학술논문

生殖器疱疹患者健康相关生命质量及其影响因素 / Health-related quality of life and influencing factors in patients with geni-tal herpes
Document Type
Academic Journal
Source
中国感染控制杂志. 15(11):813-816
Subject
疱疹
生殖器
抑郁
生命质量
影响因素
herpes
genitals
depression
quality of life
influencing factor
Language
Chinese
ISSN
1671-9638
Abstract
目的:了解生殖器疱疹患者心理状况、健康相关生命质量(HRQOL)评分,以及 HRQOL 评分的影响因素。方法对2014年1月—2015年8月大坪医院皮肤科门诊就诊的生殖器疱疹发作期患者进行调查,使用抑郁自评量表(SDS)评估其心理状况,使用生活质量评价量表(SF-36)测量 HRQOL 评分,分析 HRQOL 和 SDS 评分相关性,对 HRQOL 评分的影响因素进行分析。结果实际调查145例生殖器疱疹患者,HRQOL 评分为(479.46±92.45)分,SDS 评分为(62.2±14.1)分。其中轻度抑郁者46例(31.73%),中度抑郁者28例(19.31%),重度抑郁者17例(11.73%)。Pearson 相关分析显示,受试者 HRQOL 评分与 SDS 评分呈负相关(R =-0.37,P <0.001)。多元线性逐步回归法分析结果显示:与 HRQOL 评分相关的因素按相关程度由大到小依次为接受治疗、知晓生殖器疱疹防治知识、饮酒、年龄、SDS 评分、睡眠时间、锻炼(均 P <0.05),其中 HRQOL 评分与年龄、饮酒、SDS 评分呈负相关(均 P <0.05),与接受治疗、锻炼、知晓生殖器疱疹防治知识、睡眠时间呈正相关(均 P <0.05)。结论生殖器疱疹患者普遍出现抑郁心理,HRQOL 较差。在临床中应重视年龄偏大和伴发抑郁的患者,并对其进行干预。
Objective To understand the psychological state,health-related quality of life (HRQOL)score,and the influencing factors of HRQOL score in patients with genital herpes.Methods From January 2014 to August 2015,patients with genital herpes in dermatology outpatient clinic of Daping Hospital were investigated,and their psychological status was assessed by self-rating depression scale(SDS),HRQOL score was measured with the 36-item short form health survey (SF-36),correlation between HRQOL and SDS score,as well as influencing factors of HRQOL score were analyzed.Results A total of 145 patients with genital herpes were investigated,HRQOL and SDS scores were (479.46±92.45)and (62.2±14.1)respectively.Mild,moderate,and severe depression were 46 (31 .73%),28(19.31 %),and 17 (11 .73%)cases respectively.Pearson correlation analysis showed that HRQOL score of the subjects was negatively correlated with SDS score (R =-0.37,P <0.001 ).Multiple linear stepwise regression analysis suggested that the factors related to HRQOL score from large to small were as follows:receive treatment,aware of genital herpes prevention knowledge,drinking,age,SDS score,sleep time,and exercise (all P<0.05).HRQOL score was negatively related with age,drinking,and SDS score(all P <0.05),but was positively related with treatment,exercise,aware of genital herpes prevention knowledge,and sleep time(all P <0.05 ). Conclusion Most patients with genital herpes suffer from depression,and with poor HRQOL,more attention must be paid to patients of old age and with depression,psychological intervention needs to be performed.