社区老年高血压患者中医体质特征与生存质量的关系研究

发布时间：2018-06-25 21:27

本文选题：老年 + 高血压　；参考：《中国医药导报》2017年01期

【摘要】：目的分析老年高血压患者中医体质特征与生存质量间的关系,为制订合理有效的健康管理方案提供科学严谨的依据。方法选取2014年1月~2015年12月深圳市龙岗社区内65周岁以上8080例高血压患者作为调查对象。采用分层抽样法对辖区内患者进行调查,调查过程中收集受访者婚姻状况、受教育程度、年龄、性别等基本资料;采用"中医体质分类及判断表"对受访者的中医体质特征进行评估;使用世界卫生组织生存质量简表(WHO QOL-BREF)调查受访者生存质量。将获取数据录入Access软件中并建立数据库,行典型性相关分析及描述性统计分析。结果 Y变量组为生存质量,分别使用Y_1、Y_2、Y_3、Y_4表示生理、心理、环境及社会关系四个领域的得分。X变量组为中医体质,分别使用X_1、X_2、X_3、X_4、X_5、X_6、X_7、X_8、X_9表示平和、气虚、阳虚、阴虚、痰湿、湿热、血瘀、气郁、特禀转化分。生活质量与中医体质相关,4个典型相关系数均存在显著性(P0.05);冗余分析结果显示,W_1变量可解释Y_1~Y_9的43.9%变异和X_1~X_9的16.4%变异。V_1变量可有效解释Y_1~Y_4的14.3%变异及X_1~X_9的50.5%变异;其余3个变量无法有效解释原始变量变异。结论老年高血压患者的中医体质特征与生存质量存在相关关系,通过调摄辨体,纠正偏颇体质,有助于改善患者健康水平,管理及防治疾病,提高患者生存质量。
[Abstract]:Objective to analyze the relationship between traditional Chinese medicine (TCM) constitution and quality of life (QOL) in elderly patients with hypertension, and to provide scientific and rigorous basis for making reasonable and effective health management plan. Methods from January 2014 to December 2015, 8080 hypertensive patients aged 65 years or older in Longgang Community of Shenzhen City were selected as subjects. The stratified sampling method was used to investigate the patients in the area. The basic data such as marital status, education level, age, sex and so on were collected during the survey. The quality of life (QQOL-BREF) of the interviewees was evaluated by the classification and judgment table of TCM constitution, and the quality of life (QOL-BREF) of the respondents was surveyed by the World Health Organization (WHO) QOL-BREF. The acquired data is entered into Access software and the database is established, and the typical correlation analysis and descriptive statistical analysis are carried out. Results in the Y variable group, the quality of life was determined by using Y1C / YS _ 2Y _ S _ 2T _ 3Y _ S _ 4 respectively to indicate that the scores in the four fields of physiology, psychology, environment and social relations were as follows: the group of variables X was TCM physique, and the group of variables X _ (x) _ 1X _ 2C _ (2) X _ (3) X _ (3) X _ (4) T _ (5) T _ (6) X _ (6) X _ (6) X _ (6) X _ (9) was used to mean "peaceful", "Qi deficiency", "Yang deficiency", "Yin deficiency", "phleg@@ Blood stasis, qi depression, special transformation points. The results of redundancy analysis showed that the W1 variable could explain the 43.9% variation of Y1S / Y9 and the 16.4% variation of X1T / X9. The V1 variable could effectively explain the variation of Y1SI-YV4 and the 50.5% variation of X1D / X9, and the correlation coefficient of QOL with TCM constitution was significant (P0.05), and the results of redundancy analysis showed that W1 variable could explain 43.9% of the variation of Y1S / Y9 and 16.4% of the variation of X1T / X9, and the variation of X1T / X9 was 50.5%. The other three variables can not effectively explain the variation of the original variable. Conclusion there is a correlation between TCM physique and quality of life in elderly patients with hypertension. It is helpful to improve the health level of patients, manage and prevent diseases, and improve the quality of life of patients by adjusting the body differentiation and correcting the biased physique.
【作者单位】：广东省深圳市龙岗区中医院骨伤科;广东省深圳市龙岗区中医院肾病科;广东省深圳市龙岗区中医院社康办;广东省深圳市龙岗区中医院肝病科;
【基金】：广东省深圳市龙岗区科技计划医疗卫生类项目(LG20140610225447)
【分类号】：R259

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