简阳市乙型肝炎阳性孕妇生命质量评价及影响因素分析

杨单单; 徐耀明; 赵建伟; 章文强; 马新雅; 肖俊; 栾荣生

doi:10.16462/j.cnki.zhjbkz.2019.03.024

简阳市乙型肝炎阳性孕妇生命质量评价及影响因素分析

doi: 10.16462/j.cnki.zhjbkz.2019.03.024

1.
610041 成都, 四川大学华西公共卫生学院(华西第四医院)流行病与卫生统计学系
2.
641400 成都, 简阳市妇幼保健院院办公室
3.
610041 成都, 四川大学公共管理学院行政管理系

基金项目:

妇幼卫生专项 2018-卫计委-07

详细信息

通讯作者:
栾荣生, E-mail: luan_rs@scu.edu.cn

中图分类号: R512.62
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- 文章访问数: 278
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- PDF下载量: 15
- 被引次数: 0
出版历程
- 收稿日期: 2018-09-17
- 修回日期: 2018-12-19
- 刊出日期: 2019-03-10

Quality of life and its influencing factors of hepatitis B positive in pregnant women in Jianyang

1.
Department of Epidemiology and Health Statistics, West China School of Public Health(NO.4 West China Teching Hospital), Sichuan University, Chengdu 610041, China
2.
The office of Maternity & Child Health Hospital of Jianyang City, Chengdu 641400, China
3.
Department of Administration, School of Public Administration, Sichuan University, Chengdu 641400, China

摘要

摘要: 目的分析简阳市乙型肝炎（以下简称乙肝）阳性孕妇生命质量及其影响因素。方法随机选取2018年1月~4月简阳市妇幼保健院就诊的80名乙肝阳性孕妇作为病例组，选择同期就诊的323名正常孕妇作为对照组，使用简明健康调查量表SF-36进行面对面调查，运用t检验、方差分析、多元线性回归进行统计分析。结果病例组生理功能（PF）、生理职能（RP）得分低于对照组，总体健康（GH）得分高于对照组，差异有统计学意义。分析病例组生命质量的影响因素发现，早孕反应越严重，生命质量评分越低。结论简阳市乙肝阳性孕妇生理功能及生理职能较正常孕妇差，应采取综合性措施，提高其生命质量。
- 乙肝 /
- 孕妇 /
- 生命质量
Abstract: Objective To evaluate the quality of life in pregnant women with hepatitis B positive and to explore its influencing factors. Methods Eighty pregnant women with positive hepatitis B were randomly selected from Jan. to Apr. 2018 in Jianyang Maternal and Child Health Hospital as the case group, and 323 normal pregnant women were selected as the control group. A face-to-face survey was conducted using the Concise Health Survey Scale SF-36. t test, ANOVA and multiple linear regression were used for statistical analysis. Results The scores of PF and RP in the case group were lower than those in the control group, and the scores of GH in the case group were higher than those in the control group. Analysis of the factors affecting the quality of life of the case group found that the more severe the early pregnancy reaction, the lower the quality of life score. Conclusions The PF and RP of pregnant women with hepatitis B positive in Jianyang City are worse than those of normal pregnant women. Comprehensive measures should be taken to improve their quality of life.
- Hepatitis B /
- Pregnant women /
- Quality of life

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表 1 SF-36量表各维度初得分计算

Table 1. Calculation of initial scores of all dimensions in SF-36 scale

维度	初得分的计算公式	初得分的理论最高值与最低值
生理功能(PF)	3a+3b+3c+3d+3e+3f+3g+3h+3i+3j	10, 30
生理职能(RP)	4a+4b+4c+4d	4, 8
身体疼痛(BP)	7+8	2, 12
总体健康(GH)	1+2+11a+11b+11c+11d	6, 30
活力(VT)	9a+9e+9g+9i	4, 24
社会功能(SF)	6+10	2, 10
情感职能(RE)	5a+5b+5c	3, 6
精神健康(MH)	9b+9c+9d+9f+9h	5, 30

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表 2 调查对象一般人口学特征

Table 2. General demographic characteristics of the respondents

条目	病例组(n=80)	对照组(n=323)	χ²值	P值
年龄(岁)			3.892	0.421
<20	1	10
20~	20	111
25~	39	129
30~	16	59
≥35	4	14
民族			1.251^a	0.263
汉族	80	318
其他	0	5
职业			10.403^a	0.077
农民	0	4
工人	1	3
服务业	0	20
经商	1	8
家务或待业	68	242
教师/公务员/职员	5	35
其他	5	11
户居住地			4.096^a	0.215
城市	0	8
城镇	33	157
城郊	1	2
农村	46	156
婚姻状况			11.436^a	0.014
未婚	0	23
同居	0	3
初婚	73	280
再婚	6	17
离异/丧偶	1	0
文化程度			2.724^a	0.414
小学	1	5
初中	41	139
高中或中专	23	92
大专及以上	15	87
家庭人均月收入(元)			4.810	0.182
≤3000	4	14
3001~	47	168
5001~	28	116
≥10000	1	25
医保类型			6.205^a	0.167
城镇职工医疗保险	9	63
城镇居民医疗保险	28	110
商业医疗保险	1	0
新农合	42	150
分娩次数			4.324^a	0.232
0	38	134
1	39	177
2	2	12
≥3	1	0
早孕反应			5.362	0.146
无	5	34
轻度	40	180
中度	29	99
重度	6	10
孕期(周)			0.342	0.833
孕早期(≤27)	38	158
孕中期(28~)	36	135
孕晚期(≥38)	6	29
产前检查			19.402^a	＜0.001
从未做过	2	15
不定期	2	64
遵医嘱定期做	76	242
异常时做	0	1
与配偶感情			2.295	0.317
很好	49	177
较好	30	132
一般	1	14
家人有无乙肝病毒感染者			34.232	＜0.001
有	23	20
无	57	303
注：^a采用Fisher确切概率法。

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表 3 病例组与对照组生命质量得分比较

Table 3. Comparison of quality of life scores between the case group and the control group

维度	x±s		t值	P值
维度	病例组	对照组	t值	P值
PF	87.81±11.162	91.50±9.399	-3.023	0.003
RP	50.00±41.147	65.25±39.080	-3.091	0.002
BP	87.96±14.868	87.96±14.760	-0.001	0.999
GH	45.21±4.693	42.52±4.829	4.486	＜0.001
VT	55.13±6.607	55.56±7.569	-0.468	0.640
SF	62.50±5.967	62.62±7.000	-0.137	0.891
RE	74.58±37.967	72.45±37.627	0.454	0.650
MH	61.60±6.255	61.80±6.255	-0.251	0.802
总分	524.79±87.864	539.64±81.560	-1.436	0.152

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表 4 病例组SF-36维度得分单因素方差分析(x±s)

Table 4. One-way ANOVA of SF-36 dimension scores in the case group (x±s)

条目	PF	RP	GH	总分
年龄(岁)
＜24	91.19±8.20	58.33±38.19	44.64±3.98	535.17±83.06
25~	86.67±13.25	51.92±43.45	44.34±4.63	518.45±101.17
30~	86.25±9.75	37.50±38.73	47.40±5.46	525.46±71.13
≥35	87.50±5.00	37.50±43.30	47.92±2.41	529.39±32.37
户居住地
城市	89.39±8.17	48.48±40.96	45.71±4.71	534.97±80.04
城郊及农村	86.70±12.82	51.06±41.69	44.86±4.70	517.64±93.14
文化程度
初中及以下	87.14±13.49	44.05±40.89	44.44±4.38	515.81±91.91
高中或中专	87.39±8.24	48.91±44.26	46.56±5.13	523.44±89.56
大专及以上	90.33±7.43	68.33±33.36	45.28±4.69	551.99±71.99
家庭人均月收入(元)
≤3 000	78.75±11.09	31.25±37.50	43.75±5.38	508.40±83.19
3 001~	87.02±12.50	47.34±43.06	45.57±4.55	517.49±91.84
≥5 000	90.34±7.90	56.90±38.32	44.83±4.94	538.87±82.76
早孕反应
无及轻度	91.00±8.30	63.33±40.45	44.17±4.39	559.01±68.77
中度	85.69±13.14	37.93±36.36	47.41±4.51	497.44±87.62
重度	74.17±7.36	8.33±20.41	42.36±4.10	400.29±62.28
夫妻感情
很好	88.67±12.36	52.04±40.77	45.32±5.15	526.18±88.89
较好及一般	86.45±8.96	46.77±42.20	45.03±3.94	522.58±87.64

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表 5 调查对象生命质量影响因素的多元线性回归分析

Table 5. Multiple linear regression analysis of factors influencing the quality of life of the respondents

评分	变量	β	标准误差	标准化系数	t值	P值
PF	早孕反应	-3.138	0.688	-0.221	-4.564	＜0.001
	是否感染乙肝病毒	3.103	1.198	0.126	2.590	0.010
RP	早孕反应	-12.581	2.780	-0.219	-4.525	＜0.001
	是否感染乙肝病毒	12.897	4.845	0.129	2.662	0.008
GH	早孕反应	0.953	0.343	0.135	2.777	0.006
	是否感染乙肝病毒	-2.512	0.598	-0.204	-4.100	＜0.001

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