlated with SDS and SAS scores （P〈0.05）, while education, eight factors of SF-36, objective support, subjective support, and social support scores of SSRS were negatively correlated with SDS and SAS scores （P〈0.05）. Further multiple regression analysis showed that the duration of wounds, physical functional score, role physical score and role emotional score of SF-36, objective support score, subjective support score, support utilization score, and social support score of SSRS were the independent influential factors for SDS score （P〈0.05）. Education, general health score, social functional score, and mental health score of SSRS were the independent factors for SAS score （P〈0.05）.
Conclusion： The lower quality of life and social support of patients with chronic wounds could increase their depression and anxiety. While treating patients with chronic wounds, medical staff should also pay attention to the mutual influence between anxiety and depression, or quality of life and social support.
作者
陈亚平
曾艳妮
CHEN Yaping, ZENG Yanni(Department of Surgery Clinic, Second Xiangya Hospital, Central South University, Changsha 410011, Chin)
出处
《中南大学学报（医学版）》
CAS
CSCD
北大核心
2018年第9期1032-1036,共5页
Journal of Central South University ：Medical Science
基金
湖南省卫生和计划生育委员会科研基金(B2017014)~~
关键词
慢性伤口
生活质量
社会支持
抑郁
焦虑
chronic wound
quality of life
social support
depression
anxiety
