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。
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.
关键词
急性胰腺炎 /
生活质量 /
焦虑 /
抑郁 /
社会支持
Key words
acute pancreatitis /
quality of life /
anxiety /
depression /
social support
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基金
湖南省卫生健康委员会基金项目（202214023501）
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