头晕患者的焦虑、感知健康状态与头晕障碍量表评定的关系  

The relationship between anxiety,perceived health status,and dizziness disorder scale scores in dizziness patients

作　　者：陶琳[1] 马荣[1] 黄广为 张洪淞 TAO Lin;MA Rong;HUANG Guangwei(Jiamusi Central Hospital Neurology Department 1,Jiamusi 154002,China)

机构地区：[1]佳木斯市中心医院神经内1科,佳木斯154002

出　　处：《国际精神病学杂志》2024年第2期489-492,496,共5页Journal Of International Psychiatry

基　　金：中国管理科学研究院教育科学研究所科教创新研究重点课题(编号:KJCX9024)。

摘　　要：目的分析不同年龄段头晕患者的焦虑、感知健康状态与头晕障碍量表得分的关系。方法回顾性分析2022年3月~2023年5月在我院诊治的慢性主观性头晕(Chronic subjective dizziness,CSD)患者122例,按照年龄分为中青年组(18~44岁)11例、老年前期组(45~59岁)42例、老年组(≥60岁)69例,焦虑用焦虑自评量表(Self Rating Anxiety Scale,SAS)评估,感知健康状态用简明健康调查问卷(Short Form Health Questionnaire,SF-36)评估,眩晕残障程度评定量表(Vertigo Disability Assessment Scale,DHI)评估治疗和康复效果,比较不同年龄段SAS、DHI评分及SF-36各维度评分,并分析头晕患者DHI评分与SAS、SF-36各维度评分的相关性。结果不同年龄段SAS、精神健康(MH)、情感职能(RE)、社会功能(SF)、活力(VT)、躯体疼痛(BP)、生理职能(RP)、生理功能(PF)评分比较,均有统计学意义(P<0.05),不同年龄段DHI、总体健康(GH)比较,均无统计学意义(P﹥0.05);与中青年组、老年前期组比较,老年组MH、SF、VT、BP、PF评分更低(P<0.05),与中青年组比较,老年前期组、老年组RE、RP、PF评分更低(P<0.05)。经Pearson分析,DHI评分与SAS评分呈正相关(P<0.05),与MH、RE、SF、VT、GH、BP、RP、PE评分呈负相关(P<0.05)。结论CSD患者的焦虑感知健康状态与DHI评分密切相关,且年龄越大焦虑感知健康状态以及症状越严重。Objective Analyze the relationship between anxiety,perceived health status,and dizziness disorder scale scores in patients with dizziness.Methods A retrospective analysis was conducted on 122 patients with chronic subjective dizziness(CSD)who were diagnosed and treated in our hospital from March 2022 to May 2023.They were divided into a young and middle-aged group(18-44 years old)with 11 cases,a pre elderly group(45-59 years old)with 42 cases,and an elderly group(≥60 years old)with 69 cases.Anxiety was evaluated using the Self Rating Anxiety Scale(SAS),and perceived health status was evaluated using the Short Form Health Questionnaire(SF-36),The Vertigo Disability Assessment Scale(DHI)evaluates the treatment and rehabilitation effects,compares SAS,DHI scores,and SF-36 scores for different age groups,and analyzes the correlation between DHI scores and SAS,SF-36 scores for dizziness patients.Result The scores of SAS,MH,RE,SF,VT,BP,RP,and PE in different age groups were statistically significant(P<0.05),while the scores of DHI and CH in different age groups were not statistically significant(P>0.05).Compared with the young and middle-aged group and the pre elderly group,the elderly group had lower scores in MH,SF,VT,BP,and PF(P<0.05).Compared with the young and middle-aged group,the pre elderly group and the elderly group had lower scores in RE,RP,and PF(P<0.05).According to Pearson analysis,DHI score was positively correlated with SAS score(P<0.05),and negatively correlated with MH,RE,SF,VT,GH,BP,RP,and PE scores(P<0.05).Conclusion1The anxiety perception and health status of CSD patients are closely related to DHI scores,And the older the age,the more anxious the perception of health status and the more severe the symptoms are.

关 键 词：慢性主观性头晕 焦虑 感知健康状态 头晕障碍 

分 类 号：R749[医药卫生—神经病学与精神病学]