广泛性焦虑患者生存质量影响因素  

Influencing factors of the quality of life in patients with generalized anxiety

作　　者：钱霞 许芳 万婷 朱杨杨 Qian Xia;Xu Fang;Wan Ting;Zhu Yangyang(Putuo District Mental Health Center of Shanghai,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：《国际护理学杂志》2025年第6期1136-1140,共5页international journal of nursing

基　　金：上海市普陀区卫生健康系统科技创新项目(ptkwws202022)。

摘　　要：目的分析广泛性焦虑患者生存质量的影响因素。方法选取上海市普陀区精神卫生中心于2020年10月至2021年4月门诊就诊的广泛焦虑患者144例的临床资料进行研究。根据世界卫生组织生存质量简表(World Health Organization Quality of Life-BREF,WHOQOL-BREF)进行分组,评分<60分的79例为生活质量不良组,≥60分的65例为生活质量优良组。调查患者的一般资料、家庭功能评分、社会支持评分、自我效能评分,分析影响广泛性焦虑患者生命质量的相关因素,并对其进行单因素及Logistic多因素分析。结果单因素结果显示,两组患者的药物副反应、服药情况、家庭功能评分、社会支持评分及自我效能评分比较,差异均有统计学意义(均P<0.05);Logistic回归分析结果显示:有药物副反应(OR=0.039;95%CI 0.007~0.209)是患者生存质量的危险因素,家庭功能(OR=5.954;95%CI 2.153~16.465)、社会支持(OR=63.688;95%CI 9.440~429.680)、自我效能(OR=18.375;95%CI 7.386~45.714)是广泛性焦虑患者生存质量的保护因素。结论广泛性焦虑患者的生存质量与药物副反应、家庭功能评分、社会支持评分及自我效能水平有关,门诊应针对患者心理、行为、社会支持角度实施针对性干预,以提高广泛性焦虑患者的生存质量。ObjectiveTo analyze the influencing factors of quality of life in patients with generalized anxiety.MethodsThe clinical data of 144 patients with generalized anxiety who visited the outpatient clinic of Putuo District Mental Health Center of Shanghai from October 2020 to April 2021 were selected for study.According to the World Health Organization Quality of Life-BREF(WHOQOL-BREF),79 cases with a score less than 60 were in the poor quality of life group,and 65 cases with a score greater than or equal to 60 were in the good quality of life group.The general data,family function score,social support score and self-efficacy score of the patients were investigated,and the related factors affecting the quality of life of the patients with generalized anxiety were analyzed,and univariate and Logistic multivariate analysis were performed.ResultsSingle factor results showed that there were statistically significant differences in drug side effects,medication status,family function score,social support score and self-efficacy score between the two groups(P<0.05).Logistic regression analysis showed that side effects of drugs(OR=0.039;95%CI 0.007~0.209)were risk factors for quality of life of patients,and family function(OR=5.954;95%CI 2.153~16.465),social support(OR=5.954;95%CI 2.153~16.465)and self-efficacy(OR=18.375;95%CI 7.386~45.714)were protective factors for quality of life of patients with generalized anxiety.ConclusionsThe quality of life of patients with generalized anxiety is related to drug side reaction,family function score,social support score and self-efficacy level.Outpatient clinics should implement targeted interventions from the perspective of psychological,behavioral and social support to improve the quality of life of patients with generalized anxiety.

关 键 词：广泛性焦虑 生存质量 药物副反应 家庭功能 社会支持 自我效能 

分 类 号：R749.7[医药卫生—神经病学与精神病学]