支气管哮喘患者的生存质量及相关因素  

Quality of Life in Patients with Asthma

作　　者：刘春红[1] 段熙明[2] 石寿森[3] 李玉[1] 潘芳[2] 陈政[4] 

机构地区：[1]山东大学医学院医学心理学研究所,济南250012 [2]滨州医学院科研处,滨州256603 [3]山东大学齐鲁医院呼吸内科,济南250012 [4]山东中医药大学第二附属医院癫痫治疗中心,济南250001

出　　处：《中国心理卫生杂志》2007年第8期553-555,562,共4页Chinese Mental Health Journal

基　　金：山东省自然基金资助项目(Y2005C36)

摘　　要：目的:探讨成年哮喘患者生存质量及相关因素。方法:采用支气管哮喘生存质量评估表,激惹、抑郁和焦虑自评量表,正性负性情绪量表,自尊量表,安全感量表对51例哮喘患者和40例正常对照组进行现场调查。结果:患者的抑郁得分、负性情绪得分均高于正常组(5.5±2.1/3.5±2.0,t=2.45,P=0.017;26.4±6.1/18.9±5.9,t=3.47,P=0.002),患者的自尊得分和人际安全感得分均低于正常组(15.5±3.2/21.0±2.7;24.0±6.7/29.6±4.3;t=2.18,2.61,P=0.031、0.014),而感情孤独得分高于正常组(15.5±2.6/10.0±4.2;t=2.37,P=0.023)。生存质量总分与职业、病程、内向性激惹得分呈负相关(r=-0.358,-0.308,-0.355,-0.342,P<0.05),与受教育程度、一秒钟用力呼气量、PANAS测量的正性情绪、自尊得分呈正相关(r或rs值分别为0.314,0.337,0.343,0.347,0.356,P<0.05),与抑郁、负性情绪得分呈负相关(r=-0.382,-0.435,P<0.01)。结论:成年哮喘患者存在心理问题,生存质量与基本情况、不良情绪、心理状况等诸多因素有关。Objective：To explore the relationship among unhealthy emotions, psychological status and quality of life in patients with asthma. Methods：51 asthma patients and 40 normal people were tested with psychological rating scales including AQLQ （asthma quality of life questionnaire）, IDA （irritability, depression and anxiety）, PANAS （ positive and negative assessment scale ）, SES （ self-esteem scale ）, SQ （ security questionnaire ）. Results： The scores of asthma patients were higher than scores of normal control group in depression mood and negative affect （ 5.5 ± 2. 1/ 3.5 ± 2. 0, t = 2. 45, P 〈 0. 05 ;26.4 ± 6. 1/18.9 ± 5.9, t = 3.47, P 〈 0. 01 ）. Compared to normal controls, scores of self-esteem and safety-sense of relationship in patients were lower （ 15.6 ± 3.2/21.0 ± 2. 7;24. 0 ± 6. 7/29. 6 ± 4. 3;t = 2. 18,2. 61, P 〈 0. 05 for both ）, while scores of emotional loneliness were higher （ 15.5 ± 2. 6/10.0 ± 4. 2, t = 2. 37, P 〈 0. 05 ）. Different vocations, degrees of education and courses of disease make differences of QOL scores of asthma patients. Scores of QOL of asthma patients were negatively correlative with vocation （ r = -0. 31 - -0. 36, P 〈0. 05）, the course of disease internal irritation and positively correlative with the degree of education, FEV1, positive affect, self-esteem （r = 0. 31 - 0. 36, P 〈 0. 05 ）. QOL had significantly negative correlation with depression mood and negative affect （ r = - 0. 38, - 0. 43, P 〈 0. 01 ）. The regression analysis shows that the determinant factors of QOL score are negative affect and depression. Conclusion： There＇ are psychological problems in asthma patients, and the QOL is influenced by many factors including unhealthy emotions, psychological status.

关 键 词：支气管哮喘 生存质量 不良情绪 心理状况 横断面研究 

分 类 号：R395.1[哲学宗教—心理学]