摘要
目的:了解连云港市农村地区高血压患者生存质量现状并探讨其影响因素。方法:采用多阶段随机抽样的方法在连云港市赣榆和东海两县农村抽取2 398人(≥35岁)高血压患者作为研究对象,采用SF-12量表调查其生活质量及影响因素。结果:连云港农村地区高血压患者生理健康得分(68.57±24.21)分,正常率达76.5%;心理健康得分(74.17±22.96)分,正常率达82.7%。回归分析显示,生理得分的影响因素为健康自评、疼痛/不适、年龄、患病时间、性别、收入;心理得分的影响因素为健康状况自评、疼痛/不适、性别、高血压家族史、婚姻状况。结论:连云港市农村高血压患者总体生活质量水平较高,但患病时间长的低收入高龄女性躯体健康状况较差,以及有高血压家族史的丧偶女性心理健康状况较差。为进一步改善农村高血压患者的生存质量,应在加强躯体健康的同时注重人文心理关怀,重点是关注身体状况不好且伴有疼痛/不适的女性患者。
Objective：To investigate the quality of life of hypertension patients in rural areas of Lianyungang City,and to explore the influencing factors.Methods：By using the method of multi-stage random sampling in the rural community of Ganyu and Donghai Counties in Lianyungang,2 398 patients with hypertension（over 35 years old） were enrolled as the research object,and their quality of life and its influencing factors were investigated by using the SF-12 scale.Results：The quality of life of hypertension patients in rural area of Lianyungang was 68.57±24.21,and the normal score was up to 76.5%.The score of mental health was 74.17±22.96,and the normal score was up to 82.7%.The physical scores were influenced by health self-assessment,pain/discomfort,age,duration of illness,gender,and income.The influencing factors of psychological score were self-rated health,pain/discomfort,gender,family history of hypertension and marital status.Conclusion：Lianyungang City rural hypertensive patients overall quality of life level is higher,but the long duration of disease of low-income elderly female physical health status is poor,and the mental health status of widowed women with hypertension family history is poor.Therefore,in order to further improve the quality of life of rural hypertensive patients,we should pay attention to humanistic care while strengthening physical health.The focus is on female patients who are in poor health and have pain/discomfort.
出处
《南京医科大学学报（社会科学版）》
2018年第1期21-24,共4页
Journal of Nanjing Medical University（Social Sciences）
基金
国家"十一五"科技支撑计划"高血压病综合防治研究--中国高血压正常高值伴心血管危险因素者的干预研究"(2006BAI01A03)
