老年子宫脱垂患者心理健康状况及其对生活质量的影响  

Mental health status in elderly patients with uterine prolapse and its influence on quality of life

作　　者：薄丽妍 张晓悦 李宇婷 王子源 薛佳 Bo Liyan;Zhang Xiaoyue;Li Yuting;Wang Ziyuan;Xue Jia(Department of Gynecology,Beijing Shijitan Hospital of Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院妇科,北京100038

出　　处：《中华老年多器官疾病杂志》2024年第9期694-697,共4页Chinese Journal of Multiple Organ Diseases in the Elderly

基　　金：首都医科大学附属北京世纪坛医院科研课题(2018-q36)。

摘　　要：目的调查老年子宫脱垂患者心理健康状况并分析其对生活质量的影响。方法选择2018年5月至2023年5月首都医科大学附属北京世纪坛医院收治的280例老年子宫脱垂患者为研究对象。收集患者临床资料,并采用抑郁-焦虑-应激量表精简版(DASS-21)及世界卫生组织生活质量问卷(WHOQOL-BREF)评估患者心理健康状况和生活质量。采用SPSS 22.0统计软件进行数据分析。根据数据类型,分别采用t检验或单因素方差分析进行组间比较。采用Pearson相关性分析评价心理健康与生活质量各维度的相关性。采用多元线性回归模型评估在控制其他潜在影响因素后,心理健康状况对生活质量的影响。结果280例患者DASS-21量表抑郁维度得分(10.79±3.33)分,焦虑维度得分(9.90±2.24)分,应激维度得分(13.79±4.06)分。有46.07%(129/280)、52.14%(146/280)、49.29%(138/280)患者存在抑郁、焦虑及应激。老年子宫脱垂患者WHOQOL-BREF评分生理健康、心理健康、社会关系、环境维度评分均低于国内常模,差异有统计学意义(P<0.05)。Pearson相关性分析显示,抑郁、焦虑、应激维度评分与生理健康评分均呈负相关(r=-0.421,-0.396,-0.382;P<0.05)。抑郁、焦虑、应激维度评分与心理健康评分均呈负相关(r=-0.378,-0.435,-0.416;P<0.05)。抑郁、焦虑、应激维度评分与社会关系评分均呈负相关(r=-0.342,-0.365,-0.359;P<0.05)。抑郁、焦虑、应激维度评分与境维度评分均呈负相关(r=-0.364,-0.387,-0.375;P<0.05)。多元线性回归分析显示,子宫脱垂程度Ⅲ度、抑郁、焦虑及应激为影响生理健康、心理健康、社会关系、环境四个维度的相关因素(P<0.05);合并症为影响生理健康、心理健康、社会关系三个维度的相关因素(P<0.05)。结论老年子宫脱垂患者的心理健康状况,尤其抑郁、焦虑和应激,显著影响其生活质量的各个维度。Objective To survey the mental health status in elderly patients with uterine prolapse and investigate its influence on quality of life in them.Methods A total of 280 elderly patients with uterine prolapse admitted in our hospital from May 2018 to May 2023 were enrolled and served as the study subjects.Their clinical data were collected.Depression anxiety stress scales-21(DASS-21)and World Health Organization quality of life-BREF(WHOQOL-BREF)were employed to evaluate the mental health status and quality of life of the patients,respectively.SPSS statistics 22.0 was used for data analysis.Based on different data type,t test or one-way analysis of variance was applied for intergroup comparison.Pearson correlation analysis was conducted for the correlation between mental health status and various dimensions of quality of life.Multivariate linear regression model was established to determine the effect of mental health status on quality of life after controlling the other potential influencing factors.Results The scores of depression dimension,anxiety dimension and stress dimension of DASS-21 scale were(10.79±3.33),(9.90±2.24)and(13.79±4.06)points,respectively in the 280 patients,and there were 46.07%(129/280),52.14%(146/280)and 49.29%(138/280)of patients with depression,anxiety and stress,separately.The scores of physiological health,mental health,social relation and environment dimensions of WHOQOL-BREF in the elderly patients were obviously lower than those of domestic norms(P<0.05).Pearson correlation analysis showed that the scores of depression,anxiety and stress were negatively correlated with the scores of physiological health(r=-0.421,-0.396,-0.382;P<0.05),of mental health(r=-0.378,-0.435,-0.416;P<0.05),of social relation(r=-0.342,-0.365,-0.359,P<0.05)and of environment(r=-0.364,-0.387,-0.375;P<0.05).Multivariate linear regression analysis showed that uterine prolapse stageⅢ,depression,anxiety and stress were relevant factors of physiological health,mental health,social relation and environment(P<0.05),a

关 键 词：老年人 子宫脱垂 心理健康 生活质量 

分 类 号：R592[医药卫生—老年医学] R711.23[医药卫生—内科学]