老年变应性鼻炎患者生活质量和焦虑抑郁情绪症状分析  

Quality of life and anxiety and depression symptoms in elderly patients with allergic rhinitis

作　　者：余爵波[1] 程泽星[1] 郑海洲[1] 庄远岭[1] 

机构地区：[1]扬州市第一人民医院耳鼻咽喉-头颈外科,225009

出　　处：《中华老年医学杂志》2017年第8期895-898,共4页Chinese Journal of Geriatrics

摘　　要：目的评估变应性鼻炎（AR）对老年人生活质量和焦虑抑郁情绪症状的影响。方法回顾性分析，对我院2015年1月至2016年10月门诊就诊的老年AR患者进行生活质量、焦虑和抑郁情绪症状的病例对照研究。AR组为AR患者167例，选择同期健康老年人158例为对照组。以鼻结膜炎生活质量调查问卷（RQLQ）、抑郁自评量表及焦虑自评量表对研究对象进行评估，比较AR组老年患者与对照组患者各维度得分的差异，以SPSS16．0统计软件进行结果分析。结果RQLQ调查显示，AR患者在7个维度的得分均较对照组得分高（均P〈0．05）。老年AR组患者焦虑症状得分为（44．8±10．1）分，高于对照组（40．7±4．9）分（F=21．59，P〈0．01）；抑郁症状得分为（46．7±12．2）分，高于对照组（41．3±4．8）分，但差异有统计学意义（F=26．63，P〈O．01）。与老年AR组患者焦虑抑郁情绪症状相关的生活质量维度分别包括活动、睡眠、非鼻-结膜炎症状、实际问题、鼻部症状及情感（均P〈0．05）。结论老年AR患者生活质量状态差，伴随着明显的焦虑抑郁症状；而焦虑抑郁症状使老年人生活质量进一步恶化。应从健康整体观出发，合理的干预可提高AR老年患者的身心健康。Objective To assess the influence of allergic rhinitis（AR）on the quality of life and anxiety and depression symptoms in the elderly. Methods Retrospective analysis of elderly patients with AR treated at our hospital from January 2015 to October 2016 was conducted on quality of life and anxiety and depression symptoms. The participants were investigated using the rhino-conjunctivitis quality of life questionnaire （RQLQ）, self-rating depression scale （SDS） and self-rating anxiety scale （SAS）. The correlation between SDS,SAS and RQLQ was also analyzed. Results RQLQ scores of AR patients in 7 demensions were higher than those of healthy individuals （P〈 0.05 for all）. The scores of SAS（44.8±10.1 vs. 40.7±4.9）and SDS（46.7 ±12.2 vs. 41.3±4.8）in AR patients were also higher than in healthy individuals （F = 21.59 and 26.63, respectively, each P 〈 0.01）. Furthermore, anxiety and depression symptoms were significantly associated with seven RQLQ dimensions. Conclusions Compared with healthy individuals, elderly patients with AR has poor quality of life, which is further negatively impacted by increased anxiety and depressive symptoms. Appropriate intervention measures should be taken to alleviate anxiety and depressive symptoms and enhance quality of life for elderly patients with AR.

关 键 词：鼻炎 变应性 常年性 生活质量 抑郁 焦虑 

分 类 号：R765.21[医药卫生—耳鼻咽喉科]