住院老年临终病人生活质量多因素研究  

A Multiple Factor Study on the Quality of Life in Hospitalized Elderly Terminal Patients

作　　者：张孟喜[1] 李艳群[1] 付桂香[1] 李文英[1] 李卉[1] 赵利华[1] 张昌喜[1] 范勇[1] 汪志红[1] 彭雷[1] 

机构地区：[1]中南大学湘雅二医院老年病科,长沙410011

出　　处：《中国心理卫生杂志》2006年第3期163-165,共3页Chinese Mental Health Journal

基　　金：湖南省科技厅资助课题;课题号(03ssy3078)

摘　　要：目的了解住院老年临终病人的生活质量及其影响因素。方法采用癌症病人生活质量量表(QOL),社会支持评定量表,生活满意度指数A(LSIA),医院焦虑抑郁量表(HAD),主诉疼痛分级(VRS),日常生活活动量表(ADL),对152例临终病人进行测评。结果⑴各量表总分分别为QOL36.9±7.4,ADL56.27±34.5,社会支持40.0±6.3,HAD(A)8.9±4.1,HAD(D)11.2±4.9,LSIA11.6±3.9。⑵相关分析显示QOL总分与疼痛(r=-0.54,P<0.01)及焦虑(r=-0.65,P<0.01)、抑郁(r=-0.73,P<0.01)负相关,与ADL(r=0.74,P<0.01)、社会支持总分(r=0.30,P<0.01)、主观支持(r=0.23,P<0.05)、对支持的利用度(r=0.32,P<0.01)、LSIA(r=0.52,P<0.01)正相关。⑶多元逐步回归分析显示ADL、VRS、社会支持总分及HAD(A)是QOL总分的独立预测变量(t分别为6.91,-4.66,3.28,-4.72,P<0.01)。结论老年临终住院病人QOL受日常生活活动、疼痛程度、社会支持、焦虑等多种因素的影响,应针对性地给予临终关怀措施,提高生活质量。Objective： To study the quality of life （QOL） and its influencing factors of elderly hospitalized terminal patients. Methods： The scale of Life Quality, Social Support Inventory, Life Satisfaction Index A （ LSIA）,Hospital Anxiety and Depression Scale （ HAD）, degree of pain （ Verbal Report Scale, VRS） and Activities of DailyLiving （ADL） were administered in 152 elderly hospitalized terminal patients. Results： 1） The total score of eachscale was QOL 36.9±7.4, ADL56. 27±34. 5, Social Support 40. 0±6. 3, HAD （A） 8.9±4. 1, HAD （D） 11.2±4.9, LSIA 11.6±3.90 2） Pearsong correlation showed that QOL scores were negatively correlated with degree ofpain （r=-0.54, P〈0.01）, anxiety （r=-0.65, P〈0.01）, depression （r=-0.73, P〈0.01） and positively correlated with ADL （ r = 0.74, P 〈 0. 01 ）, Social Support （ r = 0. 30, P 〈 0. 01 ）, LSIA （ r = 0.52, P 〈 0.01 ）.3） Stepwise linear regression showed that ADL, VRS, social support and anxiety were independent predictive variables of QOL （ t = 6.91, - 4. 66, 3. 28, - 4. 72, P 〈 0. 01 ） . Conclusion： The QOL of elderly hospitalized terminal patients is affected by multiple factors, such as ADL, degree of paint social support, anxiety etc. Hospice is important to them to improve their life quality.

关 键 词：临床心理卫生 生活质量 断面研究 临终病人 影响因素 

分 类 号：R395.1[哲学宗教—心理学]