老年冠心病住院患者生活質(zhì)量及心理狀態(tài)病例對照研究

論文編號:HL128  論文字?jǐn)?shù):8543.頁數(shù):18

論文題目：老年冠心病住院患者生活質(zhì)量及心理狀態(tài)病例對照研究

摘 要

 目 的：冠心病是對人類健康與壽命影響最大的慢性病之一,在傳統(tǒng)注重內(nèi)科療效的基礎(chǔ)上,關(guān)注其心理狀態(tài)及其生活質(zhì)量問題將具有十分重要的現(xiàn)實(shí)意義。我們采用艾森克個性問卷(EPQ)[1]、癥狀自評量表(SCL-90)[2]及生活質(zhì)量綜合評定問卷(GQOLI)[3]對60例冠心病患者進(jìn)行了測試,并同健康人加以比較,旨在了解冠心病患者的心理狀態(tài)及其生活質(zhì)量,為冠心病綜合性治療和康復(fù)提供心理學(xué)依據(jù)。
 方 法：采用“老年人生活質(zhì)量調(diào)查表”評定生活質(zhì)量,生活滿意度內(nèi)容共11項(xiàng):滿意為3分,一般為2分,不滿意為1分,總評價(jià)30~33分為良,22~29分為中等,11~21分為差。采用癥狀自評量表(SCL-90)[3]評定臨床癥狀,SCL-90包括90個項(xiàng)目(按0、1、2、3、4評分)9個癥狀因子。將兩量表測試結(jié)果與全國常模進(jìn)行對照。所有測試均在經(jīng)過培訓(xùn)的2名主治醫(yī)師指導(dǎo)下,由受試者獨(dú)立完成。全部數(shù)據(jù)采用t檢驗(yàn)及直線相關(guān)分析。
 結(jié) 果：影響老年冠心病患者生活質(zhì)量滿意度的有身體健康、醫(yī)療保健、家庭生活、經(jīng)濟(jì)收入、人際關(guān)系、子女孝順等因子，軀體化、人際敏感、抑郁、焦慮、敵對、恐怖等因子與常模比較有極顯著性差異(P<0.01)。生活滿意度與心理健康的關(guān)系極其密切，將患者的生活滿意度總分與SCL-90各因子分進(jìn)行直線相關(guān)分析,結(jié)果表明二者之間呈高度負(fù)相關(guān),即生活滿意度得分越低,SCL-90各癥狀因子得分越高。生活質(zhì)量與焦慮、抑郁情緒呈顯著負(fù)相關(guān),生活質(zhì)量受病人的文化程度、既往住院次數(shù)的影響較大,也與經(jīng)濟(jì)收入、家庭負(fù)擔(dān)、總病程、性別、行為類型等多方面因素有關(guān)。
 結(jié) 論：軀體疾病嚴(yán)重影響老年住院患者的生命質(zhì)量，臨床治療改善患者生理癥狀的同時,給予心理關(guān)懷、社會支持,以提高冠心病患者的生存質(zhì)量。
 
關(guān)鍵詞：冠心��；生活質(zhì)量；心理狀態(tài)；病例對照研究
論文類型：研究報(bào)告 
Tite: Coronary heart disease in elderly hospitalized patients quality of life and psychological state of case control study

ABSTRACT

 Objective: Explore the quality of life of patients hospitalized with coronary heart disease and psychological state.
 Methods: A "quality of life of older survey" assessment of the quality of life, life satisfaction, a total of 11 content: Satisfaction for the three points, usually 2 minutes, not satisfied to 1, and the total assessment is divided into 30 to 33 good, 22 to 29 are divided into middle, 11 to 21 are divided into poor. Using the symptom checklist (SCL-90) [3] assessed clinical symptoms, SCL-90 includes 90 items(Rated by 0,1,2,3,4) Nine symptom factors. The two scale test results were compared with the national norm. All tests are two physicians trained under the guidance of the subjects independently. All the data using t test and linear correlation analysis.
 Results:Affect the quality of life in patients with coronary heart disease satisfaction with physical health, health care, family life, income, relationships, children, filial piety and other factors, Somatization, interpersonal sensitivity, depression, anxiety, hostility, phobia and other factors compared with the norm there was a significant difference(P<0.01)。Life satisfaction and mental health of the patient's relationship with life satisfaction score of SCL-90 factor scores for linear correlation analysis, The results show that showed a high negative correlation between the two, That is, lower life satisfaction scores, SCL-90 symptom factor scores of the higher. Quality of life and anxiety and depression was significantly negatively related to quality of life of patients affected by educational level, previous hospitalizations of greater impact, But also with income, family responsibilities, the total duration, gender, type of behavior, and many other factors
 Conclusion Somatic diseases seriously affect quality of life of elderly hospitalized patients, clinical improvement in patients with physical symptoms, while giving psychological care, social support, to improve the quality of life in patients with coronary heart disease.
 Key words:Coronary heart disease;Quality of life; Psychological state; Case-control study
Paper type:Research report

目 錄

1 緒 論…………………………………………………………………………… 01
 1.1背景及意義 …………………………………………………………………01
 1.2研究目的及目標(biāo) ……………………………………………………………01
 1.2.1研究目的……………………………………………………………… 02
 1.2.2研究目標(biāo)……………………………………………………………… 02
 1.3關(guān)鍵詞及定義……………………………………………………………… 02
 1.3.1冠心病………………………………………………………………… 02
 1.3.2生活質(zhì)量……………………………………………………………… 02
 1.3.3心理狀態(tài)……………………………………………………………… 03
 1.3.4病例對照研究………………………………………………………… 03
 1.4文獻(xiàn)回顧…………………………………………………………………… 03
 1.4.1老年冠心病的臨床概況……………………………………………… 03
 1.4.2老年冠心病患者的心理狀態(tài)………………………………………… 03
 1.4.3老年冠心病患者的生活質(zhì)量的現(xiàn)況………………………………… 04
 1.4.4老年冠心病患者的生活質(zhì)量和心理狀態(tài)的評定…………………… 04
2 研究設(shè)計(jì)與方法…………………………………………………………………05
 2.1研究設(shè)計(jì)……………………………………………………………………05
 2.2研究對象……………………………………………………………………05
 2.3研究步驟……………………………………………………………………05
 2.4研究工具及方法……………………………………………………………05
 2.4.1研究工具……………………………………………………………… 05
 2.4.2研究方法……………………………………………………………… 06
 2.5資料分析……………………………………………………………………06
3 結(jié)果與分析………………………………………………………………………07
 3.1生活質(zhì)量滿意度與全國常模比較…………………………………………07
 3.2 SCL-90各因子分與國內(nèi)常模比較……………………………………… 07
 3.3生活滿意度與心理健康的關(guān)系……………………………………………08
4 討論 …………………………………………………………………………… 09
 4.1心理和社會因素對冠心病患者的影響…………………………………… 09
 4.2影響生活質(zhì)量的因素……………………………………………………… 09
5 結(jié)論………………………………………………………………………………11
致 謝……………………………………………………………………………… 12
參考文獻(xiàn)……………………………………………………………………………13