越南心血管疾病患者健康相关生活质量的社会经济不平等。
Socioeconomic Inequalities in Health-Related Quality of Life among Patients with Cardiovascular Diseases in Vietnam.
机构信息
Institute for Preventive Medicine and Public Health, Hanoi Medical University, Hanoi, Vietnam.
Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
出版信息
Biomed Res Int. 2018 Sep 26;2018:2643814. doi: 10.1155/2018/2643814. eCollection 2018.
PURPOSE
This study aims to explore the sociodemographic differences in health-related quality of life (HRQOL) among Vietnamese patients with cardiovascular diseases (CVD).
METHODS
A cross-sectional survey of 600 cardiovascular disease patients (300 inpatients and 300 outpatients) being treated at the Hanoi Heart Hospital was completed between July and December 2016. Data about HRQOL were collected by using the EuroQol-5 Dimensions-5 Levels (EQ-5D-5L) and EuroQOL-visual analogue scale (VAS). Sociodemographic characteristics were collected. A multivariate Tobit regression was used to detect the correlations between HRQOL and sociodemographic factors.
RESULTS
Our sample had an average EQ-5D index of 0.82 (SD=0.21) and VAS score of 77.8 (SD=13.6). Participants were most likely to report problems in pain/discomfort (38.8%) and anxiety/depression (35.2%) and were least likely to report problems related to self-care (19.8%). Age and sex were strongly associated with the EQ-5D index and the VAS. Having health insurance and the number of hospital visits were negatively associated with HRQOL, while participation in the chronic disease management program had the positive relationship.
CONCLUSIONS
HRQOL among patients with CVD was moderately lower compared to the Vietnamese general population. Sociodemographic characteristics were strongly associated with HRQOL suggesting that addressing these inequalities should be prioritized in delivering services. Patients should also be encouraged to participate in the chronic disease management program due to its positive effects on quality of life.
目的
本研究旨在探讨越南心血管疾病患者健康相关生活质量（HRQOL）的社会人口学差异。
方法
2016 年 7 月至 12 月，对在河内心脏医院接受治疗的 600 名心血管疾病患者（300 名住院患者和 300 名门诊患者）进行了横断面调查。使用欧洲五维健康量表-5 维度-5 水平（EQ-5D-5L）和欧洲五维健康量表视觉模拟量表（EQ-VAS）收集了 HRQOL 数据。收集了社会人口统计学特征。使用多元 Tobit 回归来检测 HRQOL 与社会人口学因素之间的相关性。
结果
我们的样本平均 EQ-5D 指数为 0.82（SD=0.21），VAS 评分为 77.8（SD=13.6）。参与者最有可能报告疼痛/不适（38.8%）和焦虑/抑郁（35.2%）方面的问题，而最不可能报告与自我护理相关的问题（19.8%）。年龄和性别与 EQ-5D 指数和 VAS 呈强相关。有医疗保险和就诊次数与 HRQOL 呈负相关，而参与慢性病管理计划则与 HRQOL 呈正相关。
结论
与越南一般人群相比，心血管疾病患者的 HRQOL 中等偏低。社会人口学特征与 HRQOL 密切相关，这表明在提供服务时应优先解决这些不平等问题。还应鼓励患者参与慢性病管理计划，因为它对生活质量有积极影响。
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