中华地方病学杂志
中華地方病學雜誌
중화지방병학잡지
Chinese Journal of Endemiology
2015年
6期
443-446
,共4页
王金勇%石武祥%王海波%陈白云%刘建英
王金勇%石武祥%王海波%陳白雲%劉建英
왕금용%석무상%왕해파%진백운%류건영
猝死%生命质量%关联因素
猝死%生命質量%關聯因素
졸사%생명질량%관련인소
Sudden Death%Quality of life%Associated factor
目的 了解云南不明原因猝死病病区人群生命质量与猝死频率的关系.方法 在大理州鹤庆县、洱源县和楚雄州大姚县等病区内按分层整群抽样方法抽取728人作为病区组,同时在大理州永平县非病区抽取649人作为对照组,通过入户调查方式完成世界卫生组织的生存质量简表资料收集,采用方差分析、x2检验及多重线性回归方法对数据进行分析.结果 病区组人群与对照组相比,在家庭收入方面,二者无统计学差异(x2=7.052,P＞0.05);在文化程度和慢性病患病率两方面,存在统计学差异(x2=35.727、9.810,P均＜0.05);按居民猝死事件发生频率(1、2、3、4次),人群的生命质量总分、生理维度、心理维度、环境维度、社会维度的得分(1次:54.30、13.74、14.43、11.21、14.91;2次:54.75、13.86、14.65、11.12、15.10;3次:52.40、13.21、13.76、11.00、14.41;4次:49.21、12.15、12.54、9.87、14.64)均低于对照组人群得分(56.03、14.11、14.78、11.88、15.26),差异有统计学意义(x2=41.88,25.75,41.07,35.07,8.08,P均＜0.05);病区组居民的生命质量各个维度得分与猝死发生频率呈负相关关系(多重线性回归分析结果为:猝死频率与生命质量总分、生理维度、心理维度、环境维度、社会维度的回归系数分别为:-1.195、-0.341、-0.356、-0.314、-0.185,P均＜0.05).结论 云南不明原因猝死病病区人群的生命质量与猝死频率有关,随着猝死频率的升高,人群生命质量降低.
目的 瞭解雲南不明原因猝死病病區人群生命質量與猝死頻率的關繫.方法 在大理州鶴慶縣、洱源縣和楚雄州大姚縣等病區內按分層整群抽樣方法抽取728人作為病區組,同時在大理州永平縣非病區抽取649人作為對照組,通過入戶調查方式完成世界衛生組織的生存質量簡錶資料收集,採用方差分析、x2檢驗及多重線性迴歸方法對數據進行分析.結果 病區組人群與對照組相比,在傢庭收入方麵,二者無統計學差異(x2=7.052,P＞0.05);在文化程度和慢性病患病率兩方麵,存在統計學差異(x2=35.727、9.810,P均＜0.05);按居民猝死事件髮生頻率(1、2、3、4次),人群的生命質量總分、生理維度、心理維度、環境維度、社會維度的得分(1次:54.30、13.74、14.43、11.21、14.91;2次:54.75、13.86、14.65、11.12、15.10;3次:52.40、13.21、13.76、11.00、14.41;4次:49.21、12.15、12.54、9.87、14.64)均低于對照組人群得分(56.03、14.11、14.78、11.88、15.26),差異有統計學意義(x2=41.88,25.75,41.07,35.07,8.08,P均＜0.05);病區組居民的生命質量各箇維度得分與猝死髮生頻率呈負相關關繫(多重線性迴歸分析結果為:猝死頻率與生命質量總分、生理維度、心理維度、環境維度、社會維度的迴歸繫數分彆為:-1.195、-0.341、-0.356、-0.314、-0.185,P均＜0.05).結論 雲南不明原因猝死病病區人群的生命質量與猝死頻率有關,隨著猝死頻率的升高,人群生命質量降低.
목적 료해운남불명원인졸사병병구인군생명질량여졸사빈솔적관계.방법 재대리주학경현、이원현화초웅주대요현등병구내안분층정군추양방법추취728인작위병구조,동시재대리주영평현비병구추취649인작위대조조,통과입호조사방식완성세계위생조직적생존질량간표자료수집,채용방차분석、x2검험급다중선성회귀방법대수거진행분석.결과 병구조인군여대조조상비,재가정수입방면,이자무통계학차이(x2=7.052,P＞0.05);재문화정도화만성병환병솔량방면,존재통계학차이(x2=35.727、9.810,P균＜0.05);안거민졸사사건발생빈솔(1、2、3、4차),인군적생명질량총분、생리유도、심리유도、배경유도、사회유도적득분(1차:54.30、13.74、14.43、11.21、14.91;2차:54.75、13.86、14.65、11.12、15.10;3차:52.40、13.21、13.76、11.00、14.41;4차:49.21、12.15、12.54、9.87、14.64)균저우대조조인군득분(56.03、14.11、14.78、11.88、15.26),차이유통계학의의(x2=41.88,25.75,41.07,35.07,8.08,P균＜0.05);병구조거민적생명질량각개유도득분여졸사발생빈솔정부상관관계(다중선성회귀분석결과위:졸사빈솔여생명질량총분、생리유도、심리유도、배경유도、사회유도적회귀계수분별위:-1.195、-0.341、-0.356、-0.314、-0.185,P균＜0.05).결론 운남불명원인졸사병병구인군적생명질량여졸사빈솔유관,수착졸사빈솔적승고,인군생명질량강저.
Objective To investigate the relationship between the quality of life and different frequency of sudden death in Yunnan unexplained sudden death disease area.Methods According to the stratified cluster sampling method,728 individuals were selected as the respondents in Heqing County,Eryuan County of Dali Bai Autonomous Prefecture,and in Dayao County of Chuxiong Yi Autonomous Prefecture.According to the random sampling,649 individuals were selected as the control in Yongping County,Dali Bai Autonomous Prefecture.Data of the quality of life (WHOQOL-BREF version) were collected through household surveys.Analysis method including ANOVA,Chi-squared test and multilinear regression were used.Results Compared with the control population,the household income of population in the diseased area was not significantly different statistically (x2 =7.052,P ＞ 0.05).But the differences in education level and chronic disease situation were statistically significant (x2 =35.727,9.810,all P ＜ 0.05).According to the frequency of the sudden death,from one to four,the total scores of the quality of life,the scores of the physiology domain,the scores of the psychological domain,the scores of the environmental domain and the scores of the social relations domain (1 time:54.30,13.74,14.43,11.21,14.91;2 times:54.75,13.86,14.65,11.12,15.10;3 times:52.40,13.21,13.76,11.00,14.41;4 times:49.21,12.15,12.54,9.87,14.64)were all lower than those of the control group (56.03,14.11,14.78,11.88 and 15.26),the differences between two groups were statistically significant (x2 =41.88,25.75,41.07,35.07,8.08,all P ＜ 0.05);the total scores and each domain score of the quality of life were negatively correlated with the frequency of sudden death (the multi-variables regression coefficient were as follows:-1.195,-0.341,-0.356,-0.314,and-0.185,all P ＜ 0.05).Conclusions The quality of life of those who have lived in Yunnan unexplained sudden death area is associated with the outbreak frequency of sudden death.Following increasing of the outbreak frequency of Yunnan unexplained sudden death,the quality of life of the population living in Yunnan unexplained sudden death area has decreased.
