门诊功能性消化不良患者生存质量及影响因素分析  

Influence factors for quality of life in functional dyspepsia outpatients

作　　者：汪茜雅[1] 钮美娥[2] 陈奕[3] 谢安慰[4] 

机构地区：[1]苏州大学附属第一医院消化科,215006 [2]苏州大学附属第一医院护理部,215006 [3]苏州大学附属第一医院急诊ICU,215006 [4]苏州大学附属儿童医院感染科,215000

出　　处：《中华现代护理杂志》2017年第9期1240-1245,共6页Chinese Journal of Modern Nursing

摘　　要：目的 调查门诊功能性消化不良（FD）患者生存质量现状,并分析其影响因素.方法 采用目的抽样法,选取2014年1—6月江苏省某三级甲等医院消化科门诊就诊的FD患者268例.采用功能性消化不良生存质量量表、健康行为自我效能量表、焦虑自评量表和抑郁自评量表对研究对象进行测评,并分析FD患者生存质量的影响因素.结果 门诊FD患者FDDQL总分为（57.78±7.45）分;不同性别、SAS评分等患者FDDQL得分比较,差异有统计学意义（P〈0.05）;不同BMI患者FDDQL得分比较,差异无统计学意义（P〉0.05）;门诊FD患者的性别、自我效能、BMI等与FDDQL得分呈正相关（P〈0.05）;门诊FD患者的SAS、SDS评分、症状严重程度等与FDDQL得分呈负相关（P〈0.05）;焦虑、症状严重程度、病程、自我效能和抑郁是门诊FD患者生存质量的影响因素.结论 门诊FD患者的生存质量较低,需得到医护人员的关注与管理.在设计和实施护理干预时,应对患者的精神心理状况进行分析,特别是对患者的焦虑进行评估和干预,并对病程短、病情严重及自我效能较低的患者加强护理,提高其自我管理水平,从而最终提高患者的生存质量.Objective To investigate the influence factors for quality of life in functional dyspepsia （FD） outpatients.Methods Based on purposive sampling,268 FD outpatients from a grade III class A hospital were selected from January to June 2014. The participants were assessed by using the functional dyspepsia-related quality of life （FDDQL） scale,FD self-efficacy scale,Zung self-rating anxiety scale （SAS）,and depression self-rating scale （SDS）.Results The total score for FDDQL was （57.78±7.45） in the participants. FDDQL was significantly different in people with different genders or SAS scores （P〈0.05） but seemed less different in people with different BMI （P〉0.05）. FDDQL had a positive association with gender,self-efficacy,and BMI,but had a negative association with SAS,SDS,and symptom severity （P〈0.05）. Thus,the risk factors appeared to include anxiety,symptom severity,course of disease,self-efficacy,and depression in FD outpatients.Conclusions FD outpatients tend to have a low quality of life and need more concerns and management. During the nursing intervention,nurses should pay more attention to the mental status such as anxiety in patients with a short course of disease,severe symptom,and/or less self-efficacy. Patients should improve their ability of self-management to achieve a higher quality of life.

关 键 词：生存质量 功能性消化不良 门诊 影响因素 自我效能 

分 类 号：R473.5[医药卫生—护理学]