原发性高血压患者生命质量影响因素

Influential Factors for Health-related Quality of Life in Patients with Essential Hypertension

目的探索影响原发性高血压患者生命质量的因素。方法运用横断面调查研究方法对644例原发性高血压患者进行问卷调查,运用中文版SF-36量表测定生命质量,对影响因素进行方差分析和线性逐步回归分析。结果多因素分析结果显示,年龄、近1a内有无精神创伤、家庭收入、体育锻炼、对疾病的态度、防治知识知晓状况、平时血压控制情况以及社区综合管理等因素影响高血压患者的生命质量,标准偏回归系数分别为-0.204,-0.097,0.102,-0.174,-0.197,0.129,-0.178,-0.227。结论医生在治疗或管理高血压患者时,应有效控制血压,加强健康教育,指导患者进行适宜的体育锻炼,采取心理疏导,改善悲观心理,以提高患者的生命质量。

Objective To explore main influencing factors of quality of life in patients with essential hypertension. Methods 644 patients with essential hypertension were investigated in a cross-sectional study with the questionnaire including demographic information, behaviour, years of hypertension, treatment, Chinese version SF-36 short form of quality of llfe. Influencing factors was analyzed by variance analysis and stepwise multivariate linear regression. Results Multivariable analysis showed that age, history of mental distress within the last one year, family income, physical exercise, attitude, knowledge, ordinary blood pressure, and community comprehensive management significantly influenced quality of life of patients with hypertension, with their standardized coefficients being -0.204, -0.097, 0.102, -0.174, -0.197, 0.129, -0.178 and -0.227 respectively. Conclusions To improve hypertension patients＇ quality of life, it is should be strengthened to control their blood pressure effectively, to enhance their health education and feasible exercise, and to improve their pessimistic attitude with psychological intervention.