【摘要】：目的：采用橫斷面研究方法,探討慢性乙肝住院患者健康商數(shù)及其影響因素,為提高慢性乙肝住院患者健康商數(shù)提供科學(xué)可靠的依據(jù)。 方法：選擇在2012年12月至2013年5月在中南大學(xué)湘雅三醫(yī)院傳染科、消化內(nèi)科及肝膽外科住院的全部慢性乙肝患者作為本次的研究對(duì)象,采用社會(huì)人口學(xué)資料調(diào)查表、謝華珍《健康商數(shù)問卷》、慢性肝病量表(Chronic Liver Disease Questionnaire,CLDQ)對(duì)乙肝患者進(jìn)行調(diào)查。采用獨(dú)立樣本t檢驗(yàn)、t檢驗(yàn)、方差分析和Kuskal-WallisH檢驗(yàn)、多因素logistic回歸分析方法進(jìn)行統(tǒng)計(jì)分析。 結(jié)果： 1.本次調(diào)查有效問卷128份,性別以男性為主,占75%；年齡以中青年人為主,占72.7%；職業(yè)以工人和農(nóng)民居多,分別占18.8%和40.6%；文化程度以初中為主,占40.6%；婚姻狀況中已婚的占大多數(shù),為90.6%；經(jīng)濟(jì)狀況為一般者居多,占69.6%；合并疾病中合并一至兩種疾病者為48.5%；肝臟分級(jí)為Child B級(jí)者占大多數(shù),為76.6%。 2.慢性乙肝患者健康商數(shù)的五個(gè)維度中,生活方式、精神狀態(tài)、自我保健、健康知識(shí)、人生技能各維度的得分分別為17.28±2.25、16.13±2.33、15.16±2.48、15.87±2.42、13.97±2.89,五個(gè)維度的得分均低于臨界值。 3.在生活方式維度中,得分低于臨界值的患者有63例,占49.22%；在精神狀態(tài)維度中,得分低于臨界值患者有85例,占66.40%；在自我保健維度中,得分低于臨界值的患者有105例,占82.03%；在人生技能維度中,得分低于臨界值的患者有90例,占70.31%；在健康知識(shí)維度中,得分低于臨界值的患者有109例,占85.16%。 4.健康商數(shù)的單因素分析： (1)不同性別慢性乙肝患者健康商數(shù)的五個(gè)維度中,生活方式得分的差異有統(tǒng)計(jì)學(xué)意義(P0.05),男性與女性患者在精神狀態(tài)、自我保健、人生技能和健康知識(shí)維度得分的差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)： (2)不同年齡慢性乙肝患者健康商數(shù)的五個(gè)維度中,生活方式得分的差異有統(tǒng)計(jì)學(xué)意義(P0.05),各年齡段患者在精神狀態(tài)、自我保健、人生技能和健康知識(shí)維度得分的差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)；不同文化程度慢性乙肝患者健康商數(shù)的五個(gè)維度中,自我保健和健康知識(shí)得分的差異有統(tǒng)計(jì)學(xué)意義(P0.05),不同文化程度的慢性乙肝患者在生活方式、精神狀態(tài)和人生技能維度得分的差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)； (3)不同職業(yè)慢性乙肝患者在生活方式、精神狀態(tài)、自我保健、人生技能和健康知識(shí)五個(gè)維度的得分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)；不同婚姻狀況慢性乙肝患者健康知識(shí)得分的差異有統(tǒng)計(jì)學(xué)意義(P0.05),不同婚姻狀況慢性乙肝患者在生活方式、精神狀態(tài)、自我保健和人生技能得分的差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)； (4)不同經(jīng)濟(jì)狀況慢性乙肝患者在生活方式、精神狀態(tài)、自我保健、人生技能和健康知識(shí)五個(gè)維度的得分差異均有統(tǒng)計(jì)學(xué)意義(P0.05)： (5)不同合并疾病狀況慢性乙肝患者在生活方式、精神狀態(tài)、自我保健、人生技能和健康知識(shí)得分的差異沒有統(tǒng)計(jì)學(xué)意義(P0.05)。不同肝臟功能分級(jí)慢性乙肝患者精神狀態(tài)得分的差異有統(tǒng)計(jì)學(xué)意義精神狀態(tài)(P0.05),不同肝臟功能分級(jí)慢性乙肝患者在生活方式、自我保健、人生技能和健康知識(shí)得分的差異無統(tǒng)計(jì)學(xué)意義(P0.05)。 (6)本次調(diào)查對(duì)象生活質(zhì)量總分的平均分為131.37±30.95分,最低分為29.00分,最高分為203.00分。 5.健康商數(shù)的多因素分析： 性別、年齡是生活方式維度得分的影響因素；經(jīng)濟(jì)狀況、文化程度和生活質(zhì)量是精神狀態(tài)維度得分的影響因素；經(jīng)濟(jì)狀況和文化程度是自我保健維度得分的影響因素；年齡和文化程度是人生技能維度得分的影響因素；性別和文化程度是健康知識(shí)維度得分的影響因素。 結(jié)論： 1.慢性乙肝患者健康商數(shù)的五個(gè)維度中,生活方式、精神狀態(tài)、自我保健、健康知識(shí)、人生技能各維度的得分分別為17.28±2.25、16.13±2.33、15.16±2.48、15.87±2.42、13.97±2.89,五個(gè)維度的得分均低于臨界值。 2.性別、年齡是生活方式維度得分的影響因素；經(jīng)濟(jì)狀況、文化程度和生活質(zhì)量是精神狀態(tài)維度得分的影響因素；經(jīng)濟(jì)狀況和文化程度是自我保健維度得分的影響因素；年齡和文化程度是人生技能維度得分的影響因素；性別和文化程度是健康知識(shí)維度得分的影響因素。
[Abstract]:Objective: To study the number of healthy quotient of patients with chronic hepatitis B and its influencing factors by cross-sectional study, and to provide scientific and reliable basis for improving the number of healthy quotient of patients with chronic hepatitis B. Methods: All patients with chronic hepatitis B from December 2012 to May 2013 were selected as the subject of this study, and all the patients with chronic hepatitis B in internal medicine and liver and gallbladder surgery were selected as the subject of this study. The questionnaire of social demography data, Xie Huizhen . The chronic liver disease scale (CLDQ) is used to modulate the patients with hepatitis B. The statistical analysis was performed using independent sample t-test, t-test, analysis of variance, and Kuskal-Wallis test, multi-factor logistic regression analysis method. Analysis. Results:1. The effective questionnaire of this survey was 128, the sex was male-dominated, accounting for 75%, the middle and middle-young people were the majority, accounting for 72.7%, the occupation was the majority of the workers and the peasants, accounting for 18.8% and 40.6%, respectively; the degree of culture was mainly junior high school, accounting for 40.6%; the marital status was married The majority of the population was 90.6%; the economic situation was the most common, accounting for 69.6%; the combination of one or two of the two diseases was 48.5% in the combined disease; the liver was classified as Child B; the majority of the patients were: 76.6%.2. The scores of life style, mental state, self-care, health knowledge and life skills in the five dimensions of the health quotient of patients with chronic hepatitis B are 17.28, 2.25, 16.13, 2.33, 15.16, 2.48, 15.87, 2.42, 13.97 and 2.89, respectively. 3. In the life style dimension,63 patients with a score lower than the critical value, accounting for 49.22%; in the mental state,85 patients with a score lower than the critical value, accounting for 66.40%; in the self-care dimension, the patients with the score lower than the critical value are 105 (82.03%); in the life skill dimension,90 (70.31%) of patients with a score lower than the critical value (70.31%); in the health knowledge dimension, the patients with a score lower than the critical value are 109 (85.16%) The single-factor analysis of the number of healthy quotient: (1) In the five dimensions of the number of healthy quotient of the patients with different sex and chronic hepatitis B, the difference of life style scores is of statistical significance (P0.05), and the male and female The difference between the mental state, self-care, life skills and health knowledge dimension scores of patients with sex is not There was a statistical significance (P0.05): (2) There was a significant difference in the score of life style in the five dimensions of the number of healthy quotient of patients with chronic hepatitis B (P0.05). The difference of the scores of mental state, self-care, life skills and health knowledge in all ages is not significant (P0.05); in the five dimensions of the health quotient of chronic hepatitis B patients with different cultural degrees, the scores of self-care and health knowledge are scored The difference was significant (P0.05). The difference between life style, mental state and life skill dimension of chronic hepatitis B patients with different cultural degrees There was no statistical significance (P0.05); (3) different occupational chronic hepatitis B The scores of the five dimensions of life style, mental state, self-care, life skills and health knowledge were statistically significant (P0.05). The difference of health knowledge scores of patients with chronic hepatitis B with different marital status was statistically significant (P0.05). The life style, mental state, self-care and life skills score of patients with chronic hepatitis B (4) The five dimensions of life style, mental state, self-care, life skills and health knowledge of chronic hepatitis B patients with different economic conditions There was a significant difference in the scores of chronic hepatitis B (P0.05): (5) The life style, mental state, self-care, life skills and health of chronic hepatitis B patients with different combined diseases The difference of knowledge score was not significant (P0.05). The difference of mental state scores of patients with chronic hepatitis B with different liver function was statistically significant (P0.05). Different liver function grades of chronic hepatitis B were in the way of life, self-care, life skills and health. (6) The total score of life quality of this survey was 131.37 and 30.95. with the lowest score of 29.00, the most High score is 203.00.5. Multi-factor analysis of health quotient: gender, age is the influence factor of life style dimension score; economic status, culture degree and quality of life are the shadow of mental state dimension score Sound factors; economic status and degree of culture are the factors that influence the score of self-care dimension; the age and the degree of culture are the scores of life skill dimension the effect of The results are as follows:1. The scores of life style, mental state, self-care, health knowledge and life skills are 17.28, 2.25, 16.13, 2.33, 15.16, 2.48, and 15.8 respectively in the five dimensions of the health quotient of patients with chronic hepatitis B. 7. 2.42, 13.97-2.89, the scores of the five dimensions are lower than the critical value.2. Gender, age is the influence factor of the life style dimension score; the economic situation, the degree of culture and the quality of life are the mental state The influence factor of the dimension score; the economic status and the degree of culture are the influence factors of the self-care dimension score; the age and the culture degree are the life
【學(xué)位授予單位】：中南大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2013
【分類號(hào)】：R512.62

【參考文獻(xiàn)】

相關(guān)期刊論文 前1條

1 王翠磊;;社區(qū)護(hù)理干預(yù)對(duì)高血壓病患者健康知識(shí)和生活行為方式的影響[J];齊齊哈爾醫(yī)學(xué)院學(xué)報(bào);2006年14期

，

本文編號(hào)：2440160

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