高血压患者报告结局得分的常模构建  

Norm construction of scores for patient reported outcomes of hypertension

作　　者：王涵 唐顺定 邓丽 张雯 张晓磬 WANG Han;TANG Shunding;DENG Li;ZHANG Wen;ZHANG Xiaoqing(School of Public Health,Kunming Medical University,Kunming,Yunnan 650500,China)

机构地区：[1]昆明医科大学公共卫生学院,云南昆明650500 [2]云南省疾病预防控制中心,云南昆明650034 [3]保山市疾病预防控制中心,云南保山678099 [4]云南省阜外心血管病医院,云南昆明650102

出　　处：《中华全科医学》2023年第7期1238-1242,共5页Chinese Journal of General Practice

基　　金：云南省科技厅联合专项基金资助项目(2019FE001-181,202101AY070001-221)。

摘　　要：目的构建高血压患者报告结局的划界常模,为社区快速判断高血压患者报告结局状态提供依据。方法2020年4-6月,随机抽取云南省2市4县中确诊且为单一用药的社区高血压患者,填写“高血压患者报告结局调查问卷”并计算“PROISCDHY(V1.0)”量表得分,将人群作聚类分析后,以聚类结果作为人群划分依据,建立高血压患者报告结局得分的划界常模。结果此次调查最终收回487份单一用药的高血压患者报告结局调查问卷,经两步聚类法进行聚类分析,将调查对象按年龄和性别分为4类,即:男性≥65岁114例、18~64岁89例,女性≥65岁160例、18~64岁124例。4类人群除“精神/信仰”领域差异无统计学意义外,其余领域差异均有统计学意义(均P<0.05),聚类划分合理。以0.5s为间距,(x±s)和(x±0.5s)为界点构建高血压患者报告结局的划界常模,分为5种状态:[0,x-s)非常差,[x-s,x-0.5s)差,[x-0.5s,x+0.5s)一般,[x+0.5s,x+s)好,[x+s,100)非常好。最终量表总分的划界常模为:[0,66.23),[66.23,70.01),[70.01,77.56),[77.56,81.33),[81.33,100)。其中,18~64岁男性量表总分划界常模为:[0,70.08),[70.08,73.50),[73.50,80.34),[80.34,83.76),[83.76,100);18~64岁女性为:[0,68.19),[68.19,72.08),[72.08,79.85),[79.85,83.73),[83.73,100);≥65岁男性量表总分划界常模为:[0,65.73),[65.73,69.43),[69.43,76.81),[76.81,80.51),[80.51,100);≥65岁女性为:[0,64.15),[64.15,67.49),[67.49,74.17),[74.17,77.51),[77.51,100)。结论此次研究构建了高血压患者报告结局得分划界常模,为后续的高血压患者报告研究提供了数据支持和评价的参考标准。Objective To establish the demarcation norm of the patient-reported outcomes of hypertension,and provide evidence for clinical treatment.Methods Patients with hypertension diagnosed in 4 counties of 2 cities in Yunnan Province who were single-drug patients were randomly selected from April to June 2020.The questionnaire of hypertension patient-reported outcomes was completed,and the scores of the scale(PROISCD-HY)were calculated.After clustering analysis of the population,the clustering results were used as the basis for population division to establish a cut-off norm for the reported outcome scores of hypertension patients.Results The survey eventually collected 487 single-drug hypertension patients reported outcome questionnaires.The two-step cluster method was used to cluster analysis,and the respondents were divided into 4 categories by age and gender:114 males aged≥65,89 males aged 18-64,160 females aged≥65,and 124 females aged 18-64.In the 4 groups,there were all statistical differences in other fields except the field of"Spirit/Belief"(P<0.05),and the clustering was reasonable.A demarcation norm for patients reported outcomes of hypertension was construct with intervals of 0.5s and boundary points of(x±s)and(x±0.5s),and determined as 5 states:[0,x^(-)-s)very poor,[x^(-)-s,x^(-)-0.5s)poor,[x^(-)+0.5s,x^(+)+0.5s)average,[x+0.5s,x^(+)+s)good,[x^(+)+s,100)very good.The demarcation norm for the final total scores of the scale were:[0,66.23),[66.23,70.01),[70.01,77.56),[77.56,81.33),[81.33,100).Among them,the scores of demarcation norm of the 18-64-year-old male were:[0,70.08),[70.08,73.50),[73.50,80.34),[80.34,83.76),[83.76,100);the 18-64-year-old female were:[0,68.19),[68.19,72.08),[72.08,79.85),[79.85,83.73),[83.73,100);the norm of≥65-year-old male were:[0,65.73),[65.73,69.43),[69.43,76.81),[76.81,80.51),[80.51,100);≥65-year-old female were:[0,64.15),[64.15,67.49),[67.49,74.17),[74.17,77.51),[77.51,100).Conclusion This study constructs a demarcation norm for patient reported outcomes and provides da

关 键 词：高血压 患者报告结局 常模 

分 类 号：R544.1[医药卫生—心血管疾病]