三种量表对FD患者心理状态与生活质量的评价  

Assessment of psychological state and quality of life in patients with functional dyspepsia

作　　者：安雅萍[1] 安惠霞 李书平[1] 赵进[1] 

机构地区：[1]宁夏银川市第一人民医院,宁夏银川750001 [2]宁夏自治区中医医院,宁夏银川750021

出　　处：《宁夏医学杂志》2009年第8期720-721,共2页Ningxia Medical Journal

摘　　要：目的调查功能性消化不良(functional dispepsia,FD)患者与健康人在焦虑、抑郁状态方面的差异,并对FD患者的生活质量进行分析。方法采用Zung焦虑自评量表(SAS)、抑郁自评量表(SDS)及汉化版SF-36量表对69例FD患者和69名健康对照者进行评分,比较两组受试者在焦虑、抑郁情绪方面及生活质量的的差异。结果FD患者的SAS、SDS分值及SAS合并SDS的发生率均明显高于健康对照组(P<0.05),同时FD患者的生活质量评分较对照组明显下降(P<0.05)。结论功能性消化不良患者有明显的焦虑和抑郁倾向,躯体生理健康和精神心理健康均明显受损,生活质量较健康人低,尤其是在精神心理健康方面。Objective To investigate the difference of anxiety and depression between functional dyspepsia （FD） patients and the healthy subjects, and to study the health - related quality of life （HRQL） of FD patients. Methods 69 FD patients and 69 healthy subjects were enrolled in this study, the anxiety and depression were evaluated by Zung self -rating anxiety scale （SAS） and self- rat- ing depressive scale （SDS）, respectively. The HRQL of all subjects were assessed by a Chinese version of the MOS 36 - item short form health survey （SF-36）. All the scales were compared and analyzed in 8 dimensions and 2 component -summaries （PCS, MCS）. Results The scores of SAS and SDS were significantly higher in FD patients than those in healthy controls （ P 〈 0. 001 ） ; The SF - 36 assessment showed that all 8 dimensions and 2 component - summaries were significantly lower in FD groups than those in the healthy controls with a statistically significant difference （ P 〈 0.05 ）. The QOL of FD group is the lower in two groups, especially the MCS. Conclusions SAS and SDS are closely correlated with FD and HQOL decreased markedly in patients with FD in both physieal and mental aspects. The decrement of QOL was more prominent in patients with FD than that in the healthy subjects.

关 键 词：功能性消化不良 焦虑 抑郁症 生活质量 

分 类 号：R57[医药卫生—消化系统]