發(fā)布時間：2018-04-02 13:28

  本文選題：高血壓　切入點：生命質(zhì)量　出處：《安徽醫(yī)科大學(xué)》2017年碩士論文

【摘要】：目的:以歐洲五維健康量表為工具,調(diào)查連云港市東�？h農(nóng)村地區(qū)高血壓患者生理、心理等不同維度的生命質(zhì)量情況,探討影響生命質(zhì)量的因素,為當?shù)剞r(nóng)村高血壓患者的健康管理提供依據(jù)。方法:2016年7月至9月期間,在連云港市5個鄉(xiāng)鎮(zhèn)(石榴街道、青湖鎮(zhèn)、洪莊鎮(zhèn)、溫泉鎮(zhèn)、張灣鄉(xiāng))抽取2125名高血壓患者作為研究對象,組織到當?shù)剜l(xiāng)鎮(zhèn)衛(wèi)生院進行血壓測量、體格檢查和問卷調(diào)查,收集患者的一般情況及血壓情況,應(yīng)用歐洲生存質(zhì)量測定量表評價患者的生命質(zhì)量。Epidata3.1建立數(shù)據(jù)庫,將原始數(shù)據(jù)雙錄入,確保正確性,采用SPSS16.0軟件對數(shù)據(jù)進行描述,分析生命質(zhì)量的影響因素。EQ-5D評分采用英國TTO效用值換算表法。結(jié)果:(1)本次調(diào)查研究對象的收縮壓和舒張壓平均水平分別是(146.66±12.69)mm Hg、(94.37±12.01)mm Hg。降壓藥物服用率達到63.0%,血壓控制率13.1%。(2)EQ-5D量表五個維度:行動能力報告有困難者327人(15.3%);自理能力報告有困難者103人(4.8%);日常生活能力報告有困難者211人(9.9%);疼痛/不適報告有困難者960人(45.1%);焦慮/抑郁報告有困難者358人(16.9%)。本次調(diào)查研究對象的主要生命質(zhì)量問題是在疼痛/不適以及焦慮/抑郁兩個維度。利用英國的TTO換算表得出的EQ-5D總評分(0.839±0.217),評分范圍(-0.349~1)。行動能力(0.011±0.026),自理能力(0.005±0.025),日常生活能力(0.004±0.014),疼痛/不適(0.066±0.089),焦慮/抑郁(0.015±0.041)。(3)不同鄉(xiāng)鎮(zhèn)高血壓患者EQ-5D各個維度出現(xiàn)困難的比例有差異,石榴街道的患者在除行動能力之外的維度出現(xiàn)困難的比例都最高。血壓正常組在行動能力、日常生活能力兩個維度出現(xiàn)困難的比例均比血壓異常組高。單純收縮期高血壓在行動能力維度出現(xiàn)困難的比例最高。(4)行動能力出現(xiàn)困難的保護因素是:受教育程度、月平均收入,危險因素是:年齡、高血壓病程;自理能力出現(xiàn)困難的保護因素是:性別、月平均收入,危險因素是:職業(yè);日常生活能力出現(xiàn)困難的保護因素是:月平均收入、血壓等級,危險因素是:職業(yè)、高血壓病程;疼痛/不適出現(xiàn)困難的保護因素是:月平均收入,危險因素是:性別、婚姻狀況、高血壓病程;焦慮/抑郁出現(xiàn)困難的保護因素是:年齡、月平均收入,危險因素是:性別、受教育程度。(5)EQ-5D指數(shù)總評分(0.839±0.217)較高,EQ-VAS平均(70.06±19.04)分,患者健康狀態(tài)自我感覺良好。EQ-5D總評分與EQ-VAS評分具有相關(guān)性。(6)EQ-5D總評分的影響因素有性別、月平均收入、婚姻狀況、高血壓病程,EQ-VAS評分的影響因素有性別、BMI、月平均收入、高血壓病程、是否服用高血壓藥。結(jié)論:本次調(diào)查地區(qū)高血壓患者生命質(zhì)量較好,不同鄉(xiāng)鎮(zhèn)間患者生命質(zhì)量不同,政府仍需加大投入力度,保障居民的生命質(zhì)量,患者本身也要加強高血壓管理,改變不合理的行為生活方式,增強高血壓危險意識,定期測量血壓,按時按量服藥,提高自身生命質(zhì)量。
[Abstract]:Objective: to investigate the quality of life (QOL) of hypertensive patients in rural areas of Donghai County, Lianyungang City by using the European five dimensional Health scale (E5-DHS), and to explore the factors affecting the quality of life (QOL).To provide the basis for the health management of hypertension patients in rural areas.Methods: from July to September 2016, 2125 patients with hypertension were selected from five townships of Lianyungang (Pomegranate Street, Qinghu Town, Hongzhuang Town, Hot Springs Town, Zhangwan Township) as study subjects, and blood pressure was measured in local township health centers.Physical examination and questionnaire survey were conducted to collect the general situation and blood pressure of the patients. The quality of life (QOL) of patients was evaluated by European quality of Life scale (EQOL). Epidata 3.1 was used to establish a database to record the original data to ensure the accuracy.SPSS16.0 software was used to describe the data, and the influencing factors of quality of life were analyzed. EQ-5D score was calculated by the conversion table of TTO utility value in England.Results the mean levels of systolic and diastolic blood pressure were 146.66 鹵12.69)mm Hg and 94.37 鹵12.01)mm Hg, respectively.The blood pressure control rate of 13.1%.(2)EQ-5D scale is as high as 63.0. The five dimensions of the scale are as follows: there are 327 people with dysphoria reported by mobility ability; 103 people with difficulties reported by self-care ability; 211 people with daily living ability who have difficulty; 211 people with daily life who have difficulties; and those with pain / discomfort.960 people were reported to have difficulties and 45.1% were reported to have difficulties, while 358 / 358 persons with anxiety / depression reported difficulties were found to be 16.9% of the total.The main QOL issues were pain / discomfort and anxiety / depression.The total score of EQ-5D obtained from the TTO conversion table of the United Kingdom was 0.839 鹵0.217g, and the score range was -0.349U ~ (-1).There were significant differences in the proportion of difficulty in different dimensions of EQ-5D in patients with hypertension in different towns, such as mobility 0.011 鹵0.026, self-care 0.005 鹵0.025, daily life 0.004 鹵0.014, pain / discomfort 0.066 鹵0.089, anxiety / depression 0.015 鹵0.041.Pomegranate street patients had the highest incidence of difficulty in dimensions other than mobility.The proportion of difficulty in the two dimensions of normal blood pressure group was higher than that of abnormal blood pressure group.Simple systolic hypertension has the highest proportion of difficulty in the dimension of movement ability. The protective factors of difficulty of movement ability are: education level, average monthly income, risk factors: age, course of hypertension;The protective factors of difficulty in self-care ability are: sex, average monthly income, risk factors: occupation, the protective factors of difficulty in daily life ability are: monthly average income, blood pressure grade, risk factors: occupation, course of hypertension;The protective factors of pain / discomfort difficulty were: average monthly income, risk factors: sex, marital status, course of hypertension; protective factors of anxiety / depression difficulties were age, average monthly income, risk factors: sex,The influencing factors of EQ-VAS score were gender BMI, monthly average income, course of hypertension, whether to take hypertension drugs or not.Conclusion: the quality of life of patients with hypertension in this investigation area is better, and the quality of life of patients in different villages and towns is different. The government still needs to increase investment to ensure the quality of life of residents, and the patients themselves should strengthen the management of hypertension.Change unreasonable behavior life style, enhance hypertension risk consciousness, measure blood pressure regularly, take medicine on time, improve life quality of oneself.
【學(xué)位授予單位】：安徽醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R544.1

【相似文獻】

相關(guān)期刊論文 前5條

1 張方;傅書勇;王曼;杜s，

本文編號：1700615