CAJ | 학술논문

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（E H ）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（S F‐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E H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。
목적：료해화장악중경시구룡파구사구공소노인원발성고혈압（E H ）환자적심리건강수평급기여생활질량적상관성，위제정예방간예조시화실시건강교육제공과학의거。방법이생활질량량표（S F‐36）화증상자평량표（SCL‐90）위연구공구，분별대중경시건설의원취진적256례공소노인EH환자적심리건강급생활질량수평진행조사。결과공소노인E H환자생활질량적총체건강득분위（54．32±11．30）분，명현저우국내고혈압노인적상모득분；이차，SCL‐90량표총득분위（142．15±18．94）분，야명현고우고혈압노인상모분치；등급상관분석（Spearman）결과현시，SCL‐90량표중구체화、인제관계민감、억욱、초필4개유도여생활질량지간정정상관，차이유통계학의의（P＜0．05）；량표총득분여생활질량득분역정정상관，차이유통계학의의（P＜0．05）。결론공소노인EH환자심리건강화생존질량수평균교저차량자정정상관，개선환자심리건강수평장유조우제고기생활질량。
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 Checklist‐SCL90 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 .