郑州市社区常见慢性病患者HRQoL的评价及影响因素分析

摘要:目的　了解社区慢性病居民HRQoL水平及影响因素。方法　用浙大版SF-36量表，采用分层随机抽样，入户问卷调查，调查区包括1个中心城区和1个新兴城区。结果　共调查705人，常见慢性病占36.60%；慢性病患者与非慢性病患者在7个维度的得分有差异；不同患病种类数的生理健康各维度得分均有差异；健康状况的自我判断、NCDs患病数、两周内是否患病、食欲状况和在岗时职业对生理健康的影响显著，Adjusted R2＝0.407；健康状况的自我判断、年龄、与家人相处情况和对目前生活状况的满意度对心理健康影响显著，Adjusted R2＝0.179。结论　社区慢性病患者HRQoL低于非慢性病患者，应通过社区健康管理和改善亲友关系来提高其HRQoL。

HRQoL and the influencing factors of patients with chronic diseases in communities in Zhengzhou

Abstract: Objective To investigate life quality and its influencing factors among the patients with chronic diseases in communities in Zhengzhou. Methods The stratified random sampling was taken from a central urban area and a new urban area, and SF-36 was used to conduct surveys among 705 community residents. Results 36.60% respondents were patients with chronic diseases, and their 7 dimensional scores are distinct from non-chronic disease patients. Physiological health score of each dimension was significantly different between different kinds of chronic diseases. Health self-judgment, NCDs prevalence, diseases within two weeks, appetite and the occupation were influencing factors, with adjusted R2=0.407. Health self-judgment, age, family situation and the satisfaction on the current life impact the mental health significantly, with adjusted R2=0.179. Conclusion HRQoL among patients with chronic diseases in community is lower than that among non-chronic disease patients, and we should improve the HRQoL through the community health management and promoting relationships.