摘要

目的 通过调查临沂市精神卫生中心抑郁患者社会支持与生存质量的现状，探讨分析社会支持对抑郁患者生存质量的影响。

方法 采用横断面研究的

方法，以1007名抑郁患者作为研究对象，采用自行设计的一般资料调查表、抑郁症筛查量表（PHQ-9）、社会支持评定量表（SSRS）、世界卫生组织生存质量测定量表简表（WHOQOL-BREF）进行调查。根据社会支持评定量表总分，分为中低水平支持组（n=796）和高水平支持组（n=211），比较两组的WHOQOL-BREF得分，采用Pearson相关分析抑郁症患者社会支持与生存质量的相关性，采用分层回归分析影响抑郁症患者生存质量的相关因素。

结果 高水平支持组和中低水平支持组患者的WHOQOL-BREF总分、生理领域、心理领域、社会关系领域、环境领域的得分比较，差异均有统计学意义（P＜0.05）。 WHOQOL-BREF总分、心理领域、社会关系领域与主观支持、客观支持、利用度、SSRS总分呈正相关（P＜0.05）；生理领域与主观支持、利用度、SSRS总分呈正相关（P＜0.05）；环境领域与主观支持、客观支持、SSRS总分呈正相关（P＜0.05）。分层回归分析

结果显示，回归模型具有统计学意义（R=0.563，R²=0.318，F=35.535，P＜0.05），性别、年龄、家庭月收入、PHQ-9评分、是否接受过经颅磁刺激治疗、主观支持、支持利用度为WHOQOL-BREF总分的预测因素（P＜0.05）。

结论 抑郁症患者的社会支持与生存质量具有相关性，临床工作需充分发挥社会支持的作用，改善抑郁症患者的生存质量。

关键词：抑郁症；社会支持；生存质量；主观支持

ABSTRACT

Objective To explore the relationship between the social support and quality of life of patients with depression disorders in Linyi Mental Health Center.

Methods 646 patients with depressive disorder were used as the study subjects, and the self-designed general data questionnaire, the Patient Health Questionnaire-9 (PHQ-9), the Social Support Rate Scale (SSRS) and the WHO Quality of Life Measurement Scale (WHOQOL-BREF) were used. According to the SSRS score, patients are divided into unsatisfactory support groups (n=127) and satisfactory support groups (n=519); Pearson correlation is used to analyze the correlation between social support and quality of life scales. Multiple linear regression was used to analyze the factors affecting the quality of life of patients with depression.

Results The differences between the two groups in gender, marriage and social function are statistically significant (P<0.05). The results of Pearson correlation analysis show that the physiological field is related to utilization, the psychological field is related to subjective support and utilization, the social relationship field is related to subjective support and utilization, and the environmental field is related to subjective support. The results of linear regression analysis show that the regression model has statistical significance (R2=0.217, adjusted R2=0.204, F=15.987, P<0.05). The quality of life of patients with depression is positively correlated with gender and total social support scores, and negatively correlated with family monthly income, depression classification and social function.

Conclusion   There is a correlation between social support and quality of life in patients with depression.

Key words: Depression; Social support; Quality-of-life; Subjective support