急性胰腺炎患者生活质量与心理状态、社会支持的相关性分析

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摘要 目的：了解急性胰腺炎患者生活质量的现状及其影响因素,探讨其与心理状态及社会支持的关系。方法：选取2022年1月―2022年12月在湖南省人民医院肝胆外科进行治疗的118例急性胰腺炎患者作为研究对象。采用一般资料问卷、焦虑自评量表、抑郁自评量表、社会支持评定量表、简明生活质量量表进行调查。结果：急性胰腺炎患者焦虑得分为（40.68±9.51）分、抑郁得分为（45.84±10.06）分、社会支持得分为（43.92±7.57）分、生活质量总分为（337.83±195.79）分。焦虑、抑郁与生活质量呈负相关（r=-0.605,r=-0.608,P<0.01）,社会支持与生活质量呈正相关（r=0.339,P<0.01）。胰腺炎分型（β′=-0.247,95%CI：-79.024~-21.1）、焦虑得分（β′=-0.496,95%CI：-13.255~-7.172）、客观支持得分（β′=0.185,95%CI：3.065~22.148）及是否发生并发症（β′=-2.371,95%CI：-131.026~-11.730）是生活质量的影响因素（P<0.05）。结论：急性胰腺炎患者生活质量下降,与胰腺炎分型、焦虑、客观支持减少及并发症有关。积极治疗减少重症和并发症的发生、缓解焦虑情绪和改善客观支持有利于患者生活质量的提高。

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	隆艳飞
	李佳
	邓芳慧
	姚嘉欢
	王明明

关键词 ：急性胰腺炎, 生活质量, 焦虑, 抑郁, 社会支持

Abstract：0bjective The study was aimed to investigate the incidence and influencing factors of quality of life in patients with acute pancreatitis, and explore its relationship with psychological status and social support. Methods According to the inclusion criteria, acute pancreatitis patients who were treated in the Hepatobiliary Department of Hunan Provincial People’s Hospital from January 2022 to December 2022 were enrolled in the study. A general information questionnaire, Self-rating Anxiety Scale, Self-rating Depression Scale, Social Support Rating Scale and the MOS item short from health survey were used to conduct the survey. Results The score of SAS for patients with acute pancreatitis was (40.68 ± 9.51), the score of SDS was (45.84 ± 10.06), the score of social support was (43.92 ± 7.57), and the score of total quality of life was (337.83 ± 195.79). Anxiety and depression were negatively correlated with quality of life (r=-0.605, r=-0.608, P<0.01), and social support is positively correlated with quality of life (r=0.339, P<0.01). Classification of acute pancreatitis (β′=-0.247, 95% CI: -79.024~-21.1), the score of SAS (β′=-0.496, 95% CI: -13.255~-7.172), the score of objective support (β′=0.185, 95% CI: 3.065~22.148), and complications (β′=-2.371, 95% CI: -131.026~-11.730) were influencing factors of quality of life (P<0.05). Conclusion The quality of life of patients with acute pancreatitis has decreased. It was related to pancreatitis classification, anxiety, reduction of objective support and complications. Effective treatment to reduce severity and Complications, relieve anxiety and improve objective support are beneficial for improving the quality of life of patients.

Key words： acute pancreatitis quality of life anxiety depression social support

收稿日期: 2023-05-05

中图分类号:

R473.6

基金资助:湖南省卫生健康委员会基金项目（202214023501）

通讯作者: 李佳,E-mail：846145495@qq.com

引用本文:

隆艳飞, 李佳, 邓芳慧, 姚嘉欢, 王明明. 急性胰腺炎患者生活质量与心理状态、社会支持的相关性分析[J]. 湖南师范大学学报(医学版), 2023, 20(3): 135-139. LONG Yanfei, LI Jia, DENG Fanghui, YAO Jiahuan, WANG Mingming. Study on the correlation between quality of life, psychological status and social support in patients with acute pancreatitis. HuNan ShiFan DaXue XueBao(YiXueBan), 2023, 20(3): 135-139.

链接本文:

http://yxb.hunnu.edu.cn/CN/ 或 http://yxb.hunnu.edu.cn/CN/Y2023/V20/I3/135

[1] Mederos MA, Reber HA, Girgis MD.Acute pancreatitis: a review[J]. JAMA,2021,325(4):382-390.
[2] 郑真珍,叶冠雄,章小君.规范护理和家庭关怀对急性胰腺炎患者康复和生活质量的影响[J].广东医学,2020,41(21):2261-2265.
[3] 中华医学会消化病学分会胰腺疾病学组,中华胰腺病杂志编辑委员会,中华消化杂志编辑委员会.中国急性胰腺炎诊治指南[J]. 中华消化杂志, 2019, 39(1 1): 721-730.
[4] 邱琼,黄翠,毛翠,等.脊髓损伤患者心理健康、社会支持与生活质量的相关性[J].临床护理杂志,2023,22(01):18-20.
[5] 李静逸,许惠芬,吴娟,等.重症急性胰腺炎患者院后健康行为能力与生活质量的相关性分析[J].泰州职业技术学院学报,2021,21(06):81-84+87.
[6] 中华医学会外科学分会胰腺外科学组.中国急性胰腺炎诊治指南(2021)[J].中国实用外科杂志,2021,41(07):739-746.
[7] Zung W.Factors influencing the self-rating depression scale[J]. Archives of general psychiatry,1967,16(5):543-547.
[8] Zung W.The Depression Status Inventory: an adjunct to the Self-Rating Depression Scale[J]. Journal of clinical psychology, 1972, 28(4): 539-543.
[9] 肖水源. 《社会支持评定量表》的理论基础与研究应用[J].临床精神医学杂志,1994(02):98-100.
[10] 李鲁,王红妹,沈毅.SF-36健康调查量表中文版的研制及其性能测试[J].中华预防医学杂志,2001,36(2):109-113.
[11] 潘廷芳,司超增,何慧婧,等.我国6省市人群的健康相关生命质量研究[J].基础医学与临床,2011,31(06):636-641.
[12] Rambod M, Sharif F, Molazem Z, et al.Health-related quality of life and psychological aspects of adults with hemophilia in Iran[J].Clin Appl Thromb Hemost,2018,24(7):1073-1081.
[13] 沈午康,房帅,王玲玉,等.血友病患者焦虑抑郁状况与生活质量调查分析[J].护理学杂志,2022,37(24):68-70.
[14] 刘鲲,洪法通,汪宏.维持性血液透析女性患者焦虑、抑郁状态调查及其对生活质量的影响研究[J].川北医学院学报,2023,38(02):265-268.
[15] Sun N, Lv DM, Man J, et al.The correlation between quality of life and social support in female nurses[J]. J Clin Nurs,2017,26(7/8):1005-1010.
[16] Kong LN, Hu P, Yao Y, et al.Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease[J]. Geriatr Nurs,2019,40(3):252-256.
[17] 廖宗峰,严嫚莉,李赛君,等.帕金森病病人病耻感、社会支持与生活质量的相关性分析[J].全科护理,2022,20(06):829-832.
[18] 李欣,方亮,李冬英,等.ICU幸存者健康相关生活质量与社会支持及护理敏感结果关系的研究[J].中国护理管理,2019,20(12):1885-1889.
[19] Kyriazidou E, Alevizopoulos N, Dokutsidou E, et al.Health-related quality of life and social support of elderly lung and gastrointestinal cancer patients undergoing chemotherapy[J]. SAGE Open Nursing, 2022, 8: 1-9.
[20] 彭思意,魏涛,谭艳,等.消化道肿瘤病人术后症状群、心理弹性和社会支持与生活质量的相关性研究[J].循证护理,2023,9(08):1400-1405.