Study on health related quality of life and influencing factors in seborrheic dermatitis patients
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摘要: 目的 研究脂溢性皮炎患者健康相关生命质量(health related quality of life,HRQOL)评分,并统计健康相关生命质量的影响因素及其主次关系。 方法 以2015年2-8月在第三军医大学大坪医院就诊的脂溢性皮炎患者314名为研究对象使用生活质量评价量表(short form 36 questionnaire,SF-36)测量HRQOL得分,并对脂溢性皮炎者的一般状况进行统计,同时使用单因素方差分析及多元逐步线性回归统计对HRQOL的影响因素进行分析。 结果 SDS平均得分为51.45±9.42。研究显示无抑郁情绪占56.1%;轻度抑郁情绪占33.1%;中度抑郁情绪占7.0%;重度抑郁情绪占3.8%。不同的脂溢性皮炎病程、年龄、睡眠时间之间HRQOL得分差异有统计学意义(P<0.05);是否辛辣饮食、是否饮酒、是否吸烟、是否锻炼、是否治疗也会导致HRQOL得分产生差异(P<0.05)。其中病程越长、年龄越大、睡眠时间不足的脂溢性皮炎患者HRQOL得分较低;辛辣饮食、饮酒、吸烟会降低HRQOL得分,而锻炼和治疗可提高HRQOL得分。影响HRQOL评分的7个最主要因素为:治疗、SDS得分、辛辣饮食、脂溢性皮炎病程、锻炼、饮酒、睡眠时间。其中HRQOL得分与治疗、锻炼、睡眠时间呈正相关(P<0.05),与SDS得分、辛辣饮食、脂溢性皮炎病程、饮酒呈负相关(P<0.05)。 结论 脂溢性皮炎患者HRQOL不佳,部分伴发心理抑郁。应加大对心理抑郁、3年以上病程患者的关注和重视,积极给予中西医治疗,戒除辛辣饮食和饮酒,鼓励患者多运动锻炼,保证充沛的睡眠时间。Abstract: Objective To study the health related quality of life (HRQOL) score in seborrheic dermatitis patients,and to study the influencing factors on health related quality of life,at last to analysis the major and minor relationship of the factors. Methods A total of 314 patients with seborrhric dermatitis in our hospital were analyzed form February to August in 2015.The short form 36 questionnaire (SF-36) scale was used to assess the HRQOL.The general conditions of seborrheic dermatitis patients were counted.The one-way ANOVA and stepwise regression analysis were used to study the influence factors of HRQOL. Results The average score of SDS was 51.45±9.42.About 56.1% of respondents were no depression.The mild depression accounted for 33.1%,moderate depression for 7%,and severe depression for 3.8%.The difference of HRQOL scores between different seborrheic dermatitis course,age and sleep time had statistical significance (P<0.05).The spicy food,drinking,smoking,doing exercise,treatment Results leaded to the differences of the HRQOL scores (P<0.05).The HRQOL scores of the seborrheic dermatitis patients with long duration,older age and lack of sleep were lower.Spicy food,drinking and smoking reduced the HRQOL scores.Exercise and treatment could improve the HRQOL scores.Stepwise regression analysis showed that:treatment,SDS scores,spicy diet,course of seborrheic dermatitis,physical exercise,drink wine and sleep time were the main influencing factors.HRQOL score was positively correlated with treatment,physical exercise and sleep time (P<0.05),and was negatively correlated with SDS score,spicy food,course of seborrheic dermatitis and drink wine (P<0.05). Conclusion The HRQOL of seborrheic dermatitis patients is poor.More attentions should be paid to the patients with psychological depression,suffered seborrheic dermatitis more than 3 years,divorced or widowed patients.We should take active treatment with combined Chinese and western medicine to patients,encourage patients to get rid of spicy diet and drink,encourage patients to exercise and ensure adequate sleep time.The above measures all can significantly improve the HRQOL of seborrheic dermatitis patients.
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Key words:
- Seborrheic dermatitis /
- Depressed /
- Quality of life /
- Influential factors
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