神经症患者生命质量初步研究  

A preliminary study of the quality of life in patients with neuroses

作　　者：姚军[1] 张曙映[1] 李春波[1] 

机构地区：[1]同济大学附属同济医院心身科,200065

出　　处：《上海精神医学》2003年第z1期28-29,32,共3页Shanghai Archives of Psychiatry

基　　金：上海市高等学校青年科学基金(编号:2000QN13)

摘　　要：目的 调查神经症患者治疗前后的生命质量状况。方法 调查对象为住院及门诊神经症患者53名,应用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)评估患者的生命质量,应用焦虑自评量表(SAS)和抑郁自评量表(SDS)进行焦虑和抑郁情绪评定,经门诊及住院治疗4周后再次评定。结果 (1)神经症患者生命质量的相关因素表明焦虑抑郁情绪与WHOQOL-BREF生理领域(PHYS)、心理领域(PSYCH)分量表呈显著负相关。教育程度与社会领域分量表呈显著性相关。(2)治疗后生命质量中生理领域(PHYS)、心理领域(PSYCH)、社会关系领域(SOCIL)、环境领域(ENVIR)四个分量表均有显著性的改善。结论 WHOQOL-BREF是能够较全面评估神经症患者生命质量的一种标准化工具,其评分结果可作为临床辅助评判指标之一。Objective: To study the quality of life of patients with neuroses. Methods: (1)53 inpa-tients and outpatients with neuroses were interviewed twice during four weeks. The instruments for quality of life assessments were World Health Organisation Quality Of Life Questionnaire abbreviated version ( WHOQOL-BREF), mood status of these patients were also assessed by Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale(SDS). After treatment for four weeks, these patients were assessed repeatedly. Results: (1) There were some related factors which affected the quality of life of patients with neuroses. After treatment the quality of life in patient with neuroses have been significantly improved. Conclusion: WHOQOL-BREF could be used as one of the standard tools for assessing the quality of life of patients with neuroses, it could also be one of the clinical indexes which reflect the severity and efficacy.

关 键 词：神经症 生命质量 

分 类 号：R749.7[医药卫生—神经病学与精神病学]