老年慢性乙型肝炎住院患者抑郁水平与生活质量的相关性  

Relationship between Depression Level and Quality of Life in Elderly Patients with Chronic Type B Hepatitis

作　　者：王佩[1] 轧春妹[2] 尤炜[3] 陈俊华[2] 吴曼丽[4] 段毅利[2] 

机构地区：[1]天津传染病医院天津市肝病研究所中西医结合二科,天津300192 [2]天津传染病医院天津市肝病研究所特需病房 [3]天津传染病医院天津市肝病研究所肝病一科 [4]天津传染病医院天津市肝病研究所肝病二科

出　　处：《解放军护理杂志》2008年第7期29-32,共4页Nursing Journal of Chinese People's Liberation Army

摘　　要：目的评价老年慢性乙型肝炎住院患者的生活质量,探讨生活质量与抑郁水平的相关性。方法采用一般情况调查表、老年抑郁量表和健康调查简表(SF-36)对43例60岁以上的慢性乙型肝炎住院患者进行问卷调查。结果老年慢性乙型肝炎患者的生活质量评定中,除躯体疼痛外,其余各维度均比一般老年人群低(P<0.01),其中心理健康下降最明显;在老年慢性乙型肝炎患者的一般情况中,其自理能力、病情和经济状况与生活质量多个维度的相关性有统计学意义(P<0.05或P<0.01);老年慢性乙型肝炎患者的抑郁发生率为83.7%,其中轻度抑郁占调查人数的69.7%,中、重度抑郁占14.0%;生活质量各维度中,除社会功能外,其余均与抑郁水平呈显著负相关(P<0.01),影响最严重的是情感功能。结论老年慢性乙型肝炎住院患者的生活质量偏低,抑郁水平与生活质量密切相关;在临床护理中应关注老年患者的生活质量及抑郁状态,通过有效的心理支持及护理干预,减轻老年患者的抑郁状态、提高其生活质量。Objective To assess the quality of life of elderly patients with chronic type B hepatitis, and to discuss the relation between the quality of life and level of depression. Methods General questionnaire, Senium depression scale and the MOS 36-item Short Form Health Survey （SF-36） were used to survey 43 hospitalized patients with chronic type B hepatitis. Results Depression incidence rate in senium chronic type B hepatitis was 83.7%,with light depression accounting for 69.7% and severe depression accounting for 14%. All indices except idiosoma pain, were lower in our group than in aged-matched normal controls （ P〈0.01）,with psychological health deteriorated mostly. In addition, except for society function, other indices had a negative correlation with depression level （ P〈0.01）, with sentiment function being the most severely effected. Conclusion Elderly patients with chronic hepatitis B have a low quality of life, which is closely connected with depression level. Effective measures should be taken to improve the quality of life and depression level during clinical nursing.

关 键 词：慢性乙型肝炎 老年 抑郁 生活质量 

分 类 号：R512.62[医药卫生—内科学] R395.1[医药卫生—临床医学]