CAJ | 학술논문

目的探讨猝死病区人群社会支持与生命质量的关系,为制定提高和改善病区人群生命质量的措施提供科学依据.方法采用横断面入户调查方式,利用社会支持评定量表对病区人群进行社会支持调查,利用世界卫生组织生命质量评定量表简表对病区人群进行生命质量调查.结果云南猝死病区人群的社会支持总分及主观支持、客观支持维度得分[(40.85±8.34)分、(9.58±3.58)分、(23.86±4.87)分]均低于对照组相同维度得分[(41.82±7.12)分、(10.47±3.26)分、(24.51±4.68)分](均P＜0.05).病区人群社会支持利用度[(7.41±2.67)分]与对照人群社会支持利用度[(6.84±2.56)分]之间差异没有统计学意义(P＞0.05).用多重线性回归控制家庭人均收入等混杂因素后,社会支持总分、主观支持、客观支持及支持利用度分别与生命质量总分及各维度得分均呈正相关关系(社会支持总分与生命质量各维度的相关系数分别为:0.30,0.11,0.29,0.28,0.36;客观支持得分与生命质量各维度的相关系数分别为:0.15,0.05,0.13,0.14,0.19;主观支持得分与生命质量及各维度的相关系数分别为:0.18,0.06,0.21,0.23;支持利用度与生命质量各维度的相关系数分别为:0.11,0.05,0.10,0.09,0.11)(均P＜0.05).结论云南猝死病区人群获得社会支持较少,且对社会支持的利用度低,使得病区人群生命质量较差,要改善这一状况,必须在提供更多社会支持的基础上,加强对社会支持的利用.
목적 탐토졸사병구인군사회지지여생명질량적관계,위제정제고화개선병구인군생명질량적조시제공과학의거.방법 채용횡단면입호조사방식,이용사회지지평정량표대병구인군진행사회지지조사,이용세계위생조직생명질량평정량표간표대병구인군진행생명질량조사.결과 운남졸사병구인군적사회지지총분급주관지지、객관지지유도득분[(40.85±8.34)분、(9.58±3.58)분、(23.86±4.87)분]균저우대조조상동유도득분[(41.82±7.12)분、(10.47±3.26)분、(24.51±4.68)분](균P＜0.05).병구인군사회지지이용도[(7.41±2.67)분]여대조인군사회지지이용도[(6.84±2.56)분]지간차이몰유통계학의의(P＞0.05).용다중선성회귀공제가정인균수입등혼잡인소후,사회지지총분、주관지지、객관지지급지지이용도분별여생명질량총분급각유도득분균정정상관관계(사회지지총분여생명질량각유도적상관계수분별위:0.30,0.11,0.29,0.28,0.36;객관지지득분여생명질량각유도적상관계수분별위:0.15,0.05,0.13,0.14,0.19;주관지지득분여생명질량급각유도적상관계수분별위:0.18,0.06,0.21,0.23;지지이용도여생명질량각유도적상관계수분별위:0.11,0.05,0.10,0.09,0.11)(균P＜0.05).결론 운남졸사병구인군획득사회지지교소,차대사회지지적이용도저,사득병구인군생명질량교차,요개선저일상황,필수재제공경다사회지지적기출상,가강대사회지지적이용.
Objective To explore the correlations between the social support and the quality of life to them who live in Yunnan sudden unexplained death ward,and provide a scientific basis for taking effective measures to improve the people' s quality of life in the ward.Methods Using the cross-sectional household survey to collect the information of the inhabitants on social support and quality of life by the Social Support Scale,and the WHOQOL-brief Scale.Results The total score of social support,scores of subjective support,objective support in Yunnan sudden death ward ((40.85±8.34),(9.58±3.58),(23.86±4.87)) were lower than those of the control group in the same dimension ((41.82±7.12),(10.47±3.26),(24.51±4.68)) (all P＜0.05).But the score of social support utility in Yunnan sudden death ward (7.41±2.67)was no significant difference between the two groups (6.84±2.56,P＞0.05).After using multiple linear regression to control other confounding factors,such as house-hold income per capita,scores of social support,subjective support,objective support and social support utility were positively correlated with the score of quality of life in Yunnan sudden death ward (the correlation coefficient between the scores of social support and the dimensions related to the quality of life were 0.30,0.11,0.29,0.28,0.36;the correlation coefficient between the scores of objective support and the dimensions related to the quality of life were 0.15,0.05,0.13,0.14,0.19;the correlation coefficient between the scores of subjective social support and the dimensions related to the quality of life were 0.18,0.06,0.21,0.23; the correlation coefficient between the scores of social support utility and the dimensions related to the quality of life were 0.11,0.05,0.10,0.09,0.11 (all P＜0.05).Conclusions The people who live in Yunnan sudden death ward get less social support and social support utility is low,which cause the worse quality of their life.To make this situation better,more social support is necessary to enhance the utilization.