摘要
目的了解和掌握重庆市九龙坡区社区空巢老人原发性高血压(EH)患者的心理健康水平及其与生活质量的相关性,为制定预防干预措施和实施健康教育提供科学依据。方法以生活质量量表(SF-36)和症状自评量表(SCL-90)为研究工具,分别对重庆市建设医院就诊的256例空巢老人EH患者的心理健康及生活质量水平进行调查。结果空巢老人EH患者生活质量的总体健康得分为(54.32±11.30)分,明显低于国内高血压老人的常模得分;而且,SCL-90量表总得分为(142.15±18.94)分,也明显高于高血压老人常模分值;等级相关分析(Spearman)结果显示,SCL-90量表中躯体化、人际关系敏感、抑郁、焦虑4个维度与生活质量之间呈正相关,差异有统计学意义(P<0.05);量表总得分与生活质量得分亦呈正相关,差异有统计学意义(P<0.05)。结论空巢老人EH患者心理健康和生存质量水平均较低且两者呈正相关,改善患者心理健康水平将有助于提高其生活质量。
Objective To understand and master the correlation between the mental health level and quality of life among community empty-nest elderly patients with essential hypertension （EH） in Jiulongpo district of Chongqing city to provide the scientific basis for formulating the preventive and intervention measures and implemen- ting the health education. Methods The SF-36 Life Quality Scale （SF-36） and Symptom ChecklisvSCL90 Scale （SCL-90） were used as the research tools to conduct the questionnaire survey on the mental health and quality of life among 256 empty-nest elderly patients with EH in our hospital. Results In the empty-nest elderly patients with EH, the life quality score was 54.32± 11.30, which was significantly lower than that in the norm of domestic hypertensive elderly patients ;moreover, the SCL-90 score was 142.15 ±18.94, which also significantly lower than that of the norm of domestic hypertensive elderly patients;the rank correlation analysis （Spearman） showed that the 4 dimensions of somatization,interpersonal sensitivity, depression and anxiety were positively correlated with the quality of life, the difference was statistically significant （P〈0.05） ;the total score in SCL 90 also was positively correlated with the quality of life,the difference was statistically significant （P〈0.05）. Conclusion Mental health and quality of life are lower in empty-nest elderly patients with EH, and there is a positive correlation between mental health and quality life. Improving the mental health level would be helpful for improving their quality of life.
出处
《检验医学与临床》
CAS
2015年第16期2354-2356,共3页
Laboratory Medicine and Clinic
基金
重庆市卫生和计划生育委员会科技计划项目(2013-2-248)
关键词
原发性高血压
心理健康
生活质量
空巢老人
essential hypertension
mental health
quality of life
empty nest elderly
