血脂异常人群生存质量及其影响因素分析

目的分析血脂异常人群的生存质量状况及其影响因素，为开展相应的干预措施提供理论依据。方法采用横断面调查方法，选取2008年5月至2009年5月来自华东、华北、华南、西南9家合作单位调查的6883例样本为研究对象，年龄18—60岁，根据血脂情况分为血脂异常人群和血脂正常人群，收集对象的一般情况，包括性别、年龄、经济情况、文化程度、身高和体重等，并进行简明健康调查量表（SF-36）测评。比较血脂异常人群和血脂正常人群生活质量各维度评分情况。影响血脂异常患者生存质量的主要因素采用多元逐步回归分析法分析。结果血脂异常人群生理功能（88．51±16．21）、生理职能（81．33±30．47）和总体健康方面（65．18±20．71）评分均低于血脂正常人群（分别为90．15±15．32、82．79±28．95和66．97±20．85），血脂异常人群精神健康评分（70．20±17．39）高于血脂正常人（69．10±16．97），差异均有统计学意义（P〈0．01）。随着年龄的增长，血脂异常人群生理健康内容评分降低，但是，心理健康内容评分反而增高；肥胖是血脂异常人群生理健康内容的危险因素；缺乏运动、经济富裕、男性患者是血脂异常人群生理、心理内容方面的危险因素。结论提高对疾病的认知度、控制体重、加强运动的同时纠正患者的心理问题对改善血脂异常人群生活质量具有十分重要的意义。

Analysis on life quality and its influencing factors in dyslipidemia people

Objective To analyze the life quality and influence factors in dyslipidemia people, to provide the theoretical evidence for the prevention and treatment. Methods From May 2008 to May 2009, 6 883 （ 18-60 years old） cases were selected as the research objects from the cooperation hospitals in East China, North China, South China and Southwest China with cross-sectional survey method. According to the blood fat, people were divided into normal group and abnormal group. The general situation and brief health questionnaire were evaluated in the two groups, including sex, age, economic situation, standard of culture, height, weight, etc. The main factors of life quality comparison was made between the two groups from every aspect. The multiple stepwise regression analysis was used as the statistical method. Results The evaluation score for physical function （PF） （88.51±16.21）, role physical（RP） （81.33±30,47） and general heahh（GH） （65.18±20.71） in abnormal group were lower than those in normal group PF： 90.15± 15.32, RP： 82.79±28.95, GH ： 66.97±20.85 ）. The score of mental health （MH） （70.20± 17.39） in abnormal group was higher than that in normal group （69.10±16.97）. The difference had statistical significance （P〈0.01）. The evaluation score of PF decreased as the increase of the age, while the MH increased. Obesity was the risk factor of the MH in abnormal group. Lack of exercise, well-to-do, male patient were the risk factors of PF and MH in abnormal group. Conclusion It is significant to improve the disease cognition degree, control weight, increase physical exercise and solve the psychological problems for the life quality of the dyslipidemia people.