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| A study on effects of various chronic diseases on quality of life |
| ZHU Yin-chao, WANG Yong, LI Hui, GONG Qing-hai, JI Wei
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| The Center for Disease Control and Prevention of Ningbo city, Ningbo, Zhejiang, 315010, China |
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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.
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Received: 17 March 2015
Revised: 20 April 2015
Published: 05 January 2018
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[1] 李明晖,罗南.欧洲五维健康量表(EQ-5D)中文版应用介绍[J].中国药物经济学,2009(1):49-57.
[2] YANG G,KONG L,ZHAO W,et al.Emergence of chronic non-communicable diseases in China[J].Lancet,2008,372(9650):1697-1705.
[3] FORTIN M,SOUBHI H,HUDON C ,et al.Multimorbidity's many challenges[J].BMJ,2007,334(7602):1016-1017.
[4] WU F,GUO Y,KOWAL P,et al.Prevalence of major chronic conditions among older Chinese adults: the Study on Global AGEing and adult health (SAGE) wave 1[J].PLoS One,2013,8(9):e74176.
[5] 刘飞,王欣欣.慢性疾病影响老年人QOL的研究进展[J].中国老年学杂志,2011,31(21):4277-4280.
[6] 王煜.中国居民健康相关生命质量及其对卫生服务利用影响的研究[D].北京:北京协和医学院研究生院,2010.
[7] HUNGER M,THORAND B,SCHUNK M,et al.Multimorbidity and health-related quality of life in the older population: results from the German KORA-age study[J].Health Qual Life Outcomes,2011(9):53.
[8] 李淑杏,陈长香,赵雅宁,等.城市常见慢性病老年人生存质量调查[J].现代预防医学,2013,40(18):3435-3437.
[9] KRANCIUKAITE-BUTYLKINIENE D,RASTENYTE D,JURENIENE K,et al.Physical and mental health of stroke survivors and their daily activities[J].Medicina (Kaunas),2009,45(11):896-903.
[10] SHELDENKAR A,CRICHTON S,DOUIRI A ,et al.Temporal trends in health-related quality of life after stroke: analysis from the South London Stroke Register 1995-2011[J].Int J Stroke,2014,9(6):721-727.
[11] 蔡柏蔷.慢性阻塞性肺疾病患者的生活质量评估[J].中国康复理论与实践,2009,15(5):405-407.
[12] 周玉民,王辰,姚婉贞.中国七省市慢性阻塞性肺疾病患者的生命质量现况调查[J].中华结核和呼吸杂志,2009,32(4):248-252.
[13] KORHONEN P E ,SEPPALA T ,JARVENPAA S,et al.Body mass index and health-related quality of life in apparently healthy individuals[J].Qual Life Res,2014,23(1):67-74.
[14] ZHANG Q ,ZHANG N ,HU H L ,et al.Effect of intensive blood glucose control on quality of life in elderly patients with type 2 diabetes in Anhui Province[J].Chin Med J (Engl),2011,124(11):1616-1622.
[15] GERSTEIN H C,HAYNES R B.Evidence-Based Diabtets
Care[M].北京:人民卫生出版社,2010:10.
[16] SPEIGHT J ,REANEY M D ,BARNARD K D .Not all roads lead to Rome-a review of quality of life measurement in adults with diabetes[J].Diabet Med,2009,26(4):315-327. |
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