上海崇明护理医院老年患者情绪及生活质量研究

Survey on Emotion and Quality of Life of Elderly Patients in Nursing Hospitals of Chongming Island in Shanghai

中文关键词: 焦虑  抑郁  生活质量  老年患者  护理医院

英文关键词: anxiety  depression  quality of life  elderly patients  nursing hospital

中文摘要:

      目的 评估护理医院老年住院患者情绪状态及生活质量(Quality of life,QoL),并分析相关影响因素.方法 在上海市崇明县3家老年护理医院收集住院老年患者,使用广泛性焦虑量表-7 (general anxiety disorder-7,GAD-7)、患者健康量表-9 (patient health questionaire-9,PHQ-9)和欧洲生活质量视觉模拟量表(European quantity of life-visual analogue scale,EQ-VAS)进行焦虑抑郁情绪及QoL评估,运用多重线性回归分析相关影响因素.结果 入组117例老年患者,年龄63 ～ 95岁,平均(81.9±7.3)岁,男性51例,占43.59％,女性66例,占56.41％.焦虑、抑郁及焦虑抑郁共患的构成比分别为14.53％、24.79％和11.11％,根据GAD-7、PHQ-9评分结果将入组患者分为情绪正常组、焦虑组、抑郁组、焦虑抑郁组,4组之间的EQ-VAS评分存在统计学差异[(72.19±13.16)、(65.00±5.77)、(57.50±7.07)vs (45.38±21.45),P＜0.05].单因素方差分析及多重线性回归分析显示年龄(r1=0.249,P＜0.05)、慢性疾病数(r2=0.318,p＜0.05)与焦虑抑郁情绪呈正相关,是焦虑抑郁情绪的影响因素.年龄(r1=-0.327,P＜0.05)、焦虑程度(r2=-0.418,P＜0.05)和抑郁程度(r3=-0.498,P＜0.05)与EQ-VAS评分呈负相关,是生活质量的影响因素.结论 护理医院老年患者年龄越大,慢性疾病越多,易发生焦虑抑郁情绪,并且生活质量也越差,对于这些患者应给与更多的心理支持.

英文摘要:

      Objective To evaluate the emotional status and quality of life (QoL) of the hospitalized elderly patients in nursing hospital and to analyze the related influencing factors.Methods The hospitalized elderly patients in 3 nursing hospitals in Chongming County,Shanghai were collected and General Anxiety Disorder-7 (GAD-7),Patient Health Questionaire-9 (PHQ-9) and European Quantity of Life-visual Analogue Scale (EQ-VAS) were applied in assessing anxiety and depression in their emotional status and in evaluating their QoL while multiple linear regression analysis was made to the possible influencing factors.Results In total,117 elderly patients were enrolled in the study,aged from 63 to 95 with the average of (81.9 ±7.3) years,51 male (43.59％) and 66 female (56.41％);the constituent ratio of anxiety,depression and that of both anxiety and depression were 14.53 ％,24.79 ％ and 11.11％ respectively;the enrolled patients were divided into 4 groups according to the scores of GAD-7 and PHQ-9:normal emotion group,anxiety group,depression group and anxiety plus depression group,and there existed a difference of statistical significance in the EQ-VAS scores among the 4 groups [(72.19 ± 13.16),(65.00 ±5.77),(57.50 ±7.07) vs (45.38 ±21.45) (P ＜ 0.05)].Single factor analysis of variance and multiple linear regression analysis revealed that age (r1 =0.249,P ＜ 0.05) and the number of chronic diseases (r2 =0.318,P ＜ 0.05),as the influencing factors on emotion,were in positive correlation to anxiety and depression while age (r1 =-0.327,P＜0.05),the scores of GAD-7 (r2=-0.418,P＜0.05) and PHQ-9 (r3=-0.498,P＜0.05),as the influencing factors on QoL,were in negative correlation to the scores of EQ-VAS.Conclusions The older the elderly patients are in nursing hospitals,the more chronic diseases they have,the more prone they are to have anxiety and depression,and the poorer the quality of life is;more psychological care should be provided.