脑卒中患者健康相关生命质量及其影响因素研究
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福建医科大学公共卫生学院

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福建省高校杰出青年科研人才培育计划项目(2018B030)


Health-related Quality of life in Patients with Stroke and Its Determinants
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School of Public Health, Fujian Medical University

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    摘要:

    选取CHARLS数据库中符合要求的调查数据,基于EQ-5D-3L量表,依据我国人群的效用值积分体系计算脑卒中患者的健康效用值,以反映健康相关生命质量水平;采用K-W检验、Tobit截取回归模型分析脑卒中患者健康相关生命质量的影响因素。最终选取有效样本348例,脑卒中患者健康效用值平均值为0.62±0.23。回归结果显示,性别、受教育水平、婚姻状况、睡眠时长、吸烟状况、社交活动频率、BMI会对其健康相关生命质量产生不同程度的影响。脑卒中患者的健康相关生命质量较低,建议医院、社区等部门采取各种措施提高患者对疾病的认知;针对各种可控的危险因子,倡导患者采取更加健康的生活方式。

    Abstract:

    Objectives: To determine the health related quality of life (HRQoL) of patients with stroke and identify its influencing factors based on EQ-5D-3L scale. Methods: Data meet the research requirements were extracted from CHARLS dataset. Basing on EQ-5D-3L scale, the health utility values was measured to reflect HRQoL according to a Chinese general population-based time trade-off value set. K-W test and Tobit regression model were applied to identify the influencing factors on HRQoL of patients with stroke. Results: A total of 348 patients were included in the study, with the mean health utility value of 0.62±0.23. Gender, education level, marital status, sleep duration, smoking status, frequency of social activities and BMI have different effects on HRQoL of patients with stroke. Conclusions: Low HRQoL was common in the patients with stroke. Hospitals, communities and any authorities concerned should take various measures to improve patients" cognitive ability of stroke. According to various controllable risk factors, patients should be advocated to adopt healthier lifestyle.

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  • 收稿日期:2019-12-08
  • 最后修改日期:2020-03-07
  • 录用日期:2020-10-20
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