上海城郊社区高血压患者质量调整生命年及其影响因素研究

Research on Quality Adjusted Life Year of Hypertension Patients in Suburban Areas of Shanghai and Its Influencing Factors

目的了解上海市城郊社区高血压患者的质量调整生命年(QALY),并探讨QALY的影响因素。方法采用分层随机抽样方法,于2013年7—8月对上海市郊区某社区卫生服务中心辖区内的高血压患者进行调查。采用欧洲五维健康量表(EQ-5D),借鉴日本的积分体系计算QALY,进行非参数检验和Logistic回归分析。结果本研究地区的高血压患者人均获得的QALY为66.34。经Logistic回归分析,性别、年龄、婚姻状况、子女数、家庭月均收入及1年前血压达标情况是QALY的影响因素。结论上海市城郊该社区高血压患者人均获得的QALY为66.34。男性、1年前血压达标是高QALY的保护因素,而年龄、子女数则为高QALY的危险因素。社区开展高血压管理时,应重点管理女性患者、老年患者、子女数较多的患者以及血压控制较差、波动大的高血压患者,以进一步提高社区高血压患者的生命质量。

Objective To evaluate the quality adjusted life year （ QALY） of hypertension patients in suburban areas of Shanghai and its influencing factors.Methods Stratified random sampling method was used to select hypertension patients in sub -urban areas of Shanghai between July and August , 2013.European quality of life 5-dimensions （ EQ-5D） and Japanese Value Set were used to measure QALY.SPSS software was used for non -parametric test and logistic regression analysis.Results The average QALY of hypertension patients investigated was 66.34.According to the logistic regression results , gender, age, martial status, filial number, income per month and blood pressure one year ago were the influencing factors.Conclusion The average QALY of hypertension patients investigated was 66.34.For male patients, the blood pressure having reached to the standard one year ago is the protective factors of QALY.Ages and filial numbers are the risk factors.Female patients, aged patients, patients who have many children and whose blood pressure is not better controlled and has large fluctuation should be focused on the hyper -tension management in community , in order to improve the life quality of patients.