CAJ | 학술논문

目的：：了解住院白血病患者生命质量与焦虑、抑郁的关系。方法：运用生存质量核心问卷和医院焦虑抑郁量表对56例白血病患者的生命质量、焦虑、抑郁状况进行调查分析。结果：56例白血病患者中，焦虑20例，抑郁18例。焦虑阳性组的总体健康状态、情绪功能和认知功能评分均低于焦虑阴性组(P<0.05)，疲倦、疼痛和食欲丧失评分均高于焦虑阴性组(P<0.01)；2组其他因子评分差异均无统计学意义(P>0.05)。抑郁阳性组总体健康状态、角色功能、情绪功能、认知功能和社会功能评分均低于抑郁阴性组(P<0.05~P<0.01)，疲倦、疼痛、气促、失眠和食欲丧失评分均高于抑郁阴性组(P<0.05~P<0.01)；2组其他因子评分差异均无统计学意义(P>0.05)。白血病患者的焦虑抑郁均与总体健康状态及角色、情绪、认知和社会功能呈负相关关系(P<0.05~P<0.01)，与疲倦、疼痛、气促、失眠和食欲丧失均呈正相关关系(P<0.05~P<0.01)；与其他因子均无相关关系(P>0.05)。结论：住院白血病患者焦虑、抑郁发生率高，生命质量总体水平低。
목적：：료해주원백혈병환자생명질량여초필、억욱적관계。방법：운용생존질량핵심문권화의원초필억욱량표대56례백혈병환자적생명질량、초필、억욱상황진행조사분석。결과：56례백혈병환자중，초필20례，억욱18례。초필양성조적총체건강상태、정서공능화인지공능평분균저우초필음성조(P<0.05)，피권、동통화식욕상실평분균고우초필음성조(P<0.01)；2조기타인자평분차이균무통계학의의(P>0.05)。억욱양성조총체건강상태、각색공능、정서공능、인지공능화사회공능평분균저우억욱음성조(P<0.05~P<0.01)，피권、동통、기촉、실면화식욕상실평분균고우억욱음성조(P<0.05~P<0.01)；2조기타인자평분차이균무통계학의의(P>0.05)。백혈병환자적초필억욱균여총체건강상태급각색、정서、인지화사회공능정부상관관계(P<0.05~P<0.01)，여피권、동통、기촉、실면화식욕상실균정정상관관계(P<0.05~P<0.01)；여기타인자균무상관관계(P>0.05)。결론：주원백혈병환자초필、억욱발생솔고，생명질량총체수평저。
Objective:To investigate the correlations of quality of life with anxiety and depression in patients with leukemia. Methods:The quality of life, anxiety and depression in 56 patients with leukemia were investigated using the core quality of life questionnaire and hospital anxiety and depression scale. Results:Among 56 leukemia patients,20 cases with anxiety and 18 cases with depression were found. The scores of general health status,emotional and cognitive function in positive anxiety patients were lower than those in negative anxiety patients(P <0. 05),but the scores of fatigue,pain and loss of appetite in positive anxiety patients were significantly high(P <0. 01),and the differences of other factors scores between two groups were not statistically significant(P >0. 05). The scores of general health status,and role,emotional,cognitive and social function in positive anxiety patients were lower than those in negative anxiety patients(P<0. 05 to P<0. 01),but the scores of fatigue,pain,shortness of breath,insomnia,loss of appetite and depression in positive anxiety patients were significantly high(P<0. 05 to P<0. 01),and the differences of other factors scores between two groups were not statistically significant(P >0. 05). The anxiety and depression in leukemia patients were negatively correlated to the general health status,and role,emotional,cognitive and social function(P <0. 05 to P <0. 01),and positively correlated to fatigue,pain,shortness of breath,insomnia and appetite loss(P<0. 05 to P<0. 01),and uncorrelated to other factors(P>0. 05). Conclusions:The incidences of anxiety and depression in patients with leukemia are high and their overall qualities of life are low,which can provide a reference in improving the quality of life of patient by improving their anxiety and depression.