社区全科门诊广泛性焦虑障碍患者生命质量及影响因素研究

发布时间：2018-01-20 01:30

本文关键词： 焦虑全科门诊生活质量影响因素分析　出处：《中国全科医学》2016年04期 　论文类型：期刊论文

【摘要】：目的了解社区全科门诊广泛性焦虑障碍(GAD)患者的生命质量,并探讨其影响因素。方法于2009年1月—2013年1月,采用广泛性焦虑量表(GAD-7)对到上海市6家社区卫生服务中心全科门诊就诊的5 841例患者进行GAD筛查,并采用简明国际神经精神访谈(MINI)[9]中的相关内容对阳性患者进行诊断。采用统一设计的调查表收集患者的一般资料,包括性别、年龄、文化程度、婚姻状况、工作状况、居住状况及慢性病患病情况等;采用汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)对患者的焦虑、抑郁状况进行评估;采用健康调查量表(SF-36)对患者进行生命质量评估。结果患者的GAD筛查阳性率为4.8%(283/5 841),GAD检出率为2.9%(169/5 841)。将问卷填写完整的271例患者按诊断结果分为非GAD组(n=178)和GAD组(n=93)。两组性别、平均年龄、文化程度、婚姻状况及慢性病患病数量比较,差异有统计学意义(P0.05);而工作状况和居住状况比较,差异无统计学意义(P0.05)。两组HAMA评分和HAMD评分比较,差异有统计学意义(P0.05)。两组SF-36中的生理功能、生理职能、躯体疼痛、总体健康、生命活力、社会功能、情感职能及精神健康8个维度评分比较,差异均有统计学意义(P0.05)。多元线性逐步回归分析显示,文化程度对GAD患者生理功能、生理职能评分的影响有统计学意义(P0.05);年龄对GAD患者生命活力评分的影响有统计学意义(P0.05);HAMD评分对GAD患者生命活力和精神健康评分的影响有统计学意义(P0.05)。结论社区全科门诊中GAD患者的生命质量较差,年龄、文化程度及抑郁状况是其影响因素。
[Abstract]:Objective to investigate the quality of life (QOL) of patients with generalized anxiety disorder (GAD) in general outpatient department of community and to explore its influencing factors. Methods from January 2009 to January 2013. GAD screening was performed in 5 841 patients from 6 community health service centers in Shanghai with generalized anxiety scale (GAD-7). Brief International Neuropsychiatric interview (MINI) was used. [The general data of the patients were collected by a unified questionnaire, including gender, age, education, marital status and work status. Living condition and chronic disease condition; The patients' anxiety and depression were evaluated by Hamilton anxiety scale (Hama) and Hamilton Depression scale (Hamd). The quality of life (QOL) was evaluated by SF-36. Results the positive rate of GAD screening was 4.8 / 283 / 5841). The positive rate of GAD was 2.9 / 5841%. 271 patients with complete questionnaire were divided into non-#en1# group (n = 178) and GAD group (n = 93). Two groups of genders. The average age, education level, marital status and the number of chronic diseases were significantly different (P 0.05). However, there was no significant difference in work status and living status between the two groups (P 0.05). The HAMA score and HAMD score were compared between the two groups. The difference was statistically significant (P 0.05). The physiological function, physiological function, somatic pain, general health, vitality and social function of SF-36 in the two groups. The scores of 8 dimensions of affective function and mental health were significantly different (P 0.05). Multiple linear stepwise regression analysis showed that the education level had a positive effect on the physiological function of GAD patients. The effect of physiological function score was statistically significant (P 0.05). The effect of age on life vigor score of GAD patients was statistically significant (P 0.05). The effect of HAMD score on life vigor and mental health score of GAD patients was statistically significant (P 0.05). Conclusion the quality of life of GAD patients in community general outpatient service is poor and the age is poor. Education level and depression were the influencing factors.
【作者单位】：复旦大学附属中山医院全科医学科;复旦大学附属中山医院心理科;复旦大学循证医学中心;
【基金】：上海市公共卫生重点学科建设计划(12GWZX1001) 上海市公共卫生人才培养计划(优秀学科带头人)(GWDTR201210)
【分类号】：R749.72
【正文快照】： Quality of Life of Patients With Generalized Anxiety Disorder in Community General Practice Clinics and Its InfluencingFactors YANG Hua,REN Li-min,LAO Li-min,et al.Department of General Practice,Zhongshan Hospital,FudanUniversity,Shanghai 200032,China广

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