基于SF-12量表的农村地区高血压患者生活质量评价研究
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摘要
目的:了解连云港市农村地区高血压患者生存质量现状并探讨其影响因素。方法:采用多阶段随机抽样的方法在连云港市赣榆和东海两县农村抽取2 398人(≥35岁)高血压患者作为研究对象,采用SF-12量表调查其生活质量及影响因素。结果:连云港农村地区高血压患者生理健康得分(68.57±24.21)分,正常率达76.5%;心理健康得分(74.17±22.96)分,正常率达82.7%。回归分析显示,生理得分的影响因素为健康自评、疼痛/不适、年龄、患病时间、性别、收入;心理得分的影响因素为健康状况自评、疼痛/不适、性别、高血压家族史、婚姻状况。结论:连云港市农村高血压患者总体生活质量水平较高,但患病时间长的低收入高龄女性躯体健康状况较差,以及有高血压家族史的丧偶女性心理健康状况较差。为进一步改善农村高血压患者的生存质量,应在加强躯体健康的同时注重人文心理关怀,重点是关注身体状况不好且伴有疼痛/不适的女性患者。
Objective:To investigate the quality of life of hypertension patients in rural areas of Lianyungang City,and to explore the influencing factors.Methods:By using the method of multi-stage random sampling in the rural community of Ganyu and Donghai Counties in Lianyungang,2 398 patients with hypertension(over 35 years old) were enrolled as the research object,and their quality of life and its influencing factors were investigated by using the SF-12 scale.Results:The quality of life of hypertension patients in rural area of Lianyungang was 68.57±24.21,and the normal score was up to 76.5%.The score of mental health was 74.17±22.96,and the normal score was up to 82.7%.The physical scores were influenced by health self-assessment,pain/discomfort,age,duration of illness,gender,and income.The influencing factors of psychological score were self-rated health,pain/discomfort,gender,family history of hypertension and marital status.Conclusion:Lianyungang City rural hypertensive patients overall quality of life level is higher,but the long duration of disease of low-income elderly female physical health status is poor,and the mental health status of widowed women with hypertension family history is poor.Therefore,in order to further improve the quality of life of rural hypertensive patients,we should pay attention to humanistic care while strengthening physical health.The focus is on female patients who are in poor health and have pain/discomfort.
Objective:To investigate the quality of life of hypertension patients in rural areas of Lianyungang City,and to explore the influencing factors.Methods:By using the method of multi-stage random sampling in the rural community of Ganyu and Donghai Counties in Lianyungang,2 398 patients with hypertension(over 35 years old) were enrolled as the research object,and their quality of life and its influencing factors were investigated by using the SF-12 scale.Results:The quality of life of hypertension patients in rural area of Lianyungang was 68.57±24.21,and the normal score was up to 76.5%.The score of mental health was 74.17±22.96,and the normal score was up to 82.7%.The physical scores were influenced by health self-assessment,pain/discomfort,age,duration of illness,gender,and income.The influencing factors of psychological score were self-rated health,pain/discomfort,gender,family history of hypertension and marital status.Conclusion:Lianyungang City rural hypertensive patients overall quality of life level is higher,but the long duration of disease of low-income elderly female physical health status is poor,and the mental health status of widowed women with hypertension family history is poor.Therefore,in order to further improve the quality of life of rural hypertensive patients,we should pay attention to humanistic care while strengthening physical health.The focus is on female patients who are in poor health and have pain/discomfort.
引文
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[13]王文娟,刘露,江启成.EQ-5D与SF-12量表在安徽省农村糖尿病患者生命质量评估中的应用[J].中华疾病控制杂志,2013,17(4):287-290
[14]李宁秀,刘丹萍,刘朝杰,等.成都市城市居民SF-12评价研究[J].四川大学学报(医学版),2010,41(6):1044-1046
[15]董莉娟,刘娜,孙鹏鹏,等.应用SF-12量表评价农村老年人生存质量[J].中国老年学杂志,2016,36(7):1724-1727
[2]Irvin MR,Booth JN,Shimbo D,et al.Apparent treatment-resistant hypertension and risk for stroke,coronary heart disease,and all-cause mortality[J].J Am Soc Hypertens,2014,8(6):405-413
[3]Weber MA,Schiffrin EL,White WB,et al.Clinical practice guidelines for the management of hypertension in the community:A statement by the American Society of Hyperension and the International Society of Hypertension[J].J Hypertens,2014,32(1):3-15
[4]中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中国医学前沿杂志(电子版),2011,3(5):42-93
[5]Kearney PM,Whelton M,Rernold K,et al.Global burden of hypertension:analysis of worldwide data[J].Lancet,2005,365(9445):217-223
[6]World Health Organization.The development of the WHO quality of life assessment instrument[R].1993
[7]方积乾,万崇华,郝元涛.与健康有关的生存质量的研究概况[J].中国康复医学杂志,2000,15(1):39-43
[8]Ware JE.SF-36 Health Survey:manual and interpre tation guide[R].1993
[9]Fleishman JA,Selim AJ,Kazis LE.Deriving SF-12v2 physical and mental health summary score:a comparison of different scoring algorithms[J].Qual life Res,2010,19(2):231-241
[10]王红雨,张林.简版生活质量量表(SF-12)在农村高领老年人中的测量信度与效度[J].上海交通大学学报,2016,36(7):1070-1074
[11]危艳萍,李红,陈萍,等.福建省养老机构阿尔茨海默病患者照顾者生活质量现况调查[J].护士进修杂志,2016,31(8):743-745
[12]杨士来,林雪玲,陈小菊,等.社区养老老年人生存质量及影响因素分析[J].护理研究,2016,30(9):1044-1047
[13]王文娟,刘露,江启成.EQ-5D与SF-12量表在安徽省农村糖尿病患者生命质量评估中的应用[J].中华疾病控制杂志,2013,17(4):287-290
[14]李宁秀,刘丹萍,刘朝杰,等.成都市城市居民SF-12评价研究[J].四川大学学报(医学版),2010,41(6):1044-1046
[15]董莉娟,刘娜,孙鹏鹏,等.应用SF-12量表评价农村老年人生存质量[J].中国老年学杂志,2016,36(7):1724-1727