中国全科医学Issue(4)：414-417,4.DOI:10.3969/j.issn.1007-9572.2016.04.011
社区全科门诊广泛性焦虑障碍患者生命质量及影响因素研究
Quality of Life of Patients With Generalized Anxiety Disorder in Community General Practice Clinics and Its Influencing Factors
摘要
Abstract
Objective To investigate the quality of life of patients with generalized Anxiety Disorder( GAD)in community general practice clinics and its influencing factors. Methods From January 2009 to January 2013,5 841 patients who visited the general practice clinics of six community health service centers in Shanghai were screened with 7 - Item Generalized Anxiety Disorder Scale ( GAD-7 ) and patients who showed positive results were diagnosed by Mini - International Neuropsychiatric Interview(MINI). Using a unified self - designed questionnaire,we collected the general information of the patients including gender, age, educational level, marital status, working condition, living condition and chronic diseases. Anxiety and depression of the patients were assessed by Hamilton Anxiety Scale( HAMA)and Hamilton Depression Scale(HAMD). The quality of life of the patients was assessed by Health Survey scales(SF-36). Results The GAD positive rate of screening was 4. 8% (283 / 5 841)and the GAD detection rate was 2. 9% (169 / 5 841). 271 patients who completed the questionnaire were divided into non - GAD group(n = 178)and GAD group(n = 93)according to the results of diagnosis. The two groups were significantly different in gender,average age,educational level,marital status and chronic diseases( P <0. 05). The two groups were not significantly different in working condition and living condition(P > 0. 05). The two groups were significantly different in HAMA scores and HAMD scores(P < 0. 05). The two groups were significantly different in the scores of 8 dimensions in SF-36 including physiological function,physiological role,body pain,general health,life vitality, social function,role of emotion and mental health(P < 0. 05). Multiple linear stepwise regression analysis indicated that the influence of educational level on the scores of physiological function and physiological role of these patients was significant(P <0. 05);the influence of age on the score of life vitality was significant(P < 0. 05);the influence of HAMD scores on the scores of life vitality and mental health of these patients was significant(P < 0. 05). Conclusion GAP patients in community general practice clinics have poor quality of life. Age,educational level and depression status are influencing factors.关键词
焦虑/全科门诊/生活质量/影响因素分析Key words
Anxiety/General practice clinics/Quality of life/Root cause analysis分类
医药卫生引用本文复制引用
杨华,任利民,劳力敏,徐云霞,蔡丞俊,陈华,高键,江孙芳,祝墡珠..社区全科门诊广泛性焦虑障碍患者生命质量及影响因素研究[J].中国全科医学,2016,(4):414-417,4.基金项目
上海市公共卫生重点学科建设计划（12GWZX1001）；上海市公共卫生人才培养计划（优秀学科带头人） （）
