社区原发性高血压患者生活质量调查

Quality of Life of Patients with Primary Hypertension in Community

目的 :探讨社区高血压患者的生活质量及其影响因素。方法 :对 1992年参加社区原发性高血压综合干预跟踪研究的 177名患者进行随访及生活质量调查 ,被试者年龄范围 5 1～ 77岁。采用自编调查表和生活质量综合评定问卷 -74(GQOLI-74) ,完成各种测查者共 15 2人。结果 :79 6%的患者除服药外采用了调整生活方式、行为方式等非药物治疗的方法 ;生活质量问卷测查结果显示 ,被试者对健康状况和生活质量的总体评价及主观满意度在中等水平 (X±SD :12 89± 2 19) ;比较不同治疗模式下 (分为三组 :药物治疗 ,综合治疗 ,药物 +运动治疗 )患者的生活质量 ,综合治疗组的物质生活维度、经济状况因子得分略高于其它两组 (P <0 0 5 ) ,药物 +运动组的心理功能维度、正性情感因子及精神紧张度因子得分略高于其它两组(P <0 0 1)。结论 :综合干预措施对提高原发性高血压患者的生活质量。

Objective: To study quality of life of patients with primary hypertension in community of Beijing Method: 177 patients with primary hypertension were screened out in the intervention study of 1992 In follow up, we used self-made inventory (GQOLI-74) to investigate the quality of life 152 of them completed the inventory Results: 79 6% of the patients readjusted their life styles in addition to regular anti-hypertension medication Their quality of life was in the middle level Among the three treatments, patients with comprehensive therapy had better results in quality of materialistic life and better economic condition; while those with medication plus physical activity had better results in psychological life, positive emotion and tension Conclusion: Comprehensive therapy can improve quality of life of patients with primary hypertension