慢性乙肝住院患者健康商数及其影响因素研究

发布时间：2019-03-14 16:41

【摘要】：目的：采用横断面研究方法,探讨慢性乙肝住院患者健康商数及其影响因素,为提高慢性乙肝住院患者健康商数提供科学可靠的依据。方法：选择在2012年12月至2013年5月在中南大学湘雅三医院传染科、消化内科及肝胆外科住院的全部慢性乙肝患者作为本次的研究对象,采用社会人口学资料调查表、谢华珍《健康商数问卷》、慢性肝病量表(Chronic Liver Disease Questionnaire,CLDQ)对乙肝患者进行调查。采用独立样本t检验、t检验、方差分析和Kuskal-WallisH检验、多因素logistic回归分析方法进行统计分析。结果： 1.本次调查有效问卷128份,性别以男性为主,占75%；年龄以中青年人为主,占72.7%；职业以工人和农民居多,分别占18.8%和40.6%；文化程度以初中为主,占40.6%；婚姻状况中已婚的占大多数,为90.6%；经济状况为一般者居多,占69.6%；合并疾病中合并一至两种疾病者为48.5%；肝脏分级为Child B级者占大多数,为76.6%。 2.慢性乙肝患者健康商数的五个维度中,生活方式、精神状态、自我保健、健康知识、人生技能各维度的得分分别为17.28±2.25、16.13±2.33、15.16±2.48、15.87±2.42、13.97±2.89,五个维度的得分均低于临界值。 3.在生活方式维度中,得分低于临界值的患者有63例,占49.22%；在精神状态维度中,得分低于临界值患者有85例,占66.40%；在自我保健维度中,得分低于临界值的患者有105例,占82.03%；在人生技能维度中,得分低于临界值的患者有90例,占70.31%；在健康知识维度中,得分低于临界值的患者有109例,占85.16%。 4.健康商数的单因素分析： (1)不同性别慢性乙肝患者健康商数的五个维度中,生活方式得分的差异有统计学意义(P0.05),男性与女性患者在精神状态、自我保健、人生技能和健康知识维度得分的差异没有统计学意义(P0.05)： (2)不同年龄慢性乙肝患者健康商数的五个维度中,生活方式得分的差异有统计学意义(P0.05),各年龄段患者在精神状态、自我保健、人生技能和健康知识维度得分的差异没有统计学意义(P0.05)；不同文化程度慢性乙肝患者健康商数的五个维度中,自我保健和健康知识得分的差异有统计学意义(P0.05),不同文化程度的慢性乙肝患者在生活方式、精神状态和人生技能维度得分的差异没有统计学意义(P0.05)； (3)不同职业慢性乙肝患者在生活方式、精神状态、自我保健、人生技能和健康知识五个维度的得分差异均有统计学意义(P0.05)；不同婚姻状况慢性乙肝患者健康知识得分的差异有统计学意义(P0.05),不同婚姻状况慢性乙肝患者在生活方式、精神状态、自我保健和人生技能得分的差异没有统计学意义(P0.05)； (4)不同经济状况慢性乙肝患者在生活方式、精神状态、自我保健、人生技能和健康知识五个维度的得分差异均有统计学意义(P0.05)： (5)不同合并疾病状况慢性乙肝患者在生活方式、精神状态、自我保健、人生技能和健康知识得分的差异没有统计学意义(P0.05)。不同肝脏功能分级慢性乙肝患者精神状态得分的差异有统计学意义精神状态(P0.05),不同肝脏功能分级慢性乙肝患者在生活方式、自我保健、人生技能和健康知识得分的差异无统计学意义(P0.05)。 (6)本次调查对象生活质量总分的平均分为131.37±30.95分,最低分为29.00分,最高分为203.00分。 5.健康商数的多因素分析：性别、年龄是生活方式维度得分的影响因素；经济状况、文化程度和生活质量是精神状态维度得分的影响因素；经济状况和文化程度是自我保健维度得分的影响因素；年龄和文化程度是人生技能维度得分的影响因素；性别和文化程度是健康知识维度得分的影响因素。结论： 1.慢性乙肝患者健康商数的五个维度中,生活方式、精神状态、自我保健、健康知识、人生技能各维度的得分分别为17.28±2.25、16.13±2.33、15.16±2.48、15.87±2.42、13.97±2.89,五个维度的得分均低于临界值。 2.性别、年龄是生活方式维度得分的影响因素；经济状况、文化程度和生活质量是精神状态维度得分的影响因素；经济状况和文化程度是自我保健维度得分的影响因素；年龄和文化程度是人生技能维度得分的影响因素；性别和文化程度是健康知识维度得分的影响因素。
[Abstract]:Objective: To study the number of healthy quotient of patients with chronic hepatitis B and its influencing factors by cross-sectional study, and to provide scientific and reliable basis for improving the number of healthy quotient of patients with chronic hepatitis B. Methods: All patients with chronic hepatitis B from December 2012 to May 2013 were selected as the subject of this study, and all the patients with chronic hepatitis B in internal medicine and liver and gallbladder surgery were selected as the subject of this study. The questionnaire of social demography data, Xie Huizhen . The chronic liver disease scale (CLDQ) is used to modulate the patients with hepatitis B. The statistical analysis was performed using independent sample t-test, t-test, analysis of variance, and Kuskal-Wallis test, multi-factor logistic regression analysis method. Analysis. Results:1. The effective questionnaire of this survey was 128, the sex was male-dominated, accounting for 75%, the middle and middle-young people were the majority, accounting for 72.7%, the occupation was the majority of the workers and the peasants, accounting for 18.8% and 40.6%, respectively; the degree of culture was mainly junior high school, accounting for 40.6%; the marital status was married The majority of the population was 90.6%; the economic situation was the most common, accounting for 69.6%; the combination of one or two of the two diseases was 48.5% in the combined disease; the liver was classified as Child B; the majority of the patients were: 76.6%.2. The scores of life style, mental state, self-care, health knowledge and life skills in the five dimensions of the health quotient of patients with chronic hepatitis B are 17.28, 2.25, 16.13, 2.33, 15.16, 2.48, 15.87, 2.42, 13.97 and 2.89, respectively. 3. In the life style dimension,63 patients with a score lower than the critical value, accounting for 49.22%; in the mental state,85 patients with a score lower than the critical value, accounting for 66.40%; in the self-care dimension, the patients with the score lower than the critical value are 105 (82.03%); in the life skill dimension,90 (70.31%) of patients with a score lower than the critical value (70.31%); in the health knowledge dimension, the patients with a score lower than the critical value are 109 (85.16%) The single-factor analysis of the number of healthy quotient: (1) In the five dimensions of the number of healthy quotient of the patients with different sex and chronic hepatitis B, the difference of life style scores is of statistical significance (P0.05), and the male and female The difference between the mental state, self-care, life skills and health knowledge dimension scores of patients with sex is not There was a statistical significance (P0.05): (2) There was a significant difference in the score of life style in the five dimensions of the number of healthy quotient of patients with chronic hepatitis B (P0.05). The difference of the scores of mental state, self-care, life skills and health knowledge in all ages is not significant (P0.05); in the five dimensions of the health quotient of chronic hepatitis B patients with different cultural degrees, the scores of self-care and health knowledge are scored The difference was significant (P0.05). The difference between life style, mental state and life skill dimension of chronic hepatitis B patients with different cultural degrees There was no statistical significance (P0.05); (3) different occupational chronic hepatitis B The scores of the five dimensions of life style, mental state, self-care, life skills and health knowledge were statistically significant (P0.05). The difference of health knowledge scores of patients with chronic hepatitis B with different marital status was statistically significant (P0.05). The life style, mental state, self-care and life skills score of patients with chronic hepatitis B (4) The five dimensions of life style, mental state, self-care, life skills and health knowledge of chronic hepatitis B patients with different economic conditions There was a significant difference in the scores of chronic hepatitis B (P0.05): (5) The life style, mental state, self-care, life skills and health of chronic hepatitis B patients with different combined diseases The difference of knowledge score was not significant (P0.05). The difference of mental state scores of patients with chronic hepatitis B with different liver function was statistically significant (P0.05). Different liver function grades of chronic hepatitis B were in the way of life, self-care, life skills and health. (6) The total score of life quality of this survey was 131.37 and 30.95. with the lowest score of 29.00, the most High score is 203.00.5. Multi-factor analysis of health quotient: gender, age is the influence factor of life style dimension score; economic status, culture degree and quality of life are the shadow of mental state dimension score Sound factors; economic status and degree of culture are the factors that influence the score of self-care dimension; the age and the degree of culture are the scores of life skill dimension the effect of The results are as follows:1. The scores of life style, mental state, self-care, health knowledge and life skills are 17.28, 2.25, 16.13, 2.33, 15.16, 2.48, and 15.8 respectively in the five dimensions of the health quotient of patients with chronic hepatitis B. 7. 2.42, 13.97-2.89, the scores of the five dimensions are lower than the critical value.2. Gender, age is the influence factor of the life style dimension score; the economic situation, the degree of culture and the quality of life are the mental state The influence factor of the dimension score; the economic status and the degree of culture are the influence factors of the self-care dimension score; the age and the culture degree are the life
【学位授予单位】：中南大学
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R512.62

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