中国全科医学2017，Vol.20Issue(9)：1104-1109,6.DOI:10.3969/j.issn.1007-9572.2017.09.016
云南省农村居民四种慢性病的流行现状及其对生命质量的影响研究
Prevalence of Four Major Chronic Diseases and Their Impact on Quality of Life among Rural Residents in Yunnan Province
摘要
Abstract
Objective To study the prevalence of four chronic diseases (hypertension,diabetes,coronary heart disease and stroke)in rural residents of Yunnan and analyze their impact on quality of life (QOL)of the residents. Methods From January to September in 2015,a multistage stratified random sampling method was used to select 5040 rural residents who met the inclusion criteria from 12 administrative villages in Yunnan province as the research objects. Physical examination and one- to - one interview questionnaire survey were carried out respectively. The questionnaire survey included the demographic characteristics (gender,age,educational level,family income per capita,marital status),obesity (generalized obesity, central obesity)and quality of life (SF - 36 scale was used to evaluate,the scores of 8 dimensions including physiological function,physiological role,bodily pain,general health,vitality,social function,emotional function and mental health,2 comprehensive scores including comprehensive scores of physical health and mental health),prevalence of the four chronic diseases;and multiple linear regression was used to analyze the influencing factors of quality of life of rural residents. Results A total of 5040 questionnaires were sent out and 4979 valid questionnaires were returned. The total effective response rate was 98. 8%. Of the 4979 residents,there were 1757 (35. 3%)with hypertension,491 (9. 9%)with diabetes,191 (3. 8%) with coronary artery disease,83 (1. 7%)with stroke and 2911 (58. 5%)healthy people. The scores of physiological function, physiological role,bodily pain,general health,social function,emotional function,and the comprehensive scores of physical health and mental health of patients with hypertension were lower than those of healthy people (P < 0. 05). The scores of physiological function,physiological role,physical pain,overall health,vitality,emotional function and comprehensive scores of physical health of diabetic patients were lower than those of healthy people (P < 0. 05). The scores of physiological function, physiological role, physical pain, overall health, vitality, social function, emotional function and mental health and comprehensive scores of physical health and mental health of patients with coronary heart disease and stroke were lower than those of healthy people (P < 0. 05). Gender,age,educational level,family income per capita,developing hypertension,diabetes mellitus,coronary heart disease and stroke were influencing factors of comprehensive scores of physical health of rural residents (P < 0. 05). Gender,educational level,family income per capita,obesity,developing coronary heart disease and stroke were influencing factors of comprehensive scores of physical health of rural residents (P < 0. 05). Conclusion The prevalence rate of hypertension is the highest,followed by diabetes mellitus and coronary heart disease among the four chronic diseases in rural residents in Yunnan province,and the quality of life of patients with chronic diseases significantly declines compared with that of the healthy people. Therefore,we need to strengthen the intervention and health management of patients with chronic diseases, and improve their quality of life.关键词
慢性病/生命质量/农村人口/数据收集Key words
Chronic diseases/Quality of life/Rural population/Data collection分类
医药卫生引用本文复制引用
李青,蔡乐,王文丽,刘跃翠,崔文龙,李绍梅..云南省农村居民四种慢性病的流行现状及其对生命质量的影响研究[J].中国全科医学,2017,20(9):1104-1109,6.基金项目
国家自然科学基金资助项目(71263032) （71263032）
云南省教育厅重大专项课题(Zd2014005) （Zd2014005）
昆明医科大学重大科技成果培育项目(CGPY201503) （CGPY201503）
