摘要
目的了解上海市金山区晚期血吸虫病患者生存现状及其影响因素,为科学管理晚血患者与制定救治方案提供依据。方法采用普查方法对上海市金山区枫泾镇2011—2019年登记在册的108例晚期血吸虫病患者进行问卷调查,内容包括患者基本情况,健康状况、生活自理情况、医疗费用和卫生资源的利用、行为危险因素等。结果 2011年枫泾镇历史遗留晚期血吸虫病患者共计108例,随访8年后至2019年降为88例,男性47人(53.41%),女性41人(46.59%)。因血吸虫病肝硬化死亡20例(30.00%),平均年龄为(76.57±7.31)岁。患者生存质量和健康状况总体评价得分中等以上分别占72.72%和62.50%,差异有统计学意义(χ^2=190.11,P<0.05);生理领域得分在不同临床分型间差异有统计学意义(χ^2=8.44,P<0.05);社会领域得分在不同诊断年份和临床分型间差异有统计学意义(P<0.05)。Logistic回归分析结果显示,影响各领域生存质量的因素为年龄、厕所类型、人均月收入、是否有药物依赖、护理情况、治疗次数、一年内是否住院以及患慢性病情况。结论金山区枫泾镇晚期血吸虫病患者生存质量尚可,适度适量体力活动、提高医疗补助及注重后期护理是提高生存质量的重要因素。
Objective To assess the quality of life(QOL)of advanced schistosomiasis patients in Jinshan district of Shanghai, provide the basis for scientific management of patients with late blood and the formulation of special treatment plans.Methods A questionnaire survey was conducted among the 108 patients with schistosomiasis from 2011 to 2019 in Fengjing town in Jinshan district of Shanghai,the questionnaire included the basic information,their health status,self-care status,medical expenses and utilization of health resources,behavioral risk factors.Results In 2011, there were 108 patients with advanced schistosomiasis left over from history in Fengjing town.During the 8-year follow-up, the number dropped to 88 at the beginning of 2019, with 47 males accounting for 53.41%.There were 41 women, accounting for 46.59%.During the death of 20 people, schistosomiasis death due to cirrhosis accounted for 30%,the average age was 76.57±7.31 years.The overall evaluation scores of patients’ quality of life and health status were 72.72% and 62.50%,respectively,and the difference in the proportion of the two scores was statistically significant(χ^2=190.11,P<0.05).The scores in the physiological field were statistically different in different clinical types(χ^2=8.44,P<0.05),and the scores in the social field were statistically different in different diagnostic years and clinical types.Logistic regression analysis showed that the factors influencing the quality of life in various fields were age,toilet type,monthly per capita income,drug dependence,nursing condition,treatment frequency,hospitalization within one year and chronic disease.Conclusion The quality of life of patients with advanced schistosomiasis in Fengjing town in Jinshan district is acceptable.Moderate and appropriate physical activity,improvement of medical subsidies and attention to postoperative care are important factors to improve the quality of life.
作者
朱永佳
余兆文
彭承璐
张珍
闫业壮
戚玉琴
ZHU Yong-jia;YU Zhao-wen;PENG Cheng-lu;ZHANG Zhen;YAN Ye-zhuang;QI Yu-qin(Fengjing Community Health Service Center in Jinshan District of Shanghai,Shanghai 201501,China)
出处
《中国公共卫生管理》
2020年第3期320-323,共4页
Chinese Journal of Public Health Management
基金
上海市金山区卫生计生委科研课题项目(JSKJ-KTSQ-2017-06)。
关键词
晚期血吸虫病
生存质量
影响因素
advanced schistosomiasis
quality of life
influencing factors
