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张丽菊, 张娜, 任娟, 任娇娇, 刘亚晖, 李光友. 珠海市慢性病患者生命质量现状及其影响因素分析[J]. 中国公共卫生, 2021, 37(4): 637-640. DOI: 10.11847/zgggws1127932
引用本文: 张丽菊, 张娜, 任娟, 任娇娇, 刘亚晖, 李光友. 珠海市慢性病患者生命质量现状及其影响因素分析[J]. 中国公共卫生, 2021, 37(4): 637-640. DOI: 10.11847/zgggws1127932
ZHANG Li-ju, ZHANG Na, REN Juan, . Quality of life and its influencing factors among community residents with chronic non-communicable diseases: a cross-sectional survey in Zhuhai city[J]. Chinese Journal of Public Health, 2021, 37(4): 637-640. DOI: 10.11847/zgggws1127932
Citation: ZHANG Li-ju, ZHANG Na, REN Juan, . Quality of life and its influencing factors among community residents with chronic non-communicable diseases: a cross-sectional survey in Zhuhai city[J]. Chinese Journal of Public Health, 2021, 37(4): 637-640. DOI: 10.11847/zgggws1127932

珠海市慢性病患者生命质量现状及其影响因素分析

Quality of life and its influencing factors among community residents with chronic non-communicable diseases: a cross-sectional survey in Zhuhai city

  • 摘要:
      目的  了解广东省珠海市慢性非传染性疾病(慢性病)患者生命质量现状及其影响因素,为改善慢性病患者的生命质量提供参考依据。
      方法  于2015年5 — 8月采用多阶段分层整群随机抽样方法在珠海市抽取3320名 ≥ 15岁常住居民进行问卷调查,对其中523例慢性病患者的生命质量及其影响因素进行分析。
      结果  珠海市慢性病患者生理功能(PF)、生理职能(RP)、躯体疼痛(BP)、总体健康(GH)、活力(VT)、社会功能(SF)、情感职能(RE)、精神健康(MH)和健康变化(HT)得分分别为(82.28 ± 19.90)、(69.41 ± 38.39)、(71.05 ± 18.61)、(55.33 ± 17.76)、(65.53 ± 18.03)、(84.99 ± 23.37)、(67.94 ± 39.07)、(70.00 ± 16.73)和(46.65 ± 26.64)分,生理健康(PCS)和心理健康(MCS)得分分别为(69.38 ± 17.36)和(69.75 ± 17.81)分,生命质量总分为(67.02 ± 14.67)分;多元线性逐步回归分析结果显示,家庭人均月收入较高(β = 10.361)的珠海市慢性病患者PCS状况较好,年龄较大(β = 0.789)、家庭人均月收入较高(β = 6.022)和锻炼频次较多(β = 14.962)的珠海市慢性病患者MCS状况较好。
      结论  珠海市慢性病患者生命质量较差,年龄、家庭人均月收入和每周锻炼频次是慢性病患者生命质量的主要影响因素。

     

    Abstract:
      Objective   To examine the status quo and influencing factors of quality of life (QoL) among community residents with chronic non-communicable diseases in Zhuhai city, Guangdong province for providing references to improve QoL of the patients.
      Methods   During May – August 2015, we first conducted a household questionnaire survey among 3 357 permanent residents aged 15 years and above in Zhuhai city using stratified multistate cluster random sampling; then, we assessed the QoL of 523 chronic non-communicable disease patients medically diagnosed among the 3 320 residents completing the survey with Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and analyzed impact factors of QoL among the patients.
      Results  For all the patients, the overall score of SF-36 was 67.02 ± 14.67 and the scores of physical component summary (PCS) and mental component summary (MCS) were 69.38 ± 17.36 and 69.75 ± 17.81; the SF-36 domain scores of the patients were 82.28 ± 19.90 for physiological functioning (PF), 69.41 ± 38.39 for role-physical (RP), 71.05 ± 18.61 for bodily pain (BP), 55.33 ± 17.76 for general health (GH), 65.53 ± 18.03 for vitality (VT), 84.99 ± 23.37 for social functioning (SF), 67.94 ± 39.07 for role-emotional (RE), 70.00 ± 16.73 for mental health (MH), and 46.65 ± 26.64 for health transition (HT), respectively. Stepwise multivariate linear regression analysis indicated that the patients with higher family monthly income per capita (β = 10.361) were more likely to have a better PCS; while, those at older age (β = 0.789), with higher family monthly income per capita (β = 0.789), and with frequent weekly physical exercise (β = 14.962) were more likely to have a better MCS.
      Conclusion   The quality of life of patients with non-communicable diseases in Zhuhai city was relatively poor and influenced by age, family monthly income per capita and frequency of weekly physical exercise.

     

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