3个级别的高血压患者生存质量的证实性因子分析  

EVALUATION OF THE QUALITY OF LIFE OF HYPERTENSION PATIENTS USING CONFIRMATORY FACTOR ANALYSIS

作　　者：张艳[1] 陈炳为[1] 陈启光[1] 闵捷[1] 许碧云[2] 

机构地区：[1]东南大学公共卫生学院卫生统计学教研室,南京210009 [2]南京大学医学院附属鼓楼医院科技处

出　　处：《现代预防医学》2009年第1期1-3,12,共4页Modern Preventive Medicine

基　　金：国家973计划(2003CB517101);国家自然科学基金(30600512)

摘　　要：[目的]探索可以反映不同级别高血压患者生存质量的关键方面,以便有针对性地采取干预措施。[方法]采用SF-12量表采集3个级别高血压患者的健康状况信息,根据探索性因子分析的结果并结合专业知识建立二阶证实性因子分析模型,对模型进行拟合并考核其合理性。[结果]Ⅰ级高血压患者的生存质量主要反映在躯体活动与社会功能、生理卫生这两个方面(载荷系数为1.024和0.999);Ⅱ级主要反映在心理卫生方面(载荷系数为0.930);Ⅲ级则主要反映在躯体活动与社会功能方面(载荷系数为1.063)。[结论]不同级别的高血压患者生存质量的载荷系数不相同,量表中反映不同级别高血压患者生存质量的关键方面存在差异。[ Objective] By Using confirmatory factor analysis （CFA）in analyZing and comparing the quality of life （QOL） of hypertension patients of three different levels, to explore the key aspects reflecting the QOL of hypertension patients of different levels, and adopt pertinent intervention. [Methods] Used SF-12 scale to acquire the health status of hypertension patients of three levels, second-order CFA model can be established according to the results of EFA and professional knowledge, we can observe the fitness and the rationality of the model. [Results] Factor loadings were different in the QOL of three levels of hypertension patients, the key aspects reflecting the hypertension patients＇ s QOL in the scale were different. [Conclusion] CFA has more advantages than traditional statistical methods in the evaluation and analysis of the QOL, and it is feasible to analyze the QOL of hypertension patients.

关 键 词：高血压 生存质量 SF-12量表 证实性因子分析 

分 类 号：R544.1[医药卫生—心血管疾病]