城市老年高血压患者与农村老年高血压患者的生活质量及影响因素比较分析
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摘要
目的探索吉安地区城市与农村老年高血压患者的生活质量、影响因素以及两者的差异。方法抽取近两年来(2016年至2018年)本院收治的符合本研究条件的高血压老年患者(年龄≥60)192名,按照户籍以及医保类型综合考虑将患者分成A组(109例,城市组)和B组(83例,农村组),采用健康调查简表(中文版SF-36)进行相关的测试及研究,并收集相应数据进行比较和分析。结果 A组(62.03±12.36)SF-36量表得分大部分优于B组(59.59±11.13),睡眠欠佳、家庭人均可支配收入较大(>1 500)、个人医疗费用支出额较小(<300)的A组老年高血压患者SF-36量表总分与B组比较差异无统计学意义,回归显示A组特有的影响因素有年龄、饮酒、体质量以及心情,B组特有的影响因素为知识接触。结论城市高血压患者生活质量大体上高于农村患者,农村主要在经济文化方面与城市差距很大,导致生活质量的差异。
Objective To explore the quality of life, influencing factors and their differences between the elderly hypertension patients in Ji'an city and the rural elderly. Methods In the past two years(2016 to 2018), 192 elderly patients with hypertension(aged above 60) were admitted to our hospital(Ji' an Central People' s Hospital, Jiangxi Province). The patients were divided into Group A(109 cases, urban group) and Group B(83 cases,rural group) according to household registration and health insurance type. And collect corresponding data for comparison and analysis by the MOS item short from health survey(SF-36). Results In group A(62.03±12.36), the SF-36 scores were higher than those in group B(59.59±11.13),poor sleep, higher disposable income per head of household(>1 500), and low expenditure on personal medical care. The total SF-36 scores of elderly hypertensive patients in group A(<300) had no significant difference with group B. The specific influencing factors in group B are knowledge exposure. Conclusion The quality of life of urban hypertensive patients is generally higher than that of rural patients, and the gap between rural and urban areas is great, which leads to the difference of quality of life.
Objective To explore the quality of life, influencing factors and their differences between the elderly hypertension patients in Ji'an city and the rural elderly. Methods In the past two years(2016 to 2018), 192 elderly patients with hypertension(aged above 60) were admitted to our hospital(Ji' an Central People' s Hospital, Jiangxi Province). The patients were divided into Group A(109 cases, urban group) and Group B(83 cases,rural group) according to household registration and health insurance type. And collect corresponding data for comparison and analysis by the MOS item short from health survey(SF-36). Results In group A(62.03±12.36), the SF-36 scores were higher than those in group B(59.59±11.13),poor sleep, higher disposable income per head of household(>1 500), and low expenditure on personal medical care. The total SF-36 scores of elderly hypertensive patients in group A(<300) had no significant difference with group B. The specific influencing factors in group B are knowledge exposure. Conclusion The quality of life of urban hypertensive patients is generally higher than that of rural patients, and the gap between rural and urban areas is great, which leads to the difference of quality of life.
引文
[1]邢立影,王健松,张慧英.高血压患者合并心血管病危险因素现状分析[J].中国医药导报,2011,8(26):143-145.
[2] Toba A, Ishikawa J, Harada K. Orthostatic hypoten-sion and association of arterial compliance in el-derly patients with hypertension:a pilot study[J].Blood Pressure Monitoring, 2017,22(5):274-278.
[3]袁超睿,汪少开,游陆,等.我国高血压患病状况调研及相关危险因素分析[J].中国中医药咨讯,2010,2(2):206-208.
[4]周罗晶,欧爱华,陶立坚.老年高血压患者健康行为改变现状及其影响因素[J].中国老年学杂志,2016,36(20):5152-5154.
[5]易志强,万凤福,匡林华,等.老年糖尿病合并冠心病与高同型半胱氨酸血症关系临床研究,[J].当代医学,2018,24(18):105-107.
[6]贾丽娜,庄海林,刘登蕉,等.城市社区老年高血压患者与健康老年人生活质量及影响因素的比较[J].中国老年学杂志,2013,33(23):5960-5963.
[7]彭江,刘强,老年高血压病患者缺血性ST段改变和血压昼夜节律关系[J].当代医学,2018,24(31):59-61.
[8]刘玲,张枭,王春辉,等.农村中老年高血压患者生活质量及影响因素分析[J].中国公共卫生,2011,27(2):155-157.
[9] Manish Suneja M. Lee Sanders. Hypertension-Hyper-tensive emergency[J]. Medical Clinics of North Amer-ica, 2017,101(3):465-478.
[10]贾丽娜,庄海林,刘登蕉,等.居家老年高血压患者生活质量及其影响因素分析[J].福建医药杂志,2012,34(5):132-135.
[11]潭壮生.吸烟和饮酒现状及其危害和对策[J].中国全科医学,2006(13):1082-1084.
[12]赵晓霖,彭雯雯,刘国英,等.运动训练激活中枢ACE2-Ang(1-7)-MAS轴延缓高血压进展[J].中国病理生理杂志,2018,34(1):35-40.
[13]中国老年高血压共识2017版最新发布[J].上海医药,2018,39(1):40.
[14]马艳玲,范兰媛.城市和农村高血压患者对高血压危害的认知情况[J].中国老年学杂志,2011,31(20):4022-4023.
[2] Toba A, Ishikawa J, Harada K. Orthostatic hypoten-sion and association of arterial compliance in el-derly patients with hypertension:a pilot study[J].Blood Pressure Monitoring, 2017,22(5):274-278.
[3]袁超睿,汪少开,游陆,等.我国高血压患病状况调研及相关危险因素分析[J].中国中医药咨讯,2010,2(2):206-208.
[4]周罗晶,欧爱华,陶立坚.老年高血压患者健康行为改变现状及其影响因素[J].中国老年学杂志,2016,36(20):5152-5154.
[5]易志强,万凤福,匡林华,等.老年糖尿病合并冠心病与高同型半胱氨酸血症关系临床研究,[J].当代医学,2018,24(18):105-107.
[6]贾丽娜,庄海林,刘登蕉,等.城市社区老年高血压患者与健康老年人生活质量及影响因素的比较[J].中国老年学杂志,2013,33(23):5960-5963.
[7]彭江,刘强,老年高血压病患者缺血性ST段改变和血压昼夜节律关系[J].当代医学,2018,24(31):59-61.
[8]刘玲,张枭,王春辉,等.农村中老年高血压患者生活质量及影响因素分析[J].中国公共卫生,2011,27(2):155-157.
[9] Manish Suneja M. Lee Sanders. Hypertension-Hyper-tensive emergency[J]. Medical Clinics of North Amer-ica, 2017,101(3):465-478.
[10]贾丽娜,庄海林,刘登蕉,等.居家老年高血压患者生活质量及其影响因素分析[J].福建医药杂志,2012,34(5):132-135.
[11]潭壮生.吸烟和饮酒现状及其危害和对策[J].中国全科医学,2006(13):1082-1084.
[12]赵晓霖,彭雯雯,刘国英,等.运动训练激活中枢ACE2-Ang(1-7)-MAS轴延缓高血压进展[J].中国病理生理杂志,2018,34(1):35-40.
[13]中国老年高血压共识2017版最新发布[J].上海医药,2018,39(1):40.
[14]马艳玲,范兰媛.城市和农村高血压患者对高血压危害的认知情况[J].中国老年学杂志,2011,31(20):4022-4023.