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目的:探讨阿尔茨海默病(AD)患者照料者生命质量水平的现状以及影响生命质量的因素,反映AD患者照料者的身心健康水平,同时为AD患者照料者的相关研究提供理论依据。方法:采用健康测量量表(SF-36)、社会支持评定量表(SSRS)对200名AD患者照料者进行问卷调查。结果:(1)不同居住地的AD患者照料者在生理功能(t=-4.324,P<0.001)、生理职能(t=-2.902,P<0.01)、身体疼痛(t=3.918,P<0.001)、总体健康(t=-4.041,P<0.001)、社会支持各维度及社会支持总分(t=-5.787,P<0.001)上存在差异;(2)与患者关系不同的AD患者照料者在生理功能(F=4.057,P<0.05)、生理职能(F=6.808,P<0.01)、身体疼痛(F=25.768,P<0.001)、总体健康(F=8.448,P<0.001)、活力(F=10.514,P<0.001)、社会功能(F=3.235,P<0.05)、精神健康(F=7.078,P<0.01)、社会支持各维度上及社会支持总分(F=11.939,P<0.001)、生命质量总分(F=3.531,P<0.05)差异具有显著性;(3)不同家庭人均月收入的AD患者照料者在生命质量各维度(除精神健康)及社会支持总分(F=3.718~30.938,P<0.001)上差异具有显著性;(4)社会支持得分与生命质量总分、生理职能、情感职能、总体健康、精神健康均呈显著正相关(r=0.315,0.361,0.243,0.384,0.283;P<0.01)。结论:(1)AD患者照料者的生命质量、社会支持水平受居住地、与患者关系、家庭人均月收入的影响。(2)社会支持越强,AD患者照料者的生命质量水平越高。
OBJECTIVE: To investigate the current status of quality of life and quality of life of caregivers in patients with Alzheimer’s disease (AD), reflect the physical and mental health status of caregivers in AD patients and provide theoretical evidence for the research of caregivers in AD patients. Methods: A total of 200 AD patients were surveyed by Health Survey Scale (SF-36) and Social Support Rating Scale (SSRS). Results: (1) The physical function (t = -4.324, P <0.001), physical function (t = -2.902, P <0.01) ), Overall health (t = -4.041, P <0.001), social support dimensions and social support scores (t = -5.787, P <0.001); (2) patients with AD patients with different relationships There were significant differences in physiological function (F = 4.057, P <0.05), physical function (F = 6.808, P <0.01), body ache (F = 25.768, (F = 10.514, P <0.001), social function (F = 3.235, P <0.05), mental health (F = 7.078, P <0.01), social support dimensions and social support scores (F = 11.939, P (0.001), and the total quality of life score (F = 3.531, P <0.05). (3) The differences of the quality of life among all caregivers of AD patients with different monthly household income (except mental health) and total social support (F = 3.718 ~ 30.938, P <0.001). (4) There was a significant positive correlation between social support scores and total score of life quality, physiological function, emotional function, general health and mental health (r = 0.315, 0.361, 0.243, 0.384, 0.283; P <0.01). Conclusion: (1) The quality of life and the level of social support for caregivers in AD patients are affected by their place of residence, relationship with patients and monthly income per capita of the family. (2) The stronger the social support, the higher the quality of life of caregivers in AD patients.