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预防医学  2016, Vol. 28 Issue (1): 24-27    
  论著 本期目录 | 过刊浏览 | 高级检索 |
常见慢性病对患者生活质量的影响
朱银潮, 王永, 李辉, 龚青海, 纪威
宁波市疾病预防控制中心,浙江 宁波 315010
A study on effects of various chronic diseases on quality of life
ZHU Yin-chao, WANG Yong, LI Hui, GONG Qing-hai, JI Wei
The Center for Disease Control and Prevention of Ningbo city, Ningbo, Zhejiang, 315010, China
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摘要 目的了解常见慢性病患者的生活质量状况和影响因素。方法采用多阶段分层整群随机抽样方法,抽取宁波市≥15岁常住人口6 030人进行《家庭成员个人情况调查表》调查,使用半参数可加模型和半参数广义可加模型分别进行生活质量影响因素分析。结果不同慢性病对患者欧洲五维健康量表(EQ-5D)指数得分均产生消极效应,按影响大小依次为脑卒中、肿瘤、慢性阻塞性肺病(COPD)、糖尿病和高血压。脑卒中、肿瘤和糖尿病会增加患者行动、自我照顾、平常活动、疼痛/不舒服和焦虑/抑郁等5个维度“有问题”自我报告率,COPD只增加患者平常活动维度“有问题”自我报告率,而高血压不影响患者焦虑/抑郁维度“有问题”自我报告率。BMI与EQ-5D指数得分关系呈倒“U”字形,当BMI为20.90 kg/m2时EQ-5D指数得分达最高值。结论不同慢性病对患者生活质量影响不同,保持合理的BMI有助于提高生活质量。
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朱银潮
王永
李辉
龚青海
纪威
关键词 生活质量慢性病影响因素    
Abstract:ObjectiveTo learn the current situation of Quality of Life (QoL) among patients with various Chronic Diseases (CDs) and the effects of CDs on QoL. MethodsData was from the fifth health service survey in Ningbo City with self-reported CDs cases and QoL was measured by EQ-5D scale. Semi-parameter Additive Models and Semi-parameter Generalized Additive Models (GAMs) were used to analyze influencing factor of QoL. ResultsDifferent CDs had different effects on EQ-5D index, with the most severe impairments for stroke which was followed by tumor, COPD, diabetes and hypertension successively. Stroke, tumor and diabetes could improve the probability of self-reporting "problems" in all five dimensions (including mobility, self-care, usual activities, pain/discomfort and anxiety/depression dimension) and COPD could only increase the probability of self-reporting "problems" in dimension of usual activities. Hypertension could affect the other four dimensions except for the dimension of anxiety/depression. The relationship between Body Mass Index (BMI) and EQ-5D index was appeared inversed U-shaped with the maximum EQ-5D index located around the BMI of 20.90. ConclusionDifferent CDs had different effects on QoL and reaching optimal BMI was beneficial to improve the QoL.
Key wordsQuality of life    Chronic diseases    Influencing factors
收稿日期: 2015-03-17      修回日期: 2015-04-20      出版日期: 2016-01-10
中图分类号:  R592  
通信作者: 朱银潮,E-mail:zhuyc@nbcdc.org.cn   
作者简介: 朱银潮,硕士,副主任医师,主要从事慢性病预防与控制工作
引用本文:   
朱银潮, 王永, 李辉, 龚青海, 纪威. 常见慢性病对患者生活质量的影响[J]. 预防医学, 2016, 28(1): 24-27.
ZHU Yin-chao, WANG Yong, LI Hui, GONG Qing-hai, JI Wei. A study on effects of various chronic diseases on quality of life. Preventive Medicine, 2016, 28(1): 24-27.
链接本文:  
http://www.zjyfyxzz.com/CN/      或      http://www.zjyfyxzz.com/CN/Y2016/V28/I1/24
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