急性上呼吸道感染人群生存质量调查与影响因素分析

发布时间：2018-08-17 08:31

【摘要】：目的为了了解急性上呼吸道感染人群的生存质量,以及其生存质量的影响因素。方法运用EQ-5D量表对湖北省武汉市、安徽省合肥市以及浙江省金华市5家医院急性上呼吸道感染门诊病人进行问卷调查,分别运用中国、韩国和英国的积分体系计算EQ-5D得分,比较不同国家积分体系的差异,并对三个地区的EQ-5D得分进行比较,最后运用计量模型对EQ-5D得分的影响因素进行回归分析。结果纳入研究总样本659例,其中武汉319例,合肥235例,金华105例。在EQ-5D量表的五个维度中,前三个维度患者基本不存在问题,在疼痛/不舒服维度81.94%的患者存在问题,在焦虑/抑郁维度47.80%的患者存在问题。在回归分析中地区、疾病严重程度、是否有慢性病三个因素对EQ-5D得分有影响。与其他疾病健康效用值比较结果,急性上呼吸道感染的健康效用值低于脑卒中、高血压、冠心病、糖尿病患者,高于慢性淋巴丝虫病、慢性阻塞性肺炎、类风湿性关节炎患者。结论急性上呼吸道感染人群主要在疼痛/不舒服、焦虑/抑郁两个维度存在问题。相比英国的EQ-5D积分体系,韩国的积分体系更加适合中国人群。急性上呼吸道感染人群的健康效用低于一般人群以及无明显症状慢性病人群的健康效用,高于有明显症状的慢性疾病人群。
[Abstract]:Objective to investigate the quality of life (QOL) of patients with acute upper respiratory infection (ARI) and its influencing factors. Methods EQ-5D scale was used to investigate the EQ-5D scores of 5 outpatients with acute upper respiratory infection in Wuhan, Anhui Province and Jinhua City, Zhejiang Province. The scores of EQ-5D were calculated by using the integral system of China, South Korea and the United Kingdom respectively. This paper compares the differences of integration systems in different countries, and compares the EQ-5D scores of three regions. Finally, the regression analysis of the influencing factors of EQ-5D scores is carried out by using the econometric model. Results 659 cases were included in the study, including 319 cases in Wuhan, 235 cases in Hefei and 105 cases in Jinhua. In the five dimensions of EQ-5D, there were no problems in the first three dimensions, 81.94% in the pain / discomfort dimension, and 47.80% in the anxiety / depression dimension. In regression analysis, EQ-5D scores were affected by three factors, the severity of disease and the existence of chronic diseases. Compared with other diseases, the health utility of acute upper respiratory tract infection was lower than that of stroke, hypertension, coronary heart disease, diabetes, chronic lymphatic filariasis, chronic obstructive pneumonia, rheumatoid arthritis. Conclusion the acute upper respiratory tract infection population mainly has problems in the dimensions of pain / discomfort and anxiety / depression. Compared with the British EQ-5D integral system, Korea's integral system is more suitable for the Chinese group. The health effect of acute upper respiratory tract infection was lower than that of the general population and the chronic disease group without obvious symptoms, and higher than that of the chronic disease group with obvious symptoms.
【作者单位】：中国药科大学国际医药商学院;
【分类号】：R56

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