基于EQ - 5D效用积分体系的慢性病患者健康相关生命质量研究

目的 分析慢性病患者健康相关生命质量及其影响因素。方法 利用2018年江苏省第六次卫生服务调查数据，该调查采用多阶段分层整群随机抽样的方法，选择15岁及以上患慢性病的居民为研究对象（3 646人），基于EQ - 5D健康效用值，利用秩和检验、Tobit回归研究慢性病患者健康相关生命质量的影响因素。结果 58.06%的慢性病患者在EQ - 5D各维度没有任何困难；城市、已婚或其他婚姻状况、文化程度提高、家庭人均年收入增加、BMI升高、参加健康体检、进行体育锻炼是健康的保护因素（OR＜1），年龄增长是健康的危险因素（OR＞1）。结论 慢性病患者健康相关生命质量较低，提高慢性病患者收入水平、文化程度并改善其健康行为对于提高这类人群的生命质量具有重要意义。

Health-related quality of life in patients with chronic diseases based on EQ-5D utility score system

The aim of this study was to analyze the health-related quality of life and its influencing factors in patients with chronic diseases. Methods The data from the sixth health service survey in Jiangsu province in 2018 was used.The survey used a multi-stage stratified cluster random sampling method to select residents aged 15 years and older with chronic diseases as subjects(3646 people). Based on EQ-5 D health effects, rank sum test and tobit regression were used to study the influencing factors of health-related quality of life in patients with chronic diseases. Results 58.06% of patients with chronic diseases had no difficulty in all dimensions of EQ-5 D. Urban, married or other marital status, increased educational level, increased annual income per capita, increased BMI, participation in physical examinations, and physical exercise were health protection factors(OR<1), and age growth was a risk factor for health(OR>1). Conclusion The health-related quality of life of patients with chronic diseases was low. Increasing the income level, education level and improving their health behaviors of patients with chronic diseases will be of great significance to improve the quality of life of such people.