九江市柴桑区晚期血吸虫病患者生存质量调查及其影响因素分析  

Investigation on quality of life of patients with advanced schistosomiasis in Chaisang District of Jiujiang City and analysis of its influencing factors

作　　者：许海燕 XU Haiyan(Department of Schistosomiasis Diagnosis and Treatment,Chaisang District Center for Disease Control and Prevention in Jiujiang City,Jiangxi Province,Jiujiang 332100,China)

机构地区：[1]江西省九江市柴桑区疾病预防控制中心血吸虫病诊疗内科,江西九江332100

出　　处：《中国当代医药》2022年第18期128-132,共5页China Modern Medicine

基　　金：江西省九江市科技计划项目(20201045)。

摘　　要：目的评估柴桑区晚期血吸虫病(简称晚血)患者生存质量及分析其影响因素,为改善晚血患者的生存质量提供依据。方法选取2020年1月至2021年6月在九江市柴桑区疾控中心血吸虫病诊疗内科住院治疗的216例晚血患者为病例组,选取同期216例健康居民为对照组。采用世界卫生组织生存质量测定简式量表(WHOQOL-BREF),调查比较两组的生存质量,分析晚血患者生存质量的影响因素。结果病例组生存质量和健康状况差于对照组,差异均有统计学意义(P<0.05)。病例组生理、心理领域评分低于对照组,差异有统计学意义(P<0.05),两组社会关系和环境领域评分比较,差异无统计学意义(P>0.05)。单因素分析结果显示,不同年龄、睡眠质量、婚姻状况、周锻炼活动次数、有无合并症、家庭月人均收入、饮食状况、家庭不和谐晚血患者的生存质量综合水平等级构成比较,差异有统计学意义(P<0.05)。多因素分析结果显示,年龄(β=-1.605,OR=0.201,95%CI=0.096~0.422)、睡眠质量(β=1.169,OR=3.220,95%CI=1.459~7.104)、周锻炼活动次数(≥30 min/次)(β=1.563,OR=4.772,95%CI=2.275~10.010)、家庭月人均收入(β=0.994,OR=2.702,95%CI=1.350~5.406)、有无合并症(β=-0.737,OR=0.478,95%CI=0.235~0.973)、食欲(β=0.947,OR=2.578,95%CI=1.284~5.177)及家庭不和谐(β=-1.019,OR=0.361,95%CI=0.177~0.737)是晚血患者生存质量的影响因素(P<0.05)。结论晚血患者生存质量低于未患血吸虫病的健康居民,年龄、睡眠质量、周锻炼活动次数、家庭月人均收入、有无合并症、食欲及家庭不和谐是影响晚血患者生存质量的主要因素。Objective To evaluate the quality of life of patients with advanced schistosomiasis in the Chaisang District and to analyze the influencing factors,so as to provide a basis for improving the quality of life of patients with advanced schistosomiasis.Methods A total of 216 patients with advanced schistosomiasis who were hospitalized in the Department of Diagnosis and Treatment of Schistosomiasis Clinic of the Chaisan District Center for Disease Control and Prevention in Jiujiang City from January 2020 to June 2021 were selected as the case group,and 216 healthy residents without schistosomiasis at the same time were selected as the control group.The World Health Organization quality of life assessment instrument brief version(WHOQOL-BREF)was used to investigate the factors influencing the survival quality of patients with advanced schistosomiasis by comparing the two groups.Results The quality of life and health status of the case group were worse than those of the control group,and the differences were statistically significant(P<0.05).The scores of physiological and psychological fields in the case group were lower than those in the control group,and the differences were statistically significant(P<0.05),while there were no significant differences in the scores of social relations and environment between the two groups(P>0.05).The results of univariate analysis suggested that there were significant differences in the comprehensive level hierarchical composition of quality of life between advanced schistosomiasis patients with different sleep quality,marital status,number of exercise activities in weeks,presence or absence of comorbidities,per capita household income,dietary status,and family discordance advanced schistosomiasis(P<0.05).The results of multivariate analysis suggested that age(β=-1.605,OR=0.201,95%CI=0.096-0.422),sleep quality(β=1.169,OR=3.220,95%CI=1.459-7.104),number of exercise activities per week(≥30 min/session)(β=1.563,OR=4.772,95%CI=2.275-10.010),per capita household income(β=0.994,OR=2

关 键 词：晚期血吸虫病 生存质量 生存质量测定简式量表 影响因素分析 多元LOGISTIC回归分析 

分 类 号：R183[医药卫生—流行病学]