Objective To investigate the quality of life among elderly hypertensive patients in Weifang City,and explore the main influencing factors of quality of life.Methods A multi-stage stratified random sampling method was used to select elderly person suffered hypertension and aged ≥60 years in Weifang City as research object.And the influencing factors for quality of life were analyzed by single factor x2test and multivariate logistic regression analysis.Results There were 1208 elderly personswho enrolled in the survey,and 481 persons suffered from hypertension.The proportions of patients with different quality of life problems were:ability to act 21.6％,self-care ability 12.3％,daily activity ability 16.2％,pain/discomfort 41.1％,anxiety/depression 18.3％,VAS health self-assessment (70.55 ± 15.21) points.Multivariate analysis showed that age (OR =1.329,95％ CI:1.104-1.599),combined with other diseases (OR =2.436,95％ CI:1.511-3.927),exercise (OR =0.320,95％ CI:0.199-0.514) were the influencing factors of the dimension of the action;combined with other diseases (OR =4.491,95％ CI:2.335-8.637),physical activity (OR =0.185,95％ CI:0.100-0.344) were the influencing factors of self-care dimension;age (OR =1.269,95％ CI:1.045-1.542),combined with other diseases (OR =3.711,95％ CI:2.150-6.405),exercise (OR =0.343,95％ CI:0.204-0.576)were the influencing factors of daily activity alility;age (OR =1.185,95％ CI:1.025-1.369),combined with other diseases (OR=2.134,95％CI:1.451-3.137),exercise (OR=0.537,95％CI:0.360-0.803) were the risk of pain/uncomfortable dimensions.Conclusion Elderly patients with high blood pressure in Weifang City had poor quality of life.Targeted interventions should be carried out to improve their quality of life.%目的 了解潍坊市社区老年高血压患者生命质量,并探讨其生命质量的主要影响因素.方法 采用多阶段分层随机抽样法选取潍坊市3个社区≥60岁老年高血压患者作为调查研究对象,对影响生命质量的因素进行单因素x2检验及多因素Logistic回归分析.结果 本次调查的城市社区老年人共1208人,其中高血压患者481人,各生命质量维度存在问题的患者各占患者总人数的比例是行动能力(21.6％);自我照顾能力(12.3％);日常活动能力(16.2％);疼痛/不舒服(41.1％);焦虑/抑郁(18.3％),VAS健康自评得分为(70.55±15.21)分.多因素分析结果显示:年龄(OR=1.329,95％CI:1.104 ～1.599)、合并其他疾病(OR=2.436,95％CI:1.511～3.927)、锻炼身体(OR=0.320,95％ CI:0.199～0.514)是行动能力维度的影响因素;合并其他疾病(OR=4.491,95％ CI:2.335～8.637)、锻炼身体(OR =0.185,95％CI:0.100 ～0.344)是自我照顾能力维度的影响因素;年龄(OR=1.269,95％ CI:1.045～1.542)、合并其他疾病(OR=3.711,95％ CI:2.150 ～6.405)、锻炼身体(OR=0.343,95％CI:0.204～0.576)是维度的影响因素;年龄(OR=1.185,95％CI:1.025～1.369)、合并其他疾病(OR=2.134,95％CI:1.451 ～3.137)、锻炼身体(OR=0.537,95％ CI:0.360～0.803)是疼痛/不舒服维度的影响因素.结论 潍坊市老年高血压患者生命质量较差.应针对性地制定干预措施,提高目标人群的生命质量.
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