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目的了解梅毒患者的生存质量现状及其影响因素,为提高梅毒患者生存质量及开展有效干预措施提供参考依据。方法 2015年采用世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对深圳市南山区归口管治的梅毒患者进行问卷调查,调查内容包括基本信息和26个生存质量测定条目,应用t检验、方差分析和非参数检验分析各相关因素对梅毒患者生存质量的影响。结果梅毒患者总的生存质量和总的健康状况得分分别为(3.23±0.73)、(2.91±0.94),均低于中国成人生存质量得分(分别为3.50±0.69、3.59±0.74),差异有统计学意义(P<0.05);生理、心理、社会关系和环境四个领域的得分分别是(12.60±1.74)、(12.98±2.00)、(13.91±2.55)、(12.75±2.34),除社会关系维度外,其它领域与中国常模(15.10±2.30、13.89±1.89、13.93±2.06、12.14±2.08)比较,差异均有统计学意义(P<0.05)。社会关系领域单因素分析,高中或中专以下得分(14.19±2.49)高于大专及以上得分(13.28±2.61),女性得分(14.59±2.22)高于男性(13.28±2.69),已婚或同居得分(14.37±2.45)高于其他人群(13.29±2.57),差异有统计学意义(P<0.05);总的健康状况单因素分析,年龄越大(≤29岁、>29~<50岁、≥50岁得分分别是2.65±0.78、3.03±0.94、3.19±1.21),得分越高,高中或中专以下得分(3.04±0.98)高于大专及以上(2.63±0.80),已婚或同居得分(3.07±1.00)高于其他人群(2.71±0.82),差异有统计学意义(P<0.05)。结论 2015年深圳市南山区梅毒患者生存质量低于中国常模,年龄、性别、婚姻状态、学历是梅毒患者社会领域和总的健康状况得分的重要影响因素。
Objective To understand the status quo of quality of life in syphilis patients and its influencing factors, and to provide reference for improving the quality of life of patients with syphilis and carrying out effective interventions. Methods In 2015, WHOQOL-BREF was used to survey the syphilis patients under the jurisdiction of Nanshan District in Shenzhen. The survey included basic information and 26 items of quality of life measurement. The t-test , Variance analysis and nonparametric test were used to analyze the impact of various related factors on the quality of life of syphilis patients. Results The overall quality of life and general health status of patients with syphilis were (3.23 ± 0.73) and (2.91 ± 0.94), respectively, which were lower than those of Chinese adults (3.50 ± 0.69 and 3.59 ± 0.74, respectively) (12.60 ± 1.74), (12.98 ± 2.00), (13.91 ± 2.55), (12.75 ± 2.34), respectively, in addition to the social relations (P <0.05). The scores of social, psychological, (P <0.05) in other fields compared with norm in China (15.10 ± 2.30,13.89 ± 1.89,13.93 ± 2.06,12.14 ± 2.08). In the field of social relations, single factor analysis showed that the score of high school or secondary school (14.19 ± 2.49) was higher than that of college or higher (13.28 ± 2.61), the score of female was (14.59 ± 2.22) higher than that of male (13.28 ± 2.69) (14.37 ± 2.45) was higher than other groups (13.29 ± 2.57), the difference was statistically significant (P <0.05). The univariate analysis of total health status, the older the age (≤29 years old,> 29 ~ <50 years old, ≥50 years old were 2.65 ± 0.78, 3.03 ± 0.94 and 3.19 ± 1.21, respectively. The higher the score, the score of high school or secondary school (3.04 ± 0.98) was higher than that of college and above (2.63 ± 0.80), the score of married or living together (3.07 ± 1.00) was higher than other groups (2.71 ± 0.82), the difference was statistically significant (P <0.05). Conclusion The quality of life of syphilis patients in Nanshan District, Shenzhen in 2015 is lower than that of Chinese norm, age, sex, marital status and education level. It is an important factor in the social field and overall health status of syphilis patients.