上海交通大学学报（医学版）

›› 2011, Vol. 31 ›› Issue (1): 43-.doi: 10.3969/j.issn.1674-8115.2011.01.010

• 论著（临床研究） • 上一篇    下一篇

综合性医院内科门诊焦虑障碍患者生命质量研究

林国珍1, 范 青2, 梅 力2, 沈翔慧1, 史以珏1, 徐旭东1, 何燕玲2, 季建林3, 肖泽萍2   

  1. 1.上海交通大学 医学院附属瑞金医院心理科, 上海 200025；2.上海交通大学 医学院附属精神卫生中心, 上海 200030；3.复旦大学附属中山医院医学心理科, 上海 200032
  • 出版日期:2011-01-28 发布日期:2011-02-01
  • 通讯作者: 肖泽萍, 电子信箱: xiaozeping@gmail.com。
  • 作者简介:林国珍（1963—）, 女, 主任医师, 硕士；电子信箱: lingz331@sohu.com；范 青（1980—）, 女, 主治医师, 博士；电子信箱: fanqing_98@sina.com。
  • 基金资助:

    上海市医院新兴技术项目 (SHDC12006105)；国家高技术研究发展计划(“八六三”计划) (2007AA02Z420)；上海市科委2007年度“创新行动计划”项目 (074119520)；上海市优秀学科带头人计划项目 (08XD14036)；上海市卫生局青年科研项目（2010Y028）

Quality of life of medical outpatients with anxiety in a general hospital

LIN Guo-zhen1, FAN Qing2, MEI Li2, SHEN Xiang-hui1, SHI Yi-jue1, XU Xu-dong1, HE Yan-lin2, JI Jian-lin3, |XIAO Ze-ping2   

  1. 1.Department of Psychological Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China；2.Shanghai Mental Health Center, Shanghai Jiaotong University School of Medicine, Shanghai 200030, China；3.Department of Psychological Medicine, Zhongshan Hospital, Fudan University, Shanghai 200032, China
  • Online:2011-01-28 Published:2011-02-01
  • Supported by:

    Joint Key Project of New Frontier Technology in Shanghai Municipal Hospitals, SHDC12006105；National High Technology Research and Development Program of China,“863” Program, 2007AA02Z420；Shanghai Science and Technology Committee Foundation, 074119520；Shanghai Outstanding Academic Leader Project, 08XD14036；Shanghai Municipal Health Bureau Foundation, 2010Y028

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摘要：

目的 研究综合性医院内科门诊焦虑障碍患者的生命质量及其相关影响因素。方法 对107例综合性医院内科门诊焦虑障碍患者进行汉密尔顿焦虑量表（HAMA）、汉密尔顿抑郁量表（HAMD）24项和SF-36健康调查量表评估；将焦虑障碍患者SF-36健康调查量表各维度评分与杭州市区居民生命质量常模进行比较；采用线性逐步回归法分析焦虑障碍患者生命质量的影响因素。结果 除生理功能外，综合性医院内科门诊焦虑障碍患者SF-36健康调查量表各维度评分均明显低于常模（P<0.001）。焦虑障碍患者生命质量的受影响程度与HAMD、HAMA评分呈负相关（P<0.001和P<0.01），与病程呈正相关（P<0.05）。结论 综合性医院内科门诊焦虑障碍患者的生命质量低于正常人，并受焦虑、抑郁症状和病程的影响。

关键词: 内科门诊患者, 焦虑障碍, 生命质量

Abstract:

Objective To investigate the quality of life and related factors of medical outpatients with anxiety in a general hospital. Methods One hundred and seven medical outpatients with anxiety in a general hospital were investigated with Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD)-24 items and MOS 36-Item Short Form Health Survey (SF-36). The scores of dimensions of SF-36 were compared with the norm of quality of life of citizens in Hangzhou, and the influential factors for quality of life of patients with anxiety were explored with linear stepwise regression analysis. Results Compared with the norm, patients with anxiety scored significantly lower in each dimension of SF-36 (P<0.001), except for physical function. The quality of life of patients with anxiety was negatively correlated to the scores of HAMD and HAMA (P<0.001 and P<0.01), while was positively correlated to the course of disease (P<0.05). Conclusion The quality of life in patients with anxiety in a general hospital is lower than that of the normal population, and may be influenced by the symptoms of anxiety and depression as well as the course of disease.

Key words: medical outpatient, anxiety disorder, quality of life