抑郁症患者生活质量及其相关因素分析
Analysis on quality of life in patients with depression and its associated factors
投稿时间:2022-04-03  修订日期:2022-12-11
DOI:
中文关键词:  抑郁症,生活质量,影响因素
英文关键词:Depression  Quality of Life  Associated factors
基金项目:国家自然科学基金资助项目(编号71373058)
作者单位地址
饶淑滢 广东医科大学 滨江路江湾东街江湾花苑
冼君定 广东医科大学 
万崇华 广东医科大学 广东医科大学
林举达 广东医科大学 
温金锋 广东医科大学 
林美玲 广东医科大学 
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中文摘要:
      【摘要】 目的 分析抑郁症患者生活质量及其相关因素,为制定提高患者生活质量的对策措施提供参考。方法 于2018年11月19日-2019年9月7日在湛江中心人民医院、广东医科大学附属医院、广东三九脑科医院选取符合《国际疾病分类(第10版)》(ICD-10)抑郁症诊断标准的住院患者117例。通过查阅病历收集患者血常规、尿常规、血生化检查、血气分析等临床客观指标,采用抑郁症患者生活质量测定量表QLICD-DE(V2.0)评定患者生活质量。采用简单相关分析探讨QLICD-DE(V2.0)评分与各临床客观指标的相关性,并使用多重线性回归方法进一步筛选与抑郁症患者生活质量相关的因素。结果 简单相关分析显示,抑郁症患者QLICD-DE(V2.0)总评分与血清总蛋白和血小板分布宽度均呈正相关(r=0.198、0.281,P均<0.05),与红细胞压积呈负相关(r=-0.300,P<0.05)。多重线性回归分析结果显示,白/球蛋白比值和治疗依从性(B=-19.836、-3.711,P<0.05或0.01)是躯体功能的影响因素;血小板分布宽度(B=2.706,P<0.01)是心理功能的影响因素;胆红素(B=-6.375,P<0. 05)是社会功能的影响因素;血小板分布宽度(B=2.101,P<0.05)是特异模块的影响因素;白/球蛋白比值和血小板分布宽度(B=-10.653、2.114,P<0.05或0.01)是QLICD-DE(V2.0)总评分的影响因素。结论 治疗依从性以及临床客观指标中的血小板分布宽度、胆红素、白/球蛋白比值可能是抑郁症患者生活质量的影响因素。
英文摘要:
      【Abstract】 Objective To analyse quality of life in patients with depression and its associated factors, and to provide evidence for formulating the corresponding measures to improve the patients' quality of life. Methods A total of 117 inpatients who met the diagnostic criteria for depression of the International Classification of Diseases (10th Revision) (ICD-10) admitted to Zhanjiang Central People's Hospital, the Affiliated Hospital of Guangdong Medical University and Guangdong 999 Brain Hospital from 19th November 2018 to 7th September 2019 were enrolled in this study. The values of patients' clinical objective indicators including blood routine, urine routine, blood biochemical examination and blood gas analysis were collected from the medical records and all subjects were assessed using QLICD-DE (V2.0), a quality of life measurement scale for depressed patients. Simple correlation analysis was used to explore the correlation between the QLICD-DE (V2.0) scores and various clinical objective indicators, and multiple linear regression was used to further screen factors related to the quality of life of patients with depression. Results The results of simple correlation analysis showed that total protein and platelet distribution width were positively correlated with the total scores of quality of life in patients with depression (r=0.198, 0.281, P<0.05), while hematocrit was negatively correlated with it (r=-0.300, P<0.05). Multiple linear regression analysis showed that albumin/globulin and treatment compliance (B=-19.836, -3.711, P<0.05 or 0.01) were influential factors for physical function; platelet distribution width (B=2.706, P<0.01) was an influential factor in psychological function; bilirubin (B=-6.375, P<0.05) was an influential factor in social function; platelet distribution width (B=2.101, P<0.05) was an influencing factor for specific module; albumin/globulin and platelet distribution width (B=-10.653, 2.114, P<0.05 or 0.01) were influencing factors for total scores. Conclusion Treatment compliance and platelet distribution width, bilirubin and white/globulin in clinical objective indicators may be the influencing factors of quality of life in patients with depression.
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