發(fā)布時(shí)間：2018-05-13 10:32

  本文選題：老年人身心健康評(píng)價(jià) + 健康效用值��； 參考：《中國(guó)全科醫(yī)學(xué)》2017年26期

【摘要】：目的以農(nóng)村中老年人為調(diào)查對(duì)象,從SF-12量表提取條目形成SF-6D,進(jìn)行健康效用值換算并分析其影響因素。方法 2016年4月,采用多階段分層隨機(jī)抽樣,選取四川省富順縣240戶家庭年齡≥45歲且在本地居住超過6個(gè)月者為調(diào)查對(duì)象。采用一般情況調(diào)查問卷收集調(diào)查對(duì)象基本特征資料,采用SF-12量表調(diào)查健康狀態(tài),從中提取條目3、5、6、8、10、11、12,形成6維度7條目的SF-6D量表,依據(jù)英國(guó)SF-6D健康效用值積分體系換算調(diào)查對(duì)象的健康效用值。結(jié)果本研究共調(diào)查265名中老年人,2名主要數(shù)據(jù)缺失,263名納入分析。健康效用值為0.34~1.00,中位數(shù)為0.66,平均為(0.67±0.14)。不同性別、婚姻狀況者健康效用值比較,差異無統(tǒng)計(jì)學(xué)意義(P0.05)。不同年齡、文化程度、家庭人均年收入、2周病傷和半年慢病的發(fā)生情況,以及基本公共衛(wèi)生服務(wù)獲得情況者健康效用值比較,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。多因素Logistic回歸分析顯示,家庭人均年收入3 000元、2周病傷、半年慢病是健康效用值降低的危險(xiǎn)因素(P0.05)。結(jié)論農(nóng)村中老年人健康效用值較低,低收入及2周病傷、半年慢病的發(fā)生是健康效用值降低的危險(xiǎn)因素。應(yīng)當(dāng)加快建立基于我國(guó)人群偏好的SF-6D健康效用值積分體系,提高健康效用值測(cè)量結(jié)果可信度。
[Abstract]:Objective to select SF-6D from SF-12 scale to convert the health utility value and analyze the influencing factors. Methods in April 2016, 240 families aged more than 45 years and living in the local area for more than 6 months were selected from a multi-stage stratified random sampling in Fushun County, Sichuan Province. General situation questionnaire was used to collect the basic characteristics of the subjects, and the SF-12 scale was used to investigate the health status, from which the items were extracted, and the SF-6D scale of 6 dimension 7 items was formed. The health utility values of the subjects were converted according to the SF-6D health utility integral system in the United Kingdom. Results A total of 265 middle aged and elderly patients with 2 main data missing were included in the study. The health utility value was 0.34 鹵1.00, the median was 0.66, and the average was 0.67 鹵0.14. There was no significant difference in health utility value between different sex and marital status (P 0.05). There were significant differences in the incidence of disease and injury and chronic disease in two weeks and half a year, as well as in the access to basic public health services. The difference was statistically significant (P 0.05). Multivariate Logistic regression analysis showed that the average annual income of the family was 3 000 yuan per year for 2 weeks, and half a year's slow illness was the risk factor for the decrease of health utility value (P 0.05). Conclusion the health utility value of middle and old people in rural areas is low, low income, 2 weeks sick and injured, and half a year slow illness are the risk factors for the decrease of health utility value. We should accelerate the establishment of SF-6D health utility value integral system based on population preference in China and improve the reliability of the health utility value measurement results.
【作者單位】： 四川大學(xué)華西公共衛(wèi)生學(xué)院健康與社會(huì)行為學(xué)系;
【分類號(hào)】：R592

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1 顧杰;類風(fēng)濕關(guān)節(jié)炎疾病效用值測(cè)量方法的比較[D];復(fù)旦大學(xué);2009年

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