中华消化杂志
中華消化雜誌
중화소화잡지
Chinese Journal of Digestion
2012年
1期
24-28
,共5页
李如源%杨雪松%穆尔扎·别克%张拓红
李如源%楊雪鬆%穆爾扎·彆剋%張拓紅
리여원%양설송%목이찰·별극%장탁홍
炎症性肠病%生活质量%费用,医疗
炎癥性腸病%生活質量%費用,醫療
염증성장병%생활질량%비용,의료
Inflammatory bowel diseases%Quality of life%Fees,medical
目的 研究炎症性肠病(IBD)患者的健康相关生活质量(HRQoL)及其影响因素.方法 应用中文版IBD问卷(C-IBDQ),对IBD患者进行横断面调查,评价其HRQoL；通过相关分析和多元线性回归分析,筛选出影响IBD患者HRQoL的主要因素.结果 100例IBD患者(UC 80例,CD 17例,未分型3例)完成问卷,HRQoL总分为(175.9±37.9)分,各维度评分均有下降,其中情感功能受损最为明显；UC患者与CD患者HRQoL总分差异无统计学意义(P＞0.05).活动期IBD患者的HRQoL总分及各维度评分均明显低于缓解期患者(158.7±41.4比186.6±35.1;t=2.813,P=0.006);病程＜1年的患者HRQoL明显低于病程1年以上的患者(P＜0.05)；重型IBD患者的HRQoL明显低于轻型患者(P＜0.05)；医疗费用主要由个人支付的患者HRQoL较费用大部分由医保支付的患者低,两者在社会功能及经济负担维度差异有统计学意义(P＜0.05).多元线性回归分析提示,对IBD患者HRQoL有影响的因素为病情、疾病活动度、病程、付费方式等.结论 IBD患者HRQoL均有不同程度受损；影响IBD患者HRQoL的因素有病情、疾病活动度、病程、付费方式等；经济负担对IBD患者HRQoL有明显影响.
目的 研究炎癥性腸病(IBD)患者的健康相關生活質量(HRQoL)及其影響因素.方法 應用中文版IBD問捲(C-IBDQ),對IBD患者進行橫斷麵調查,評價其HRQoL；通過相關分析和多元線性迴歸分析,篩選齣影響IBD患者HRQoL的主要因素.結果 100例IBD患者(UC 80例,CD 17例,未分型3例)完成問捲,HRQoL總分為(175.9±37.9)分,各維度評分均有下降,其中情感功能受損最為明顯；UC患者與CD患者HRQoL總分差異無統計學意義(P＞0.05).活動期IBD患者的HRQoL總分及各維度評分均明顯低于緩解期患者(158.7±41.4比186.6±35.1;t=2.813,P=0.006);病程＜1年的患者HRQoL明顯低于病程1年以上的患者(P＜0.05)；重型IBD患者的HRQoL明顯低于輕型患者(P＜0.05)；醫療費用主要由箇人支付的患者HRQoL較費用大部分由醫保支付的患者低,兩者在社會功能及經濟負擔維度差異有統計學意義(P＜0.05).多元線性迴歸分析提示,對IBD患者HRQoL有影響的因素為病情、疾病活動度、病程、付費方式等.結論 IBD患者HRQoL均有不同程度受損；影響IBD患者HRQoL的因素有病情、疾病活動度、病程、付費方式等；經濟負擔對IBD患者HRQoL有明顯影響.
목적 연구염증성장병(IBD)환자적건강상관생활질량(HRQoL)급기영향인소.방법 응용중문판IBD문권(C-IBDQ),대IBD환자진행횡단면조사,평개기HRQoL；통과상관분석화다원선성회귀분석,사선출영향IBD환자HRQoL적주요인소.결과 100례IBD환자(UC 80례,CD 17례,미분형3례)완성문권,HRQoL총분위(175.9±37.9)분,각유도평분균유하강,기중정감공능수손최위명현；UC환자여CD환자HRQoL총분차이무통계학의의(P＞0.05).활동기IBD환자적HRQoL총분급각유도평분균명현저우완해기환자(158.7±41.4비186.6±35.1;t=2.813,P=0.006);병정＜1년적환자HRQoL명현저우병정1년이상적환자(P＜0.05)；중형IBD환자적HRQoL명현저우경형환자(P＜0.05)；의료비용주요유개인지부적환자HRQoL교비용대부분유의보지부적환자저,량자재사회공능급경제부담유도차이유통계학의의(P＜0.05).다원선성회귀분석제시,대IBD환자HRQoL유영향적인소위병정、질병활동도、병정、부비방식등.결론 IBD환자HRQoL균유불동정도수손；영향IBD환자HRQoL적인소유병정、질병활동도、병정、부비방식등；경제부담대IBD환자HRQoL유명현영향.
Objective To investigate the health-related quality of life (HRQoL) and its influencing factors in patients with inflammatory bowel disease (IBD).Methods The IBD patients underwent cross-sectional survey through Chinese version of inflammatory bowel disease questionnaire (C-IBDQ),the HRQoL of IBD patients were evaluated and analyzed with correlation analysis and multiple-linear regression analysis.Results A total of 100 IBD patients finished the questionnaire (UC 80,CD 17,ID 3).The overall score of HRQoL in IBD patients were (175.9±37.9),score of each item decreased,especially in the aspect of emotional function. There was no significantly difference in total scores of HRQoL between UC patients and DC patients (P＞0.05).The HRQoL total scores and each item score of patients in active period were significantly lower than those in remission period (149.4 ± 35.2,195.1 ± 26.7 ; P＜0.05).The HRQoL scores of patients with the duration less than one year were significantly lower than those over one year (P＜0.05).The HRQoL scores of severe patients were significantly lower than those of mild patients (P＜0.05).The HRQoL scores of patients whose medical cost mainly paid by themselves were lower than those paid by medical insurance,there were significant differences in social function and economic burden between these two groups.Multiple linear regressions analysis indicated that the influential factors of HRQoL were disease severity and activity,duration,and the payment.Conclusions The HRQoL of IBD patients are impaired in varying degrees.The influential factors of HRQoL were disease severity and activity,duration,and the payment.The HRQoL of IBD patients is obviously affected by economic burden.
