老年痴呆患者生活质量与社会支持的关系①.pdfVIP

中国康复理论与实践2013年2月第19卷第2期ChinJRehabilTheoryPract,Feb.2013,Vol. 19,No.2 - 164 - DOI: 10.3969/j.issn. 1006-9771.2013.02.018 ·临床研究· 老年痴呆患者生活质量与社会支持的关系① 1 2 2 2 齐善夫 ，郑成应 ，周东升 ，陈中鸣 [摘要] 目的 探讨老年痴呆患者生活质量与社会支持的关系。方法 采用匹配病例对照研究的方法，选取浙江省复员退伍军 人精神病疗养院和宁波市康宁医院临床确诊的老年痴呆患者80 例为病例组，对照组80 例来源于同期同社区60 岁以上健康老年 人，数据收集采用问卷调查的方法，包括一般情况调查表、阿尔茨海默病生命质量测评量表(QOL-AD)和社会支持评定量表 (SSRS)。结果 病例组与对照组生存质量各条目均有显著性差异(P0.01) ，病例组在客观支持、主观支持、社会支持总分方面得分 低于对照组(P0.05) ，在支持利用度方面与对照组无显著性差异(P0.05) 。病例组家庭、婚姻、总体生活感受、生活质量总分与主 观支持总分、社会支持总分正相关(P0.05) ，情绪与主观支持负相关(P0.05) ，居住条件、家庭与客观支持正相关(P0.05) 。结论 老年痴呆患者获得的社会支持不足，生活质量较低。 [关键词] 老年痴呆；生活质量；社会支持 Relationship between Quality of Life and Social Support in Senile Dementia Patients QI Shan-fu, ZHENG Cheng-ying, ZHOU Dong-sheng, et al. Veteran Psychosis Sanatorium of Zhejiang Province, Ningbo 315032, Zhejiang, China Abstract: Objective To explore the relationship between quality of life and social support in senile dementia patients. Methods A matched case-control study was used to collect 80 senile dementia patients and 80 healthy elderly people. They were assessed with general situation questionnaire, Quality of Life in Alzheimers Disease (QOL-AD) and Social Support Revalued Scale (SSRS). Results There was significant difference in QOL-AD between 2 groups (P0.01). The score of objective support, subjective support, and total social support was lower in senile dementia patients than in healthy elderly people (P0.05), but there was no significant difference in support utilization (P0.05). The score of family, marriage, the overall experience of life, quality of life was positively correlated with the score of subjective support and total social support (P0.05), the score of em