QWB在临床健康体检中的调查研究

Study on quality of well-being in clinical physical examination

目的评估临床健康体检者的生命质量及其影响因素研究。方法每一位同意进行调查的临床健康体检者由受过训练的医务工作人员面对面的完成QWB调查,并按要求记录健康体检者的一般情况,包括：性别、年龄、婚姻状况、职业和居住地。根据QWB各部分的权重分别计算各部分的权重分。选择性别、年龄、婚姻状况、文化程度、职业和居住地作为变量,作临床健康体检者生命质量的单因素的影响因子研究。结果临床健康体检者的QWB的总分、移动(MOD)、生理活动(PAC)、社会活动(SAC)和症状/复合健康问题(CPX)等5个纬度的得分为：总分0．8766000±0．1240000、移动(MOD)-0．0007920±-0．009720、生理活动(PAC) -0．0007012±-0．006586、社会活动(SAC)-0．0004268±-0．005493和症状/复合健康问题(CPX)- 0．1215000±-0．121500。临床健康体检者QWB量表得分的单因素的影响因子分析：结果显示：①性别：男性与女性的MOB、PAC、SAC、CPX、W得分比较,差异都无统计学意义(P＞0．05)；②年龄：PAC、SAC、CPX、W得分随着年龄段的上升而下降,其中CPX、W得分的差异有统计学意义(P＜0．05)；③)婚姻：MOB、PAC、SAC、W得分“在婚”高于“离异/丧偶/分居”,其中PAC得分差异有统计学意义(P＜0．05)；④文化程度：CPX、W得分随着文化程度的提高而增加,差异有统计学意义(P＜0．05)；⑤居住地：SAC、CPX、W得分“城市(镇)”显著高于“农村”(P＜0．05)。结论QWB量表总得分0．8766000,比国外的常模高,年龄、婚姻状况、文化程度、职业和居住地是QWB评分的影响变量。

Objective To evaluate the quality of life of people of the clinical physical examination and analyze the influencing factors at QOL of the people of clinical physical examination. Methods Professional doctor or nurse helped examinees to finish QWB table and noted general information including gender, age, marriage status, profession status, and inhabitancy. The quality of life of examinees was evaluated. The total score, average score, score of four departments were accounted and the influencing factors at QOL of the people of clinical physical examination as gender, age, situ- ation of marriage, culture level, profession and inhabitancy were analyzed. Results The scores of 5 scales of the QWB in people of the clinical physical examination were as follows. Total score： 0.8766000 ± 0. 1240000; MOD： - 0.0007920 ± - 0.009720; PAC ： - 0.0007012 ± - 0.006586;AC： - 0.0004268 ± - 0.005493;CPX： - 0. 1215000 ± - 0. 121500. Univarlate analysis of QWB in people of the clinical physical examination： the scores of MOB, PAC, SAC, CPX, W of QWB were not significant change between the male and female; the scores of CPX, W of QWB were significant change with the age increased, but PAC, SAC, CPX were not; the scores of SAC of QWB were significant improvement at marriage and single hood ; the scores of PAC, CPX, W of QWB were significant higher in people with higher education level ; the scores of SAC, CPX, W of QWB were significant higher in peoples who lived in city or town. Conclusion The score of QWB in people of the clinical physical examination was 0. 8766000, which was higher than the score of norm abroad . The influence factors of QWB were age, marital status, education level, profession and inhabitancy.