吉林省城乡慢性病患者健康相关生命质量及影响因素分析  

Current State and Influencing Factors of Health Related Quality of Life of Patients with Chronic Disease in Jilin Province

作　　者：王平平[1] 李晶华[1] 孔璇[1] 张秀敏[1] 

机构地区：[1]吉林大学公共卫生学院,长春130021

出　　处：《医学与社会》2015年第11期54-57,共4页Medicine and Society

基　　金：吉林省科技厅软科学项目"吉林省城乡居民家庭收入对健康结局与行为影响的研究";编号为20140418083FG;吉林省卫生厅项目"应对慢性病相关危险因素的公民健康管理模式研究";编号为2012R001

摘　　要：目的:了解吉林省城乡慢性病患者健康相关生命质量现状及影响因素,为有针对性提出慢性病防治策略提供依据。方法:数据来源于2013年第五次国家卫生服务调查吉林省家庭健康询问调查中的部分内容。采用EQ-5D量表对35岁及以上慢性病患者的健康相关生命质量进行评价。结果:农村慢性病患者生命质量5个维度存在或伴有严重问题的比例明显高于城市患者,总评分及自我健康评分明显低于城市患者(P<0.05)。年龄、婚姻状况、收入水平、教育水平、疾病严重程度、是否参加体育锻炼、吸烟等均是影响慢性病患者生命质量的重要因素。结论:慢性病患者的生命质量低下已成为不容忽视的社会和医学问题。社会各部门应互相合作,从心理、生理及社会多个维度入手,建立起融预防、治疗、康复为一体的综合性、可及性的慢性病防治网络。Objective： To study the current state and influencing factors of Health Related Quality of Life （HRQOL） of patients with chronic illness and provide decision support for the policy - makers on preventing and controlling chronic diseases. Methods： The data was from the Fifth National Health Services Survey in 2013 in Jilin province. EQ -5D was used to evaluate HRQOL of 35 and over 35 years old patients with chronic illness. Results： The ratios of existing or having severe problems on five dimensions in rural chronic disease patients were much higher than urban patients. Age, income level, education, marriage state, disease severity, physical exercise and smoking were important factors affecting the quality of life in patients with chronic diseases. Conclusion： Decline in quality of life of patients with chronic illness has become a severe social and medical problem which should not be ignored. Social departments should work together to establish a comprehensive and accessible health service network, from the psychological, physiological, and social dimensions, to prevent and control chronic diseases.

关 键 词：慢性病 EQ-5D 健康相关生命质量 城乡差别 

分 类 号：R195.4[医药卫生—卫生统计学]