Tarsuslu Tülay, Yümin Eylem Tütün, Oztürk Asuman, Yümin Murat
Abant Izzet Baysal University Kemal Demir School of Physical Therapy and Rehabilitation, Bolu, Turkey.
Agri. 2010 Jan;22(1):30-6.
This study was designed to investigate the relation between health- related quality of life and pain, depression, anxiety, and functional independence.
The study included 82 healthy subjects aged 38.18+/-11.06 and 89 physically disabled subjects aged 37.72+/-16.40. Physical and social characteristics of the subjects such as age, height, length, weight, gender, occupational and marital status, and level of education were recorded. Visual Analogue Scale, Beck Depression Inventory, Beck Anxiety Inventory, Nottingham Health Profile, and Functional Independence Measure were used to evaluate pain, depression, anxiety, quality of life, and functional independence, respectively.
Compared to healthy individuals, chronically disabled subjects had higher pain, depression and anxiety and lower quality of life scores. Between-group comparison showed that there was a significant difference in pain, depression, anxiety levels and health-related quality of life (p<0.05). Similarly, both healthy and disabled individuals indicated a negative correlation between pain, depression, anxiety and quality of life (p<0.05).
In individuals with chronic disabilities, pain may induce serious psychological problems, negatively affecting quality of life. This study showed that in chronically disabled individuals, there is a strong correlation between pain, depression, anxiety, and quality of life. These results should be considered carefully when planning assessment and rehabilitation programs for individuals with chronic disabilities.
本研究旨在调查健康相关生活质量与疼痛、抑郁、焦虑及功能独立性之间的关系。
该研究纳入了82名年龄为38.18±11.06岁的健康受试者以及89名年龄为37.72±16.40岁的身体残疾受试者。记录了受试者的年龄、身高、身长、体重、性别、职业和婚姻状况以及教育程度等身体和社会特征。分别使用视觉模拟量表、贝克抑郁量表、贝克焦虑量表、诺丁汉健康量表和功能独立性测量来评估疼痛、抑郁、焦虑、生活质量和功能独立性。
与健康个体相比,慢性残疾受试者的疼痛、抑郁和焦虑程度更高,生活质量得分更低。组间比较显示,疼痛、抑郁、焦虑水平和健康相关生活质量存在显著差异(p<0.05)。同样,健康个体和残疾个体均表明疼痛、抑郁、焦虑与生活质量之间存在负相关(p<0.05)。
在慢性残疾个体中,疼痛可能引发严重的心理问题,对生活质量产生负面影响。本研究表明,在慢性残疾个体中,疼痛、抑郁、焦虑与生活质量之间存在很强的相关性。在为慢性残疾个体制定评估和康复计划时,应仔细考虑这些结果。