宁夏西吉县农村颈肩腰痛患者生活质量调查及影响因素分析

Survey and Analysis of Quality of Life and Influencing Factors among Rural Patients with Neck or Lumbocrural Pain in Xiji County of Ningxia

目的探讨宁夏西吉县农村颈肩腰痛患者的生活质量及其影响因素。方法采用二阶段抽样的方式,对宁夏西吉县737名患有颈肩腰痛的农村居民采用SF-36量表评价生活质量并对其影响因素进行分析。结果 737名颈肩腰痛患者SF-36量表8个维度得分均低于中国常模。男性颈肩腰痛患者的生理功能(physical function,PF)、总体健康(general health,GH)、活力(vitality,VT)、精神健康(mental health,MH)维度得分高于女性(P<0.05);不同年龄颈肩腰痛患者的PF、躯体疼痛(bodily pain,BP)、VT、社会功能(social function,SF)、MH维度得分差异有统计学意义(P<0.05);不同文化程度PF和SF维度得分不同(P<0.05);未婚/丧偶/离异者的PF、生理职能(role-physical,RP)、VT、SF和MH维度得分低于已婚者(P<0.05);回族患者情感职能(RE)维度得分低于汉族(P<0.05)。多元线性逐步回归分析结果示:性别、年龄、病程、VAS、民族和目前病情是否稳定是生理健康的影响因素;性别、年龄、病程、VAS、民族、文化程度和目前病情是否稳定是心理健康的影响因素。结论宁夏西吉县农村颈肩腰痛患者的生活质量偏低,需有效控制和管理颈肩腰痛患者的疼痛有助于改善其生活质量。

Objective To explore the quality of life and its influencing factors in neck or lumbocrural pain among rural patients in Xiji county of ningxia.MethodsUsing the two-stage sampling method,the status of quality of life in Xiji County of Ningxia of 737 patients with neck or lumbocrural pain and its influencing factors was analyzed with questionnaire survey.ResultsThe 737 neck or lumbocrural pain patients scored significantly lower than the Chinese norm did in eight dimensions of the SF-36 scale. The scores of male patients were higher than those of female in PF,GH,VT and MH dimensions（P〈0.05）while different age of＆amp;nbsp;neck and shoulder pain in patients had significantly different scores in PF,BP,VT,SF,MH dimensions （P〈0.05）. The scores of PF and SF dimensions were different in different educational levels（P〈0.05）and the scores of PF,RP,VT,SF and MH in unmarried / widowed / divorced persons were lower than those in married persons（P〈0.05）. The score of RE dimension of Hui patients was lower than that of Han ethnicities （P〈0.05）.Multiple linear stepwise regression analysis showed that gender,age,course of disease,VAS, ethnicity and current condition were the influencing factors of physical health. Gender,age,course of disease,VAS,ethnic,cultural degree and the current condition were the influencing factors of psychological health.ConclusionQuality of life of rural neck or lumbocrural pain patients in Xiji County of Ningxia was obviously on the low side and effective control and management of patients with neck or lumbocrural pain could help to improve their quality of life.