某传染病医院艾滋病 病毒性肝炎 肺结核病人生命质量比较
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摘要
目的了解病毒性肝炎病人、肺结核病人和艾滋病病人生命质量现状,比较三类传染病病人生命质量的异同点,为针对性地改善病人生命质量提供依据。方法随机抽取2015—2016年间在某传染病院治疗的病毒性肝炎、肺结核、艾滋病病人,采用问卷法,应用自主编制的三种疾病治疗情况调查量表和SF-36量表进行调查,统计分析其生命质量特点。结果共调查309人,其中艾滋病病人86人,在各维度得分均低于健康人群常模,差异有统计学意义(P<0.05);艾滋病病人的QOL总分(56.15±21.13)分、PCS(57.46±22.30)分、MCS(54.83±21.19)分以及量表8个维度的得分GH(41.80±19.85)分、PF(78.67±18.00)分、RP(40.00±44.81)分、BP(67.37±21.50)分、RE(41.11±43.49)分、SF(57.78±22.30)分、VT(62.17±17.70)分、MH(58.27±15.39)分,均为三者最低;病毒性肝炎病人118人,在各维度的生命质量得分除GH、BP外均为三者最高;肺结核病人105人,仅在GH、BP两个维度的得分为三者最高。年龄、婚姻状况主要影响艾滋病病人和肺结核病人的生命质量,而病毒性肝炎病人生命质量的影响因素有年龄、文化水平和婚姻状况。结论三种传染病病人生命质量均较差,主要由其社会功能受限所致;病毒性肝炎病人生命质量相对较好,肺结核病人心理状况较差,生命质量次之,艾滋病病人生理心理健康均受损严重,生命质量最差。
Objective To understand the status quo of life quality of viral hepatitis,tuberculosis and AIDS patients,compare the similarities and differences,and provide a basis for improving their life quality.Methods The patients with hepatitis,tuberculosis and AIDS treated in a hospital from 2015 to 2016were randomly selected.Self-developed questionnaire and SF-36 questionnaire were used to investigate their treatment status and characteristics of life quality.Results A total of 309 patients were investigated,including 86 AIDS patients,whose scores in all dimensions were lower than the norm of healthy people,and the difference was statistically significant(P<0.05).The scores of QOL((56.15±21.13),PCS(57.46±22.30),MCS(54.83±21.19)and the eight dimensions included GH(41.80±19.85),PF(78.67±18.00),RP(40.00±44.81),BP(67.37±21.50),RE(41.11±43.49),SF(57.78±22.30),VT(62.17±17.70),MH(58.27±15.39)of AIDS patients were the lowest among the three,and the scores of eight dimensions excepted GH,BP of 118 viral hepatitis patients were the highest.Patients with 105 pulmonary tuberculosis had the highest scores in only two dimensions of GH and BP.The life quality of AIDS and tuberculosis patients were mainly affected by age and marital status,and viral hepatitis patients was influenced by age,educational level and marital status.Conclusion The life quality of the three types of patients are all poor,mainly due to their limited social function.The life quality of viral hepatitis patients is relatively good,followed by that of tuberculosis patients,whose psychological state is poorer,and the life quality of AIDS patients is the worst.AIDS patients' physical and mental health are seriously damaged.
Objective To understand the status quo of life quality of viral hepatitis,tuberculosis and AIDS patients,compare the similarities and differences,and provide a basis for improving their life quality.Methods The patients with hepatitis,tuberculosis and AIDS treated in a hospital from 2015 to 2016were randomly selected.Self-developed questionnaire and SF-36 questionnaire were used to investigate their treatment status and characteristics of life quality.Results A total of 309 patients were investigated,including 86 AIDS patients,whose scores in all dimensions were lower than the norm of healthy people,and the difference was statistically significant(P<0.05).The scores of QOL((56.15±21.13),PCS(57.46±22.30),MCS(54.83±21.19)and the eight dimensions included GH(41.80±19.85),PF(78.67±18.00),RP(40.00±44.81),BP(67.37±21.50),RE(41.11±43.49),SF(57.78±22.30),VT(62.17±17.70),MH(58.27±15.39)of AIDS patients were the lowest among the three,and the scores of eight dimensions excepted GH,BP of 118 viral hepatitis patients were the highest.Patients with 105 pulmonary tuberculosis had the highest scores in only two dimensions of GH and BP.The life quality of AIDS and tuberculosis patients were mainly affected by age and marital status,and viral hepatitis patients was influenced by age,educational level and marital status.Conclusion The life quality of the three types of patients are all poor,mainly due to their limited social function.The life quality of viral hepatitis patients is relatively good,followed by that of tuberculosis patients,whose psychological state is poorer,and the life quality of AIDS patients is the worst.AIDS patients' physical and mental health are seriously damaged.
引文
[1]中国疾病预防控制中心.2017年3月全国法定传染病疫情概况[EB/OL].(2017-04-12)[2017-8-10].http://www.nhfpc.gov.cn/jkj/s3578/201704/48aa9c141c224444925a883b8d227831.shtml.
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[9]李宁秀,刘朝杰,李俊,等.四川省城乡居民SF-36评价参考值[J].华西医科大学学报,2001,32(1):43-47.
[10]王立芹,刘殿武.慢性乙型肝炎病人生命质量的现状分析[J].护理实践与研究,2010,7(5):1-3.
[11]吴明,曲鹏,卢春明,等.辽宁省艾滋病病毒感染者及病人生命质量调查[J].中国公共卫生,2013,29(7):1076-1078.
[12]臧静,王凯娟.羞辱与歧视对艾滋病传播机制的影响及对策[J].医学与哲学(人文社会医学版),2009,30(4):33-35.
[13]陈宇婧,李星明,袁晓青,等.艾滋病病毒感染者及病人生命质量的现况及其相关因素分析[J].中国预防医学杂志,2015,16(5):333-338.
[14]马春燕,石春雷,韩勤,等.初诊肺结核病人的生命质量及其影响因素研究[J].中华全科医学,2017,15(4):637-640.
[15]曾丽.慢性乙型肝炎病人生命质量的调查分析及其相关研究[D].漳州:闽南师范大学,2014.
[16]张明利,魏俊英,吴毓敏,等.HIV/AIDS生存质量量表(HIV/AIDSSQ0L46)[J].中医学报,2010,7(4):599-601.
[17]王立芹.慢性乙型肝炎发病趋势及病人的生命质量与相关影响因素的研究[D].石家庄:河北医科大学,2010.
[2]黄凌,蓝桂莲,袁兆康.南昌市HIV/AIDS病人生存质量现状及其影响因素[J].中国艾滋病性病,2016,22(10):783-787.
[3]秦宝山,冯素萍,王郁杰,等.乙型肝炎病毒感染病人生命质量的影响因素分析[J].中华医院感染学杂志,2014,24(15):3779-3781.
[4]王桂梅.结核病病人生活质量及影响因素相关性的研究[J].中华全科医学,2013,11(5):760-761.
[5]Yicki SM,Janet KF,S-H Chang,et al.Step Test scores are related to measures of activity and participation in the first 6months after stroke[J].Physical Therapy,2009,89(10):1061-1071.
[6]Ann MB,Kari L,Sangeeta A.Variability of patterns of fatigue and quality of life over time based on different breast cancer adjuvant chemotherapy regimens[J].Oncology Nursing Forum,2009,36(5):563-570.
[7]Sinfia KV,Gladys LC,Chetwyn CC,et al.Measurement structure of the Pain Self-Efficacy Questionnaire in a sample of Chinese patients with chronic pain[J].Clinical Rehabilitation,2009,23(11):1034-1043.
[8]姜锐,吴松,程云,等.烟台市慢性乙型病毒性肝炎病人生命质量及其影响因素[J].中国公共卫生,2017,33(3):506-508.
[9]李宁秀,刘朝杰,李俊,等.四川省城乡居民SF-36评价参考值[J].华西医科大学学报,2001,32(1):43-47.
[10]王立芹,刘殿武.慢性乙型肝炎病人生命质量的现状分析[J].护理实践与研究,2010,7(5):1-3.
[11]吴明,曲鹏,卢春明,等.辽宁省艾滋病病毒感染者及病人生命质量调查[J].中国公共卫生,2013,29(7):1076-1078.
[12]臧静,王凯娟.羞辱与歧视对艾滋病传播机制的影响及对策[J].医学与哲学(人文社会医学版),2009,30(4):33-35.
[13]陈宇婧,李星明,袁晓青,等.艾滋病病毒感染者及病人生命质量的现况及其相关因素分析[J].中国预防医学杂志,2015,16(5):333-338.
[14]马春燕,石春雷,韩勤,等.初诊肺结核病人的生命质量及其影响因素研究[J].中华全科医学,2017,15(4):637-640.
[15]曾丽.慢性乙型肝炎病人生命质量的调查分析及其相关研究[D].漳州:闽南师范大学,2014.
[16]张明利,魏俊英,吴毓敏,等.HIV/AIDS生存质量量表(HIV/AIDSSQ0L46)[J].中医学报,2010,7(4):599-601.
[17]王立芹.慢性乙型肝炎发病趋势及病人的生命质量与相关影响因素的研究[D].石家庄:河北医科大学,2010.