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慢性乙肝患者生命质量及影响因素分析

Quality of life and its influencing factors among chronic hepatitis B patients

  • 摘要: 目的评价慢性乙肝患者生命质量,并探讨其影响因素。方法采取随机整群抽样方法,使用健康调查简易量表SF-36对291例患者进行调查,运用ordinal logistic回归等方法对有效调查信息进行分析。结果慢性乙型肝炎患者总体健康(GH)、生理功能(PF)、生理职能(RP)、情感职能(RE)、社会功能(SF)、躯体疼痛(BP)、活力(VT)和精神健康(MH)得分分别为(50.41±19.70)、(69.74±35.06)、(32.41±44.81)、(64.25±46.31)、(78.71±24.37)、(73.03±23.50)、(55.60±17.90)、(64.65±17.20)分,与中国常模比较,差异均有统计学意义(均P<0.001);Ordinal logistic回归分析结果显示,未患其他慢性病、门诊患者、年龄小以及家庭人均年收入高的乙肝患者生命质量越高(均P<0.05)。结论乙肝患者生命质量低于一般人群且受到多种因素影响。

     

    Abstract: Objective To evaluate the quality of life( QOL) in patients with chronic hepatitis B and to explore its influencing factors. Methods Cluster random sampling was taken and the Medical Outcomes Study 36-Iterm Short Form Health Survey( SF-36) was used among 342 chronic hepatitis B patients. The data collected were analyzed by using ordinal logistic regression analysis. Results Compared with the domestic norm,the scores of general health( 50. 41 ± 19. 70),physical functioning( 69. 74 ± 35. 06),role-physical( 32. 41 ± 44. 81),role-emotional( 64. 25 ± 46. 31),social functioning( 78. 71 ± 24. 37),bodily pain( 73. 03 ± 23. 50),vitality( 55. 60 ± 17. 90),and mental health( 64. 65 ± 17. 20) were lower( P < 0. 001 for all) among the patients. Results of ordinal logistic regression analysis showed that age,chronic diseases,and hospitalization had negative influence on QOL,but higher per capita income had positive influence( P <0. 05). Conclusion The patients with chronic hepatitis B had poorer QOL than general population and the QOL of the patients was influenced by a number of factors.

     

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