Izuno T, Miyakawa M, Sugimori H, Takahashi E, Yoshida K, Hoshi K
Department of Environmental and Occupational Health, Toho University School of Medicine, Tokyo.
Nihon Koshu Eisei Zasshi. 1998 Oct;45(10):979-87.
The purpose of this study is to elucidate the relationships between subjective life satisfaction and the following 8 factors of quality of life: physical condition, daily living activities, working condition, economic status, social status, medical status, marriage status, mental status. One hundred and fifty-four male and 116 female Behçet patients in 13 medical facilities were analyzed in this study. Mantel-Haenszel's odds ratio method and stepwise logistic regression analysis were applied to evaluate the influence of quality of life on subjective life satisfaction in Behçet disease patients. Males had higher problem scores than females in the following: physical condition, daily living activities, working condition, economic status, social status, marriage status, mental status. With regard to the effect on subjective life satisfaction, physical condition, daily living activities, working phase, economic phase, social phase, marriage relations, mental phase showed significantly high odds ratio in male, while physical condition, working phase, economic phase, social phase, medical phase, marriage relations, mental phase showed significantly high odds ratios in females by Mantel-Haenzel age-adjusted method. Physical condition, daily living activities, working phase, economic phase, social phase, and mental phase showed significantly high odds ratios in males after adjusting for active disease symptom periods, while physical condition, working phase, economic phase, social phase, medical phase, marriage relations, mental phase showed significantly high odds ratio in females after adjusting for active disease symptom. By stepwise logistic regression analysis, working phase and mental phase in males, economic phase and mental phase in females were shown to be significant. Improvement of quality of life including mental phase and working phase appear to raise the life satisfaction in Behçet's disease patients.
本研究的目的是阐明主观生活满意度与以下8个生活质量因素之间的关系：身体状况、日常生活活动、工作状况、经济状况、社会地位、医疗状况、婚姻状况、心理状况。本研究分析了13家医疗机构的154名男性和116名女性白塞病患者。采用Mantel-Haenszel优势比法和逐步逻辑回归分析来评估生活质量对白塞病患者主观生活满意度的影响。男性在以下方面的问题得分高于女性：身体状况、日常生活活动、工作状况、经济状况、社会地位、婚姻状况、心理状况。关于对主观生活满意度的影响，采用Mantel-Haenzel年龄校正法，身体状况、日常生活活动、工作阶段、经济阶段、社会阶段、婚姻关系、心理阶段在男性中显示出显著较高的优势比，而身体状况、工作阶段、经济阶段、社会阶段、医疗阶段、婚姻关系、心理阶段在女性中显示出显著较高的优势比。在调整活动性疾病症状期后，身体状况、日常生活活动、工作阶段、经济阶段、社会阶段和心理阶段在男性中显示出显著较高的优势比，而在调整活动性疾病症状后，身体状况、工作阶段、经济阶段、社会阶段、医疗阶段、婚姻关系、心理阶段在女性中显示出显著较高的优势比。通过逐步逻辑回归分析，男性的工作阶段和心理阶段、女性的经济阶段和心理阶段显示出显著性。改善包括心理阶段和工作阶段在内的生活质量似乎能提高白塞病患者的生活满意度。
