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影响埃及农村地区糖尿病和高血压患者生活质量的社会经济决定因素。

Socioeconomic determinants affecting the quality of life among diabetic and hypertensive patients in a rural area, Egypt.

作者信息

ElShazly Hewaida M, Hegazy Nagwa Nashat

机构信息

Department of Community Medicine, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

Department of Family Medicine, Faculty of Medicine, Menoufia University, Menoufia, Egypt.

出版信息

J Family Med Prim Care. 2017 Jan-Mar;6(1):141-145. doi: 10.4103/jfmpc.jfmpc_31_17.

Abstract

BACKGROUND

Diabetes mellitus and hypertension have a high prevalence of growth in all countries threatening to become a global epidemic risk, thus the quality of life this category of patients is extremely important. The aim of this study was to assess the socioeconomic determinants affecting the quality of life among diabetic and hypertensive patients.

PATIENT AND METHODS

A descriptive cross-sectional study was conducted in a rural family health care center in El-Batanon village, in the delta region of Menoufia, Egypt. The recruited sample population was 401 participants over six month's context time frame (diabetic and hypertensive participants were 224 and 117 respectively). All participants were interviewed using a questionnaire to assess the demographic characteristics, socioeconomic status, type, duration and treatments of illness and the 36-Item Short Form Health Survey.

RESULTS

Patients with Diabetes presented a poorer health related quality of life than those with hypertension in perceived health in the areas of role-physical (RP) ( < 0.05), bodily pain (BP) ( < 0.001), general health (GH) ( < 0.05), vitality (VT) ( < 0.05), social functioning (SF) ( < 0.001) and role-emotional (RE) ( < 0.001). Age, Sex, Family size, socioeconomic score and occupation were the main Socioeconomic Determinants affecting the quality of life among diabetic and hypertensive patients.

CONCLUSION

Diabetes and hypertension seem to comparably impair the health-related quality of life. There is a need to develop and implement effective targeted intervention to help the patients to cope with their life in a better way.

摘要

背景

糖尿病和高血压在所有国家的发病率都呈上升趋势,有可能成为全球流行风险,因此这类患者的生活质量极其重要。本研究的目的是评估影响糖尿病和高血压患者生活质量的社会经济决定因素。

患者与方法

在埃及梅努菲亚省三角洲地区的埃尔 - 巴塔农村的一家农村家庭医疗中心进行了一项描述性横断面研究。在六个月的时间范围内招募了401名参与者(糖尿病患者和高血压患者分别为224名和117名)。所有参与者都通过问卷调查来评估其人口统计学特征、社会经济状况、疾病类型、病程和治疗情况以及36项简短健康调查问卷。

结果

在角色 - 身体(RP)(<0.05)、身体疼痛(BP)(<0.001)、总体健康(GH)(<0.05)、活力(VT)(<0.05)、社会功能(SF)(<0.001)和角色 - 情感(RE)(<0.001)等方面,糖尿病患者在感知健康方面的健康相关生活质量比高血压患者更差。年龄、性别、家庭规模、社会经济得分和职业是影响糖尿病和高血压患者生活质量的主要社会经济决定因素。

结论

糖尿病和高血压似乎对健康相关生活质量有类似的损害。需要制定和实施有效的针对性干预措施,以帮助患者更好地应对生活。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/990e/5629879/45010bf619ff/JFMPC-6-141-g001.jpg

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