中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
28期
3386-3388
,共3页
抑郁症%疾病负担%家庭功能%照料者%生活质量
抑鬱癥%疾病負擔%傢庭功能%照料者%生活質量
억욱증%질병부담%가정공능%조료자%생활질량
Depression%Burden of disease%Family function%Caregiver%Quality of life
目的 了解抑郁症患者的家庭功能和家庭成员的生活质量.方法 采用家庭关怀度指数问卷(APGAR)和健康状况问卷(SF-36),对96例符合DSM-Ⅳ标准的抑郁症患者的家庭功能和家庭成员的生活质量进行评定,并与一般家庭作对照,从家庭的角度评价抑郁症的疾病负担.结果 抑郁症患者患病后家庭功能存在障碍的家庭均显著多于对照组,差异具有统计学意义(62.5％比17.3％;x2=68.125,P＜0.05),患病后比患病前家庭功能出现障碍的比例显著升高,差异具有统计学意义(62.5％比24.0％;x2=118.387,P＜0.01).经配对检验,患病后APGAR总分及各因子分均比患病前显著降低(t分别为10.874,7.330,11.649,8.240,11.797,10.162;P ＜0.01).家庭成员生活质量评定,在SF-36的8个因子中,生理职能(t=6.024,P＜0.01)、一般健康(t=12.254,P＜0.01)、社会功能(t=11.225,P＜0.01)、情感职能(t=10.328,P＜0.01)和精神健康(t=14.625,P＜0.01)因子评分显著低于对照组,生理机能(t=1.856,P＞0.05)、躯体疼痛(t=1.114,P＞0.05)、精力(t=0.032,P＞0.05)三个因子评分差异无统计学意义.结论 抑郁症对家庭功能和家庭成员生活质量的影响是严重和多层次的,需进行相应干预.
目的 瞭解抑鬱癥患者的傢庭功能和傢庭成員的生活質量.方法 採用傢庭關懷度指數問捲(APGAR)和健康狀況問捲(SF-36),對96例符閤DSM-Ⅳ標準的抑鬱癥患者的傢庭功能和傢庭成員的生活質量進行評定,併與一般傢庭作對照,從傢庭的角度評價抑鬱癥的疾病負擔.結果 抑鬱癥患者患病後傢庭功能存在障礙的傢庭均顯著多于對照組,差異具有統計學意義(62.5％比17.3％;x2=68.125,P＜0.05),患病後比患病前傢庭功能齣現障礙的比例顯著升高,差異具有統計學意義(62.5％比24.0％;x2=118.387,P＜0.01).經配對檢驗,患病後APGAR總分及各因子分均比患病前顯著降低(t分彆為10.874,7.330,11.649,8.240,11.797,10.162;P ＜0.01).傢庭成員生活質量評定,在SF-36的8箇因子中,生理職能(t=6.024,P＜0.01)、一般健康(t=12.254,P＜0.01)、社會功能(t=11.225,P＜0.01)、情感職能(t=10.328,P＜0.01)和精神健康(t=14.625,P＜0.01)因子評分顯著低于對照組,生理機能(t=1.856,P＞0.05)、軀體疼痛(t=1.114,P＞0.05)、精力(t=0.032,P＞0.05)三箇因子評分差異無統計學意義.結論 抑鬱癥對傢庭功能和傢庭成員生活質量的影響是嚴重和多層次的,需進行相應榦預.
목적 료해억욱증환자적가정공능화가정성원적생활질량.방법 채용가정관부도지수문권(APGAR)화건강상황문권(SF-36),대96례부합DSM-Ⅳ표준적억욱증환자적가정공능화가정성원적생활질량진행평정,병여일반가정작대조,종가정적각도평개억욱증적질병부담.결과 억욱증환자환병후가정공능존재장애적가정균현저다우대조조,차이구유통계학의의(62.5％비17.3％;x2=68.125,P＜0.05),환병후비환병전가정공능출현장애적비례현저승고,차이구유통계학의의(62.5％비24.0％;x2=118.387,P＜0.01).경배대검험,환병후APGAR총분급각인자분균비환병전현저강저(t분별위10.874,7.330,11.649,8.240,11.797,10.162;P ＜0.01).가정성원생활질량평정,재SF-36적8개인자중,생리직능(t=6.024,P＜0.01)、일반건강(t=12.254,P＜0.01)、사회공능(t=11.225,P＜0.01)、정감직능(t=10.328,P＜0.01)화정신건강(t=14.625,P＜0.01)인자평분현저저우대조조,생리궤능(t=1.856,P＞0.05)、구체동통(t=1.114,P＞0.05)、정력(t=0.032,P＞0.05)삼개인자평분차이무통계학의의.결론 억욱증대가정공능화가정성원생활질량적영향시엄중화다층차적,수진행상응간예.
Objective To study the family function of depressive patients and the quality of life of caregivers.Methods 96 depressive patients who met with DSM-Ⅳ criteria were investigated with Family APGAR Index (APGAR) and Short Form 36 Health Survey Questionnaire (SF-36),and the data were compared with common family.Disease burden was evaluated from the aspect of family.Results Compiared with the general families,there was obvious dysfunction in depressive patients' families(62.5％ vs 17.3％ ;x2 =68.125,P＜0.01 ).There were significant differences in the dysfunction families propartion between pre-morbid and postmorbid(62.5％ vs 24.0％;x2 ＝118.387,P ＜ 0.01 ).The total scores and factor scores of APGAR in premorbid (7.51 ±2.25) were higher than post-morbid (4.27 ±3.03) (t =10.874,P＜0.01).All other factors was less thanthoee in pre-morbid (t =7.330,11.649,8.240,11.797,10.162,respectively,P ＜ 0.01 ).The scores of five factors,role-physical( t =6.024,P ＜0.01 ),general health( t =12.254,P ＜ 0.01 ),social functioning(t ＝ 11.225,P ＜ 0.01 ),role-emotional ( t =10.328,P ＜ 0.01 ) and mental health ( t =14.625,P ＜0.01 ) of SF-36 were lower than those in control group.Conclusions The family burden of depression was serious and multiple,we must pay close attention to the family function and the quality of life of care-givers and give comprehensive intervention.
