伤病对武警部队住院伤病员生命质量的影响  

Effects on quality of life in hospitalized patients of chinese people's armed police forces

作　　者：王莉珺 张芳兰 陈慧萍 Wang lijun;Zhang Fanglan;Chen Huiping(The third Department of Internal medicine, Gansu Provincial Corps Hospital, Chinese People’s Armed Police Forces, Lanzhou 730050,China)

机构地区：[1]武警甘肃总队医院内三科,甘肃兰州730050

出　　处：《甘肃医药》2016年第8期564-566,共3页Gansu Medical Journal

摘　　要：目的:探讨伤病对武警部队住院伤病员生命质量(QOL)的影响,以进一步提高医疗服务质量。方法:选择武警部队住院伤病员196例,入院后第二天以SF-36量表测评其QOL,并与相应健康对照比较。伤病员出院前按伤病不同转归分为痊愈组、后遗症组及缓解组,出院前一天再次测评其QOL,观察不同转归组间QOL的差异及入院后和出院前QOL的变化。结果:反映伤病员QOL的生理职能(RP)、躯体疼痛(BP)、总体健康(GH)、活力(VT)及情感职能(RE)分别为(57.5±49.6)分、(79.0±16.3)分、(82.6±13.5)分、(74.8±11.9)分及(49.8±32.9)分,低于健康对照者(P<0.05)。出院前痊愈组各维度明显提高,与对照组的比较无统计学差异(P>0.05),后遗症组的RP、BP、VT及RE与缓解组的BP及VT均低于对照组和痊愈组的相应维度(P<0.05)。结论:伤病对住院伤病员QOL有一定影响,而且并不能随诊疗结束完全消失,故出院前对伤病员,尤其留有后遗症或仅临床症状缓解的伤病员,进行心理辅导非常重要。Objective: To explore the effects of injuries on quality of life (QOL) in hospitalized patients of armed police forces, whichwould improve medical service levels. Methods: Health questionnaires(SF-36)were used for evaluating the QOL in 196 hospitalized patientsat the second day of admission, and healthy people were control group. Patients were divided into cured group, sequela group and remissiongroup, according to different clinical outcomes. QOL was measured at 1 day before discharge. Difference among clinical outcomes and changebetween patients and healthy controls of QOL were performed. Results: RP, BP, GH, VT and RE in hospitalized patients were (57.5±49.6)、(79.0±16.3)、(82.6±13.5)、(74.8±11.9) and (49.8±32.9) respectively, which were significantly lower than control group (P<0.05). All domainsin cured groups before discharge were improved significantly than healthy control (P>0.05). The RP, BP, VT and RE in sequela groups, andBP and VT in remission groups before discharge were significantly lower than those in cured groups and in healthy control(P<0.05). Conclu?sion: Injuries will pose a negative effect on QOL of hospitalized patients, which can not completely go away at end-point of clinical treatment.So it is extremely important to provide psychological assistance to them, especially to those with sequelae or only remission in clinical symp?toms.

关 键 词：武警部队 伤病员 伤病 SF-36量表 生命质量 

分 类 号：R197.32[医药卫生—卫生事业管理]