| 邵明,张欣,杨丹,陈梦奇,黄孝华,迟晨汝,徐勤,杨婷,梅光亮,周志庆.中老年慢性病患者社会支持、淡漠及创伤后应激障碍与生活质量的相关性[J].济宁医学院学报,2026,49(1):25-30 |
| 中老年慢性病患者社会支持、淡漠及创伤后应激障碍与生活质量的相关性 |
| Correlation between quality of life and social support, apathy and PTSD in middle-aged and elderly patients with chronic diseases |
| 投稿时间：2024-04-09 |
| DOI：10.3969/j.issn.1000-9760.2026.01.005 |
| 中文关键词: 中老年慢性病;生活质量;淡漠;创伤后应激障碍;社会支持 |
| 英文关键词: Middle-aged and elderly chronic diseases;Quality of life;Apathy;PTSD;Social support |
| 基金项目:2022年安徽省新时代育人质量工程项目(2022jyjxggyj338)；安徽省教育厅重大课题(2024AH040381) |
| 作者 | 单位 | E-mail | | 邵明 | 皖南医学院研究生学院, 芜湖 241002 | | | 张欣 | 皖南医学院研究生学院, 芜湖 241002 | | | 杨丹 | 皖南医学院研究生学院, 芜湖 241002 | | | 陈梦奇 | 皖南医学院研究生学院, 芜湖 241002 | | | 黄孝华 | 皖南医学院研究生学院, 芜湖 241002 | | | 迟晨汝 | 皖南医学院研究生学院, 芜湖 241002 | | | 徐勤 | 皖南医学院第一附属医院弋矶山医院介入科, 芜湖 241001 | | | 杨婷 | 皖南医学院第一附属医院弋矶山医院神经内科, 芜湖 241001 | | | 梅光亮 | 皖南医学院第一附属医院弋矶山医院党委工作部, 芜湖 241001 | | | 周志庆 | 皖南医学院第一附属医院弋矶山医院护理部, 芜湖 241001 | 1274467404@qq.com |
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| 中文摘要: |
| 目的 探索社会支持、淡漠和创伤后应激障碍对中老年慢性病患者生活质量的影响，为改善中老年慢性病患者生活质量提供参考依据。方法 采取便利抽样法，选取2023年11月—2024年3月芜湖市某医院709名中老年慢性病患者作为研究对象，采用一般资料调查表、社会支持量表、GDS-3量表、PCL-5量表和生活质量量表进行调查。采用Pearson相关性分析中老年慢性病患者社会支持、淡漠及创伤后应激障碍与生活质量的关系；多元线性回归分析中老年慢性病患者生活质量的影响因素。结果 709名中老年慢性病患者中，生活质量得分为(20.00±3.95)分，社会支持得分为(9.36±2.11)分、淡漠得分为(1.73±0.91)分、创伤后应激障碍得分为(27.10±14.53)分。相关性分析结果显示，生活质量与社会支持呈正相关(r=0.725，P＜0.001)；与淡漠和创伤后应激障碍均呈负相关(r=-0.475，P＜0.001；r=-0.579，P＜0.001)。多元线性回归分析显示，年龄、文化程度、疼痛、社会支持、淡漠、创伤后应激障碍是中老年慢性病患者生活质量的影响因素(P＜0.05)。结论 中老年慢性病患者的年龄、文化程度、疼痛、社会支持程度、淡漠情况、创伤后应激障碍与生活质量密切相关。临床可采取针对性的干预措施，向其提供社会支持网络，帮助中老年慢性病患者更好的应对创伤后应激障碍与淡漠的问题，以提升中老年慢性病患者的生活质量。 |
| 英文摘要: |
| Objective To analyze the relationship between social support, apathy, PTSD and the quality of life in middle-aged and elderly patients with chronic diseases, and provide a basis for improving the quality of life of these patients. Method A total of 709 middle-aged and elderly patients with chronic diseases in a hospital in Wuhu city were selected as the research objects by convenience sampling method from November 2023 to March 2024.General information questionnaire, OSS-3, GDS-3, PCL-5 scale and QOL were used for investigation.Pearson correlation analysis was used to analyze the relationship between social support, apathy, PTSD and quality of life in middle-aged and elderly patients with chronic diseases.Multiple linear regression analysis was used to analyze the influencing factors of quality of life in these patients. Results The score of the QOL, OSS-3, GDS-3, PTSD of the709 patients was 20.00±3.95, 9.36±2.11, 1.73±0.91, 27.10±14.53, respectively.Pearson correlation analysis showed that quality of life was positively correlated with social support (r=0.725, P < 0.001) and negatively correlated with apathy and PTSD (r=-0.475, P < 0.001;r=-0.579, P < 0.001).Multiple linear regression analysis results showed that social support, apathy and PTSD were the influencing factors of quality of life in middle-aged and elderly patients with chronic diseases (P < 0.05). Conclusion The social support, apathy and PTSD status are closely related to the quality of life of middle-aged and elderly patients with chronic diseases.Targeted interventions can be taken to provide social support networks to help middle-aged and elderly patients with chronic diseases better cope with PTSD and apathy, so as to improve the quality of life of middle-aged and elderly patients with chronic diseases. |
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