中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2014年
11期
817-820
,共4页
银屑病%社会经济因素%流行病学因素
銀屑病%社會經濟因素%流行病學因素
은설병%사회경제인소%류행병학인소
Psoriasis%Socioeconomic factors%Epidemiologic factors
目的 探讨中国中、重度银屑病患者的直接经济负担及其影响因素.方法 对中国7个城市、29家三级甲等医院皮肤科就诊的150例中度与重度银屑病患者(男女各75例)进行问卷调查,收集患者的社会人口学特征、临床特征和直接经济负担数据.对中重度患者的直接经济负担进行描述统计分析,并采用逐步多元回归进行影响因素分析.结果 150例中、重度银屑病患者年龄(43.87±13.42)岁,平均病程3年(2～6年).中度82例,重度68例.患者年均直接经济负担为(6 452±6 392)元,中度患者(4 163±4 605)元,重度患者(9 212±7 146)元,中度与重度比较,差异有统计学意义(z=5.70,P＜ 0.001).对患者直接经济负担的影响因素主要包括疾病严重程度、疾病类型、是否住院、是否患有并发症以及患者所在城市.结论 重度银屑病患者的经济负担是中度银屑病患者的2倍.医生在对患者进行治疗时应加强对并发症及疾病严重程度的控制,并对非寻常性银屑病患者予以更多关注.
目的 探討中國中、重度銀屑病患者的直接經濟負擔及其影響因素.方法 對中國7箇城市、29傢三級甲等醫院皮膚科就診的150例中度與重度銀屑病患者(男女各75例)進行問捲調查,收集患者的社會人口學特徵、臨床特徵和直接經濟負擔數據.對中重度患者的直接經濟負擔進行描述統計分析,併採用逐步多元迴歸進行影響因素分析.結果 150例中、重度銀屑病患者年齡(43.87±13.42)歲,平均病程3年(2～6年).中度82例,重度68例.患者年均直接經濟負擔為(6 452±6 392)元,中度患者(4 163±4 605)元,重度患者(9 212±7 146)元,中度與重度比較,差異有統計學意義(z=5.70,P＜ 0.001).對患者直接經濟負擔的影響因素主要包括疾病嚴重程度、疾病類型、是否住院、是否患有併髮癥以及患者所在城市.結論 重度銀屑病患者的經濟負擔是中度銀屑病患者的2倍.醫生在對患者進行治療時應加彊對併髮癥及疾病嚴重程度的控製,併對非尋常性銀屑病患者予以更多關註.
목적 탐토중국중、중도은설병환자적직접경제부담급기영향인소.방법 대중국7개성시、29가삼급갑등의원피부과취진적150례중도여중도은설병환자(남녀각75례)진행문권조사,수집환자적사회인구학특정、림상특정화직접경제부담수거.대중중도환자적직접경제부담진행묘술통계분석,병채용축보다원회귀진행영향인소분석.결과 150례중、중도은설병환자년령(43.87±13.42)세,평균병정3년(2～6년).중도82례,중도68례.환자년균직접경제부담위(6 452±6 392)원,중도환자(4 163±4 605)원,중도환자(9 212±7 146)원,중도여중도비교,차이유통계학의의(z=5.70,P＜ 0.001).대환자직접경제부담적영향인소주요포괄질병엄중정도、질병류형、시부주원、시부환유병발증이급환자소재성시.결론 중도은설병환자적경제부담시중도은설병환자적2배.의생재대환자진행치료시응가강대병발증급질병엄중정도적공제,병대비심상성은설병환자여이경다관주.
Objective To estimate direct economic burden of patients with moderate to severe psoriasis in China,and to assess its influencing factors.Methods A questionnaire survey was carried out in 150 patients with moderate to severe psoriasis from 29 third-grade class-A hospitals in 7 cities.Data on demographic characteristics,clinical features and direct economic burden were collected.Descriptive statistics were performed to analyze the direct economic burden of moderate to severe psoriasis,and multiple regression analysis was carried out to determine predictors of cost of illness.Results The patients were aged (43.87 ± 13.42) years,with an average clinical course of 3 years(range,2-6 years).Of them,82 had moderate psoriasis,and 68 had severe psoriasis.The average direct cost was (6 452 ± 6 391)RMB per patient-year,with significant difference between the patients with moderate psoriasis and those with severe psoriasis ((4 163 ± 4 605) vs.(9 212 ± 7 146) RMB,z =5.70,P ＜ 0.001).Regression analysis indicated that disease severity,clinical type,hospitalization,complications,and inhabited cities were factors influencing the direct economic burden of patients with moderate to severe psoriasis.Conclusions The direct eonomic burden of severe psoriasis seems to be twice that of moderate psoriasis in China.Physicians should strengthen the control of complications and disease severity,and pay more attention to other types of psoriasis than psoriasis vulgaris,during the treatment of psoriasis.
