多中心高血压患者生命质量影响因素研究  

Multicenter study on quality of life in patients with hypertension and its influencing factors

作　　者：陈丽萍 王小万[2] 王增武[1,3] 冯芮华[2] 崔月颖[2] 李建[2] CHEN Li-ping;WANG Xiao-wan;WANG Zeng-wu;FENG Rui-hua;CUI Yue-ying;LI Jian(Peking Union Medical College,Beijing 100370,Institute of Medical Information,Chinese Academy of Medical Science,Beijing 100020,China)

机构地区：[1]北京协和医学院,北京100370 [2]中国医学科学院医学信息研究所卫生经济研究室,北京100020 [3]中国医学科学院阜外心血管病医院流行病学研究室

出　　处：《中华高血压杂志》2018年第10期927-933,共7页Chinese Journal of Hypertension

基　　金："十二五"国家科技支撑项目(2011BAI11B00);中央级公益性科研院所基本科研业务费(2016ZX330017);中央级公益性科研院所基本科研业务费(2016ZX330012)

摘　　要：目的比较高血压患者与正常人群生命质量差异,探讨影响高血压患者生命质量的主要因素,为提高高血压患者生命质量并制定有针对性的健康管理策略提供参考依据。方法在全国范围内采用分层多阶段随机抽样的方法进行基本情况及生命质量调查,使用世界卫生组织生命质量简表(WHOQOL-BREF)测量生命质量,采用SPSS 21.0对数据进行分析,测算高血压患者与正常人群生命质量现状;通过t检验、单因素方差分析及多元线性回归分析影响高血压患者生命质量的因素。结果高血压患者生命质量各维度均低于正常人群,其中心理维度差异最大;单因素分析表明,不同年龄、性别、受教育状况、医保类型、就业状况、高血压控制状况高血压患者生理、心理和社会关系维度生命质量差异具有统计学意义;不同知晓情况高血压患者的心理和社会关系维度生命质量差异具有统计学意义;是否有身体活动和是否纳入规范化管理高血压患者生理维度生命质量差异具有统计学意义。性别、年龄、人均GDP、是否参与身体活动、是否接受高血压治疗、城乡、婚姻状态纳入多元线性回归。结论年龄、受教育状况、医保类型、就业状况、人均GDP水平和是否纳入规范化管理是影响高血压患者生命质量的重要因素;性别、是否参与身体活动、是否接受治疗是影响高血压患者生理维度生命质量的重要因素;城乡差异主要影响高血压患者心理维度生命质量;婚姻状况主要影响高血压患者社会关系维度生命质量状况。Objective To describe the current situation of quality of life （QOL） in Chinese population, compare the difference between hypertensive patients and normal population, explore main factors affecting QOL in patients with hypertension, and provide a reference for improving QOL of hypertensive patients and formulating targeted health management strategies. Methods The basic situation and QOL were investigated by stratified and multi-stage random sampling in the whole country. QOL was measured by WHOQOL-BREF, and the data were analyzed by SPSS21.0. QOL status of hypertensive patients and normal population was measured. T-test, one-way ANOVA and multivariable linear regression were used to analyse the factors influencing QOL of hypertensive patients. Results All dimensions of QOL of hypertensive patients were lower than those of normal population, and the psychological dimension had the biggest difference. Age, sex, education, type of health insurance, employment status and hypertension control had significant effects on physiological, psychological and social dimensions （P〈0.05）. The awareness of hypertension had significant effects on psychological and social dimensions（P〈0.05 ）. The inclusion of hypertension community standardized management had significant effects on physiological dimensions （P〈 0.05）. Gender, age, GDP per capita, whether to participate in physical activity, whether to receive hypertension treatment, urban and rural areas, marital status were included into multiple linear regression. Conclusion Age, education, type of medical insurance, employment status, GDP level per capita and the inclusion of standardized management are the important factors affecting QOL of patients with hypertension. Sex, the participation in physical activity and whether to receive treatment are the important factors that affect QOL in the physiological dimension,and the differences between urban and rural areas mainly affect QOL in the psychological dimension of hypertensive patients. Marital status m

关 键 词：高血压 生命质量 正常人群 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]