广西桂西地区空巢老人高血压病患者生活质量及相关因素调查研究

Investigation on quality of life and related factors of empty nesters with hypertension in Western Guangxi

目的调查广西桂西地区空巢老人高血压患者的生活质量状态,并分析其影响因素,为提高该地区空巢老人高血压病患者生活质量提供参考。方法收集2016年1月~2017年6月于右江民族医学院附属医院就诊的广西桂西地区空巢老人高血压患者300例,采用生活质量量表(SF-36)评估其生活质量,并采用Logistic回归模型分析影响其生活质量的相关因素。结果 300例空巢老人高血压病患者生活质量总评分为(46.88±3.97)分。其中,年龄、文化程度、婚姻状况、基础疾病、经济状况、血压控制情况是影响高血压空巢老人生活质量的单因素(t=10.616,F=95.609,F=29.639,t=13.903,t=13.505,F=212.591,均P=0.000);而年龄、基础疾病是空巢老人高血压患者生活质量的危险因素(OR=25.185,P=0.000;OR=0.213,P=0.028);文化程度、婚姻状况、经济状况和血压控制情况是空巢老人高血压患者生活质量的保护因素(OR=0.090,P=0.000;OR=0.116,P=0.015;OR=0.015,P=0.000;OR=0.124,P=0.001)。结论广西桂西地区空巢老人高血压病患者生活质量总体较差,且影响其生活质量的因素也比较多,主要包括年龄、文化程度、婚姻、经济状况等,应积极采取控制措施,改善其生活质量。

Objective To investigate the quality of life of empty nesters with hypertension in Western Guangxi, and to analyze the influencing factors, in order to improve the quality of life of empty nesters with hypertension in this area.Methods A total of 300 empty nester patients with hypertension in Western Guangxi who were hospitalized in the Affiliated Hospital of Youjiang Medical University for Nationalities from January 2016 to June 2017 were collected.Their quality of life was assessed by SF-36, and the related factors affecting their quality of life were analyzed by Logistic regression model. Results The total score of quality of life of 300 empty nesters with hypertension was(46.88±3.97) points.Among them, age, education level, marital status, underlying diseases, economic status and blood pressure control were single factors affecting the quality of life of empty nesters with hypertension(t = 10.616, F = 95.609, F =29.639, t = 13.903, t = 13.505, F = 212.591, all P =0.000);and age, underlying disease were risk factors for quality of life in empty nesters with hypertension(OR =25.185, P = 0.000;OR = 0.213, P = 0.028);educational level, marital status, economic status and blood pressure control were protective factors for quality of life in empty nesters with hypertension(OR = 0.090, P = 0.000;OR = 0.116, P = 0.015;OR = 0.015, P = 0.000;OR = 0.124, P = 0.001). Conclusion The quality of life of empty nesters with hypertension in Western Guangxi is generally poor, and there are many factors affecting their quality of life, including age, education, marriage, economic status, etc. Active control measures should be taken to improve the quality of life.