任遥娟, 马亮亮, 汪艳红, 陈琴. 宫颈上皮内瘤变病人健康效用值影响因素研究[J]. 蚌埠医学院学报, 2023, 48(8): 1139-1143. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.027
    引用本文: 任遥娟, 马亮亮, 汪艳红, 陈琴. 宫颈上皮内瘤变病人健康效用值影响因素研究[J]. 蚌埠医学院学报, 2023, 48(8): 1139-1143. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.027
    REN Yao-juan, MA Liang-liang, WANG Yan-hong, CHEN Qin. Study on influencing factors of health utility value in patients with cervical intraepithelial neoplasia[J]. Journal of Bengbu Medical College, 2023, 48(8): 1139-1143. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.027
    Citation: REN Yao-juan, MA Liang-liang, WANG Yan-hong, CHEN Qin. Study on influencing factors of health utility value in patients with cervical intraepithelial neoplasia[J]. Journal of Bengbu Medical College, 2023, 48(8): 1139-1143. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.027

    宫颈上皮内瘤变病人健康效用值影响因素研究

    Study on influencing factors of health utility value in patients with cervical intraepithelial neoplasia

    • 摘要:
      目的测量宫颈上皮内瘤变病人健康效用值, 并分析其影响因素, 为提高该群体健康相关生命质量提供依据。
      方法选择125例宫颈上皮内瘤变病人, 采用五维健康量表(EQ-5D-5L)测量病人健康效用值, 并采用Tobit回归模型分析其影响因素。
      结果125例宫颈上皮内瘤变病人的健康效用值在(-0.39, 1), 平均值为(0.88±0.14), 在5个维度中, 有问题例数为: 行动能力14例(11.20%), 日常活动21例(16.80%), 自我照顾27例(21.60%), 焦虑或沮丧80例(64.00%), 疼痛或不适55例(44.00%)。不同年龄段、婚姻状况、在职情况、病程、疾病不确定感分组、一般自我效能分组的宫颈上皮内瘤变病人健康效应值比较, 差异均有统计学意义(P < 0.05~P < 0.01)。Tobit回归模型显示年龄、病程、疾病不确定感和一般自我效能是健康效用值的影响因素(P < 0.05~P < 0.01)。
      结论应多关注更年期、新确诊女性宫颈上皮内瘤变病人的心理状况, 通过降低病人疾病不确定感, 提高其自我效能, 从而提升健康相关生命质量。

       

      Abstract:
      ObjectiveTo measure the health utility value of patients with cervical intraepithelial neoplasia and analyze its influencing factors, so as to provide evidence for improving health-related quality of life in this population.
      MethodsA total of 125 patients with cervical intraepithelial neoplasia were collected and measured by five-dimension health scale (EQ-5D-5L).Tobit regression model was used to determine the influencing factors.
      ResultsThe health utility value of 125 patients with cervical intraepithelial neoplasia was (-0.39, 1), and the mean value was (0.88±0.14).Among the five dimensions, the number of cases with problems was as follows: mobility in 14 cases (11.20%), daily activities in 21 cases (16.80%), self-care in 27 cases (21.60%), anxiety or depression in 80 cases (64.00%), and pain or discomfort in 55 cases (44.00%).There were statistically significant differences in the health effect values of patients with cervical intraepithelial neoplasia in different age groups, marital status, employment status, disease course, disease uncertainty group and general self-efficacy group (P < 0.05 to P < 0.01).Tobit regression model showed that age, disease course, disease uncertainty and general self-efficacy were the factors influencing health utility value (P < 0.05 to P < 0.01).
      ConclusionsMore attention should be paid to the psychological status of menopausal and newly diagnosed female patients with cervical intraepithelial neoplasia, and the health-related quality of life should be improved by reducing the uncertainty of the disease and improving the self-efficacy of patients.

       

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