CAJ | 학술논문

目的：在福建某具备典型客家土楼结构及族群特征的客家人群中筛查胃食管反流病（ gastro－e-sophageal reflux disease， GERD）症状阳性者，观察疾病对生活质量的影响。方法采用香港反流症状中文问卷（Chinese Gerd Q， CGQ）及SF－36量表对客家人群进行调查。结果203名受访者共有26例（12.6％）GERD阳性症状者，其生活质量8个维度得分及总分均低于对照组，其中生理功能（ physical function， PF）、生理职能（ role physical， RP）、躯体疼痛（bodily pain， BP）、总体健康（general health， GH）、精神健康（mental health， MH）及总分差异有统计学意义（ P＜0.05），而情感职能（role emotional， RE）、活力（vitality， VT ）、社会功能（social function， SF）方面差异无统计学意义（P＞0.05）。结论客家地区人群GERD症状阳性者的比例较高，主要影响生理及精神健康。该人群的GERD护理除重视相关知识的普及及生活方式指导外，还应特别重视心理健康指导。
목적：재복건모구비전형객가토루결구급족군특정적객가인군중사사위식관반류병（ gastro－e-sophageal reflux disease， GERD）증상양성자，관찰질병대생활질량적영향。방법채용향항반류증상중문문권（Chinese Gerd Q， CGQ）급SF－36량표대객가인군진행조사。결과203명수방자공유26례（12.6％）GERD양성증상자，기생활질량8개유도득분급총분균저우대조조，기중생리공능（ physical function， PF）、생리직능（ role physical， RP）、구체동통（bodily pain， BP）、총체건강（general health， GH）、정신건강（mental health， MH）급총분차이유통계학의의（ P＜0.05），이정감직능（role emotional， RE）、활력（vitality， VT ）、사회공능（social function， SF）방면차이무통계학의의（P＞0.05）。결론객가지구인군GERD증상양성자적비례교고，주요영향생리급정신건강。해인군적GERD호리제중시상관지식적보급급생활방식지도외，환응특별중시심리건강지도。
Objective Hakka people with the ethnic characteristics living in a typical structure of Hakka Tu-lou in Fujian whose symptoms were positive were screened, and their quality of life was observed.Methods A Chinese gastroesophageal reflux disease questionnaire ( Chinese GerdQ, CGQ) and SF -36 scale were used to investigate the Hakka people.Results A total of 26 cases (12.6%) among 203 respondents presented GERD positive symptoms, 8 dimensions scores and total scores of the quality of life were lower than those of control group, in which difference of physical function ( PF) , role physical ( RP) , body pain ( BP) , general health ( GH) , mental health ( MH) and total score had statistical significances ( P<0.05) , while differences of the role emotional ( RE) , vitality ( VT) , social func-tion ( SF) had no statistical significances ( P>0.05 ) .Conclusions The proportion of GERD positive symptoms of Hakkasis high, it could affect the physical and mental health.In addition to the popularization of knowledge and guiding the way of life for them, the mental health guidance should be attached importance.