抑郁症躯体化症状患者生活质量现状与影响因素分析  

Quality of Life and Its Influencing Factors in Patients with Somatization of Depression

作　　者：万婷 李萍[1] 钱霞 Wan Ting;Li Ping;Qian Xia(The Center for Mental Health of Putuo,Shanghai 200065,China)

机构地区：[1]上海市普陀区精神卫生中心,上海200065

出　　处：《健康教育与健康促进》2020年第6期619-622,共4页Health Education and Health Promotion

基　　金：上海市卫生和计划生育委员会科研课题(201740130)。

摘　　要：目的调查抑郁症躯体化症状患者生活质量现状并分析其影响因素。方法选取2019年1—12月二级精神专科医院符合入选标准的85例抑郁症患者为研究对象,采用一般资料调查表、躯体化症状问卷(PHQ-15)、健康状况调查问卷(SF-36)对其进行调查。结果85例患者的PHQ-15总均分为(13.61±6.07)分,65.88%的患者躯体化症状已达中重度。生活质量(SF-36)处于较低水平,情感职能(23.92±38.01)、生理职能(26.76±37.56)、总体健康感(35.12±17.71)维度得分较低。多元线性回归显示,躯体化症状、教育程度、服药依从性对患者的生活质量有影响(P<0.05)。结论抑郁症患者躯体化症状管理仍不理想,医务人员需制定行之有效的管理方案,以减轻患者的躯体化症状,提高抑郁症躯体化症状患者生活质量。Objective To investigate the quality of life of patients with somatization symptoms of depression and analyze its influencing factors.Methods From January to December,2019,85 patients with depression who met the criteria were selected,general information questionnaire,somatization symptom questionnaire(PHQ-15),health status questionnaire(SF-36)were used to investigate them.Results The total PHQ-15 of 85 patients was 13.61±6.07,65.88%of patients with somatization symptoms have reached moderate to severe;The quality of life(SF-36)was at a low level,and the scores of affective function(23.92±38.01),physiological function(26.76±37.56)and general sense of health(35.12±17.71)were lower.Multiple linear regression showed that somatization symptoms,education level,and medication compliance affected the quality of life of patients(P<0.05).Conclusion Somatic symptom management in patients with depression is still not ideal,Medical personnel need to develop effective management programs,to relieve the patient's somatization,and improve the quality of life of patients with somatization symptoms of depression.

关 键 词：抑郁症 躯体化症状 生活质量 

分 类 号：R473.74[医药卫生—护理学]