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初级卫生保健中酒精消费与常见精神障碍和患者生活质量的关系。

Relationship of alcohol consumption and mental disorders common with the quality of life of patients in primary health care.

作者信息

Santos Marcos Vinicius Ferreira Dos, Campos Mônica Rodrigues, Fortes Sandra Lúcia Correia Lima

机构信息

Escola Nacional de Saúde Pública, Fiocruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.

Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2019 Mar;24(3):1051-1063. doi: 10.1590/1413-81232018243.01232017.

Abstract

The objective was to measure the Quality of Life (QoL) of the patients treated in Primary Health Care in the city of Rio de Janeiro and its own association with CMD, alcohol consumption and socio-demographic aspects. This is a cross-sectional study involving 624 patients in 2012/2013, using: General Health Questionnaire, Hospital Anxiety and Depression Scale, Screening for Somatoform Symptoms, Alcohol Use Disorder Identification Test e World Health Organization Quality of Life Instrument (bref version). There were conducted a bivariate analysis and a multiple linear regressions for each domain of QOL. The QoL score for the domains, physical, psychological, social relationships and environment were: 61,2; 62,6; 66 and 50,9. In multivariate analysis, the QOL was negatively associated to the CMD, especially in the psychological domain (β = -15,75; p-value = 0,00), and the dependence on physical (β = -5,38; p-value = 0,05). There was a positive and significant association of the QoL with the risk consumption (β = 5,77) and the harmful consumption (β = 6,15) in the environment domain, and with the first in the psychological domain (β = 7,08). CMD and alcohol dependence are associated with the loss of QOL, but other patterns of consumption, even being harmful are associated with higher QOL.

摘要

目的是衡量里约热内卢市初级卫生保健机构中接受治疗的患者的生活质量(QoL),以及其与常见精神障碍(CMD)、饮酒情况和社会人口学因素之间的关联。这是一项横断面研究,在2012/2013年纳入了624名患者,使用了:一般健康问卷、医院焦虑抑郁量表、躯体形式症状筛查、酒精使用障碍识别测试以及世界卫生组织生活质量量表(简版)。对生活质量的每个领域进行了双变量分析和多元线性回归。生活质量在身体、心理、社会关系和环境领域的得分分别为:61.2、62.6、66和50.9。在多变量分析中,生活质量与常见精神障碍呈负相关,尤其是在心理领域(β = -15.75;p值 = 0.00),以及与身体依赖(β = -5.38;p值 = 0.05)。在环境领域,生活质量与风险饮酒(β = 5.77)和有害饮酒(β = 6.15)呈正相关且具有统计学意义,在心理领域与风险饮酒呈正相关(β = 7.08)。常见精神障碍和酒精依赖与生活质量下降有关,但其他饮酒模式,即使是有害的,也与较高的生活质量有关。

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