慢性病患者生命质量测定量表体系共性模块的应用:高血压及冠状动脉粥样硬化性心脏病患者生命质量及其影响因素分析

Application of Quality of Life Instruments for Chronic Diseases-General Module: An analysis on quality of life and the influential factors for patients with hypertension and coronary heart disease

目的:分析高血压与冠状动脉粥样硬化性心脏病(简称冠心病)患者的生命质量及影响因素。方法:①随机抽取2004-09/2005-10昆明医学院第一附属医院收治的具有一定文化程度(文盲及看不懂量表者除外)的高血压患者67例、冠心病患者64例,用慢性病患者生命质量测定量表体系共性模块(QLICD-GM)进行测定。②QLICD-GM包含3个领域10个小方面30个条目。各条目均采用5级评分法,分为一点也不、有一点、有些、相当、非常5个等级。在评分时正向条目直接计1～5分,逆向条目则反向计分。③用t检验和秩和检验比较其治疗前后的改变,用多元线性回归方法分析其影响因素。结果:①高血压患者治疗后躯体、心理功能及总量表得分高于治疗前(P<0.05)。②冠心病患者治疗后躯体、心理功能及总量表得分高于治疗前(P<0.05)。③年龄、性别、民族、医疗保障方式进入不同的回归方程。④多元逐步回归分析表明,射体功能得分变化与婚姻状况有关(t=2.43,P=0.016)结论:①高血压与冠心病患者治疗后生命质量有明显改善,其影响因素有年龄、性别、民族、医疗保障方式。②躯体功能的得分变化与婚姻状况有关。

AIM： To analyze quality of life （QOL） and the influential factors for patients with hypertension and coronary heart disease （CHD）. METHODS： （1）Totally 67 cases of inpatients with hypertension and 64 patients with CHD who hospitalized at the First Affiliated Hospital of Kunming Medical College from September 2004 to October 2005 with some education （excluding illiteracy and those who cannot read the questionnaire） were sampled randomly and measured by the Quality of Life Instruments for Chronic Diseases-General Module （QLICD-GM）. （2）QLICD-GM included 3 dimensions, 10 facets and 30 items. Each item is ranked in a five-level scoring system, namely, not at all, a little bit, somewhat, quite a bit and very much. When scoring, the positively stated items are scored directly from 1-5 points, while the negatively stated items are reversely scored. （3） t test and rank sum test were used to compare mean scores before and after treatment, and the multiple linear regression was used to analyze the influential factors. RESULTS： （1）Scores of physical, psychological and overall for patients with hypertension after treatment were higher than those before treatment （P 〈 0.05）. （2）Scores of physical, psychological and overall for patients with Coronary heart disease after treatment were higher than those before treatment （P 〈 0.05）. （3）Factors of age, ethnic, sex and medical security were selected to inter the different regression equations. （4）Multiple linear regression showed that the score change of physical function was associated with marriage （t =2.43,P =0.016）. CONCLUSION： （1）Treatments can improve the QOL of patients with hypertension and CHD and the influential factors are age, ethnic, sex and medical security. （2）The score change of physical function is associated with marriage status. Body function score is associated with marriage condition.