不明原因发热患者生活质量状况及其影响因素

Quality of life and influence factors in patients with fever of unknown origin

目的探讨不明原因发热(fever of unknown origin,FUO)住院患者生活质量状况及其影响因素。方法采用便利取样法,对本科室212例不明原因发热患者进行调查,了解其生活质量状况及影响因素。结果 FUO患者生活质量总分及躯体功能、躯体职能、身体疼痛、总体健康、活力、社会功能、心理健康维度得分均明显低于国内常模,组间比较,均P<0.001,差异有统计学意义;多重回归分析显示年龄、发热持续时间、家庭人均月收入及婚姻状况是FUO患者的影响因素。结论 FUO患者生活质量较低,其中年龄大、病程较长、家庭人均月收入较低、无配偶是FUO患者生活质量的危险因素。

Objective To understand the current situation and influencing factors of quality of life of hospitalized patients with fever of unknown origin.Method A cross-sectional study of 212 cases of fever of unknown origin in our department was carried out using the quality of life scale and the self-made general information questionnaire.Results The life quality score and its demension scores including physical function,physical responsibility,pain,genernal health activity,social function,and psychological health were lower than those of the norm(all P<0.001).Multivariate linear regression analysis showed that age,duration of fever,and monthly income per family,marriage status were the most important influencing factors.Conclusions The quality of life of patients with unexplained fever is not optimistic.Attention should be paid to the measures for improving the quality of life of elderly and single patients who have a longer course and lower per capita income.