综合医院神经内科门诊患者抑郁症状群及生活质量调查  

Prevalence of depressive syndrome and quality of life in out-patients of neurology department in 2 general hospitals

作　　者：胡满基[1,2] 何筱衍 李飞[4] 刘振国[5] 伍毅[2] 陈优[2] 孙明[2] 严浩[2] 李春波[6] 

机构地区：[1]同济大学医学院,200090 [2]上海市杨浦区精神卫生中心 [3]上海市奉贤中心医院 [4]上海市市东医院 [5]上海市新华医院 [6]上海交通大学医学院附属精神卫生中心

出　　处：《上海精神医学》2009年第3期156-159,共4页Shanghai Archives of Psychiatry

基　　金：上海市科委重点科技攻关项目(074119520);国家高技术研究发展计划[863计划](2007AA02Z420);上海市市级医院新兴前沿技术联合攻关项目(SHDC12006105)

摘　　要：目的运用抑郁症状群筛选工具,调查综合医院神经内科门诊患者抑郁症状群的检出率;探讨神经内科门诊伴有抑郁症状群患者的生活质量。方法使用中文版患者健康问卷(patient health questionnaire,PHQ)的抑郁症状群分量表(PHQ-9)及健康状况调查问卷(the short form-36 health survey,SF-36)对综合医院神经内科门诊患者进行调查。共收集有效问卷306份。分析了患者抑郁症状群与生活质量的相关性。结果存在抑郁症状群患者有149例(占受调查人群的48.7%)。具有抑郁症状群的神经内科门诊患者SF-36各维度评分低于不伴有抑郁症状群患者。SF-36各维度评分与PHQ-9评分呈负相关,具有统计学意义(r值:-0.182～-0.839,P≤0.001)。结论在综合医院神经内科门诊就诊者中,抑郁症状群检出率较高,这类患者生活质量较差。Objective： To investigate the prevalence of depressive syndrome and life quality in outpatients of neurology department in 2 general hospitals with depression screening tools. Methods： Outpatients of neurology department in 2 general hospitals were accessed with depressive subscale of patient health questionnaire （PHQ -9 ） and the short form -36 health survey （SF -36 ）. There were 306 valid questionnaires in the study. The correlation between depressive syndrome and quality of life were analyzed. Results ：There were depressive syndrome in 149 outpatients（48.7% ）. Factor scores of SF -36 in patients with depressive syndrome were significantly lower than that of patients without depressive symptoms. There was negative correlation between the score of SF -36 and that of PHQ -9 （r = -0. 182 - -0. 839,P≤0.001 ）. Conclusion：There is high prevalence of depressive syndrome in outpatients at the department of neurology in general hospitals. The quality of life of the outpatients with depressive syndrome is poor.

关 键 词：患者健康问卷 神经疾病 生活质量 抑郁 

分 类 号：R749.4[医药卫生—神经病学与精神病学]