CAJ | 학술논문

目的：了解上海市城郊社区高血压患者的质量调整生命年（ QALY），并探讨QALY的影响因素。方法采用分层随机抽样方法，于2013年7-8月对上海市郊区某社区卫生服务中心辖区内的高血压患者进行调查。采用欧洲五维健康量表（ EQ-5D），借鉴日本的积分体系计算QALY，进行非参数检验和Logistic回归分析。结果本研究地区的高血压患者人均获得的QALY为66.34。经Logistic回归分析，性别、年龄、婚姻状况、子女数、家庭月均收入及1年前血压达标情况是QALY的影响因素。结论上海市城郊该社区高血压患者人均获得的QALY为66.34。男性、1年前血压达标是高QALY的保护因素，而年龄、子女数则为高QALY的危险因素。社区开展高血压管理时，应重点管理女性患者、老年患者、子女数较多的患者以及血压控制较差、波动大的高血压患者，以进一步提高社区高血压患者的生命质量。
목적：료해상해시성교사구고혈압환자적질량조정생명년（ QALY），병탐토QALY적영향인소。방법채용분층수궤추양방법，우2013년7-8월대상해시교구모사구위생복무중심할구내적고혈압환자진행조사。채용구주오유건강량표（ EQ-5D），차감일본적적분체계계산QALY，진행비삼수검험화Logistic회귀분석。결과본연구지구적고혈압환자인균획득적QALY위66.34。경Logistic회귀분석，성별、년령、혼인상황、자녀수、가정월균수입급1년전혈압체표정황시QALY적영향인소。결론상해시성교해사구고혈압환자인균획득적QALY위66.34。남성、1년전혈압체표시고QALY적보호인소，이년령、자녀수칙위고QALY적위험인소。사구개전고혈압관리시，응중점관리녀성환자、노년환자、자녀수교다적환자이급혈압공제교차、파동대적고혈압환자，이진일보제고사구고혈압환자적생명질량。
Objective To evaluate the quality adjusted life year ( QALY) of hypertension patients in suburban areas of Shanghai and its influencing factors.Methods Stratified random sampling method was used to select hypertension patients in sub -urban areas of Shanghai between July and August , 2013.European quality of life 5-dimensions ( EQ-5D) and Japanese Value Set were used to measure QALY.SPSS software was used for non -parametric test and logistic regression analysis.Results The average QALY of hypertension patients investigated was 66.34.According to the logistic regression results , gender, age, martial status, filial number, income per month and blood pressure one year ago were the influencing factors.Conclusion The average QALY of hypertension patients investigated was 66.34.For male patients, the blood pressure having reached to the standard one year ago is the protective factors of QALY.Ages and filial numbers are the risk factors.Female patients, aged patients, patients who have many children and whose blood pressure is not better controlled and has large fluctuation should be focused on the hyper -tension management in community , in order to improve the life quality of patients.