重庆市九龙坡区245例高血压组生活质量及影响因素分析  

Analysis on the quality of life and its influencing factors of patients with hypertension in Chongqing district

作　　者：田福运 张名均 杨雪 任远 孙振兴[2] 杨雪巍 唐晓君[2,3] 

机构地区：[1]重庆市九龙坡区人民医院,400051 [2]重庆医科大学公共卫生与管理学院流行病教研组,重庆400016 [3]重庆医科大学医学与社会发展研究中心,重庆400016

出　　处：《重庆医学》2017年第5期661-664,共4页Chongqing medicine

基　　金：国际合作项目(美国杜克大学;X7383)

摘　　要：目的了解重庆市九龙坡区高血压组的生活质量情况,探讨高血压组的生活质量的影响因素,为提高高血压组的生活质量提供依据。方法用中文版SF-36量表对九龙坡区1 065例居民进行问卷调查,获得有效问卷875例,其中原发性高血压组(高血压组)245例,健康对照组630例。采用t检验、单因素方差分析、多元逐步线性回归分析高血压组生活质量的主要影响因素。结果高血压病患者总体生活质量得分(457.76±113.90)分,低于18~65岁的未患高血压人群,高血压组的各维度分值(精神健康、生理功能、社会功能、情感取能、躯体疼痛、总体健康)低于健康对照组,差异具有统计学意义(P<0.05)。多元线性回归分析结果显示,高血压组生活质量与婚姻状况(β=-35.430,P<0.01)及每周体育锻炼(β=-47.440,P<0.01)呈负相关。结论重庆九龙坡区高血压组生活质量较健康人群低。影响高血压组生活质量的因素有高血压组的文化程度、婚姻状况和每周体育锻炼。Objective To understand hypertension patient quality of life in Chongqing district and to explore the influence factors of its quality of life,and providing the basis for improve the quality of hypertension patient survival.Methods In a unified Chinese SF-36 scale on the questionnaire survey to 1065 inhabitants of one district.245 cases of patients with essential hypertension and healthy controls（n=630）.Using t test,single factor variance analysis,multiple stepwise linear regression analysis the influence factors of hypertension patients quality of life,finding the main factors.Results High blood pressure patients overall life quality score（457.76±113.90）was lower than the general population in China.Each dimension score was lower than the healthy controls excepting for hypertension（physiological function dimension,energy dimension）,with statistical difference（P0.05）.Multiple linear regression analysis results showed that the high blood pressure patients quality of life and marital status（β=-35.430,P0.01）,weekly exercise（β=-47.440,P0.01）was negatively correlated.Conclusion Patients quality in Chongqing district of life was lower than those of healthy people.The influencing factors of hypertension patient quality of life have hypertension patient′s cultural degree,marital status and physical exercise weekly.Influence factors on the life quality should be targeted intervention,thus improve the patients quality of life.

关 键 词：生活质量 高血压 SF-36量表 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]