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目的了解本地区现阶段的高血压患者生存质量状况,分析生存质量评价在高血压防治中的作用。方法采用世界卫生组织生存质量测定量表(WHOQOL-100中文版),选取健康体检中发现的18～59岁中青年高血压病患者200例,1:1建立健康对照组,分别测定病例组和对照组的生存质量及病例组患者进行1年干预治疗前后的生存质量。结果中青年高血压患者包括生理、心理、独立能力、社会关系、生活环境、宗教信仰与精神寄托等领域及生存质量总评分方面均低于健康对照组,而综合干预后高血压患者的生存质量明显上升。结论高血压的治疗不仅是为了控制血压和确保数值上的达标,更重要的还要关注患者生存质量的改善。从患者的生理健康、心理状态、独立能力、社会关系、个人信仰和周围环境的关系等综合因素去考虑高血压的个体化合理治疗,才有可能达到较佳的治疗效果。
Objective To understand the current status of quality of life in hypertensive patients in this region and analyze the role of quality of life evaluation in the prevention and treatment of hypertension. Methods WHO quality of life scale (WHOQOL-100 Chinese version) was used to select 200 cases of middle-aged and young patients with hypertension aged 18 to 59 years found in physical examination. The healthy control group was established with 1: 1, and the cases and groups The quality of life in the control group and the quality of life of patients in the case group before and after 1-year intervention. Results The middle-aged and young patients with hypertension were lower than the healthy control group in the fields of physical, psychological, independent ability, social relations, living environment, religious belief and spiritual sustenance, and the total quality of life score. However, the quality of life of hypertensive patients after comprehensive intervention Significantly increased. Conclusion The treatment of hypertension is not only to control the blood pressure and to ensure the numerical compliance, but more importantly, to improve the quality of life of the patients. From the patient’s physical health, psychological status, independence, social relations, personal beliefs and the relationship between the surrounding environment and other comprehensive factors to consider the individual rational treatment of hypertension, it is possible to achieve better therapeutic effect.