Objective To investigate the quality of life (QOL)and its influencing factors among hypertensive pa-tientsin community.Methods Using the method of random cluster sampling,1121 patients with hypertension were investi-gated in Huangpu District by a questionnaire,which included demographic characteristics,hypertension prevention and con-trol knowledge,SF-36,self-efficacy assessment scale for hypertension,and other factors.Results Among 1121 hyperten-sion patients,there were 249 (24.9%)residents who mastered knowledge about preventing and controlling hypertension in community.The total score of QOL was (625.72 ±115.22)in hypertension patients,the scores of SF-36 in eight dimen-sions were (81.18 ±19.67) in physiological function, (80.71 ±33.05) in physicalrole, (82.69 ±18.47) in body pain,(59.62 ±17.46)in general health,(72.65 ±14.40)in vitality,(84.71 ±17.13)in social function,(84.95 ± 31.17)in emotional function, (79.21 ±13.93) in mentalhealth.The levels of self-efficacy in low,medium and high were 26 (2.3%),147 (13.1%),948 (84.6%),respectively.Gender,age and self-efficacy were main influencing factors of QOL among hypertensive patients in community.Conclusion QOL ofhypertension patients are closely related to gender,age and self-efficacy.More attention should be paid to self-efficacy in order to improve QOL of hypertensive pa-tients,and targeted interventions should be carried out in community-level hypertension management.%目的 探索社区高血压患者的生活质量及其影响因素,为今后开展干预提供参考.方法 采用整群抽样的方法,在黄浦区抽取1121名高血压患者进行问卷调查,问卷内容包括人口学特征、高血压防治知识、SF-36生活质量量表、高血压患者自我效能评价表等.结果 1121名调查对象中249人(24.9%)掌握高血压防治知识,生活质量总得分为(625.72±115.22)分,8个维度得分为生理机能(81.18±19.67)分、生理职能(80.71±33.05)分、躯体疼痛(82.69±18.47)分、一般健康状况(59.62±17.46)分、精力(72.65±14.40)分、社会功能(84.71±17.13)分、情感职能(84.95±31.17)分、精神健康(79.21±13.93)分.自我效能低水平26人(2.3%)、中等水平147人(13.1%)、高水平948人(84.6%),性别、年龄、自我效能水平是影响调查对象生活质量的主要因素.结论 高血压患者生活质量与性别、年龄、自我效能水平紧密相关,在社区高血压健康管理中应重视自我效能对生活质量的影响,并开展针对性的干预.
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