128例肾病综合征出血热住院患者社会支持现状调查及其影响因素  

Investigation of social support status and its influencing factors in 128 hospitalized patients with hemorrhagic fever with nephrotic syndrome

作　　者：李向阳 田冲 王瑞 LI Xiangyang;TIAN Chong;WANG Rui(Department of infectious Disease,Tangdu Hospital of Air Force Medical University,Xi'an 710038,Shaanxi,China)

机构地区：[1]空军军医大学唐都医院感染科,陕西西安710038

出　　处：《贵州医科大学学报》2025年第2期287-293,共7页Journal of Guizhou Medical University

基　　金：陕西省重点研发计划项目(2022ZDLSFO2-D7)。

摘　　要：目的分析肾病综合征出血热(hemorrhagic fever with renal syndrome,HFRS)患者社会支持现状并探讨其影响因素。方法选取2021年6月—2024年6月空军军医大学第二附属医院收治的128例HFRS患者,采用自制调查问卷收集患者性别、年龄、体质量指数(body mass index,BMI)、临床表现、文化程度、家庭月均收入、婚姻状态、居住地、职业状况及主要照顾者等基础资料;于入院后2 d采用焦虑自评量表(self-rating anxiety scale,SAS)和抑郁自评量表(self-rating depression scale,SDS)评估患者心理状态,社会支持评定量表(social support rating scale,SSRS)评估患者社会支持状况;根据SSRS得分将患者分为低支持组和中高支持组,比较两组患者人口学特征及相关量表评分差异;采用logistic单因素、多因素回归筛选患者社会支持相关的影响因素。结果128例HFRS患者客观支持得分低于国内常模数据,主观支持得分高于国内常模数据,支持利用度低于国内常模数据[(7.27±2.04)vs(12.59±3.32)],主观支持得分高于国内常模数据[(15.90±3.09)vs(14.66±3.03)],总分低高于国内常模数据(P<0.05);128例患者中,社会支持度总分低于23分的患者有21例(16.41%),其余107例患者处于中等社会支持水平(83.59%);低支持组中>45岁患者比例高于中高支持组,男性比例高于中高支持组(P<0.05);在文化程度上,低支持组中学以下学历的患者比例高于中高支持组,无配偶患者比例也高于中高支持组(P<0.05);从SSRS评分来看,>45岁患者、男性患者、中学以下学历患者、无配偶患者SSRS评分更低(P<0.05);多因素logistic回归结果显示,以年龄>45岁为参照,年龄<25岁、25~45岁区间时发生低水平社会支持的风险更小,以文化在中学以下为参照,文化为中学及以上时发生低水平社会支持的风险更小,以无配偶为参照,有配偶时发生低水平社会支持的风险更小(P<0.05)。结论HFRS患者整体社会支持水平低于Objective To analyze the current status of social support for patients with hemorrhagic fever with renal syndrome(HFRS)and investigate influencing factors.Methods A total of 128 patients with HFRS from June 2021 to June 2024 were selected.Gender,age,body mass index(BMI)of the patients were collected by self-made questionnaire.Body mass index(BMI),clinical manifestations,education level,average monthly family income,marital status,place of residence,occupational status and main caregivers,etc.Two days after admission,the patient's psychological state was evaluated using self-rating anxiety scale(SAS),self-rating depression scale(SDS),and social support rating scale(SSRS)was used to assess the patients'social support status.According to SSRS score,the patients were divided into low support group and medium to high support group.The differences in demographic characteristics and relevant scale scores were compared between two groups.Univariate logistic and multivariate regression analyses were applied to identify social support-related influencing factors.Results In 128 HFRS patients,objective support score was lower than domestic normal modulus data,while subjective support score was higher than domestic norm.Support utilization was lower than domestic norm,the subjective support score was higher than the domestic norm score,and the support availability was lower than the domestic norm data[(7.27±2.04)vs(12.59±3.32)].The subjective support score was higher than the domestic normal modulus data[(15.90±3.09)vs(14.66±3.03)],and the total score was lower than domestic norm(P<0.05).Among the 128 patients,there were 21 patients with total score of social support<23(16.41%),and the remaining 107 patients had the medium level of social support(83.59%).The proportion of the patients who aged>45 years old was higher in low support group than that in medium to high support group,while the proportion of the males was higher than that in medium to high support group(P<0.05).In terms of education level,the proportion of the

关 键 词：肾病综合征出血热 住院患者 社会支持 现状 影响因素 

分 类 号：R586.9[医药卫生—内分泌]