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目的了解毒性弥漫性甲状腺肿患者(Graves病)生存质量和影响因素,为Graves病患者的防治与治疗提供科学依据。方法选取Graves病患者107例作为病例组,同时选取同期107例健康体检者作为对照组,测评工具采用流行病学调查问卷、SF-36和临床检测仪器,收集到的数据资料采用SPSS13.0进行处理。结果单因素分析结果显示,Graves病患者生存质量各维度分值均显著低于正常对照组,尤其心理方面较为显著。多因素分析结果显示,Graves病患者生存质量的多项指标中,只有是否接受过甲状腺相关疾病的健康教育是影响患者生存质量的因素,健康教育对患者的一般心理健康MH(抑郁、焦虑症等)有正面影响。按性别分组后发现,是否初诊、婚姻状况和健康教育对女性Graves病患者的生存质量有影响;健康教育、病程和甲状腺肿大情况对男性Graves病患者的生存质量有影响。结论 Graves病病例组生存质量明显低于正常对照组;影响Graves病患者生存质量的因素有婚姻状况、病程、是否初诊、甲状腺肿情况和是否接受健康教育等有关;健康教育是防治甲状腺疾病的重要措施,医护人员在治疗Graves病患者时应加强患者的健康教育。
Objective To investigate the quality of life and influencing factors of Graves’ disease in patients with Graves’ disease and provide a scientific basis for the prevention and treatment of Graves’ disease. Methods A total of 107 patients with Graves disease were selected as the case group and 107 healthy subjects were selected as the control group. The epidemiological survey questionnaire, SF-36 and clinical testing instruments were used to measure the data. The collected data were analyzed by SPSS13.0 deal with. Results The results of univariate analysis showed that all dimensions of quality of life in patients with Graves disease were significantly lower than the normal control group, especially in psychology. Multivariate analysis showed that among the multiple indicators of quality of life in patients with Graves ’disease, only health education with thyroid related diseases was the factor influencing patients’ quality of life. The general mental health of patients with health education MH (depression, anxiety, etc.) ) Have a positive effect. According to sex, it was found that the quality of life of female patients with Graves’ disease was affected by the first visit, marital status and health education. The health education, duration of disease and goiter had an impact on the quality of life of Graves patients. Conclusion The quality of life of patients with Graves disease is significantly lower than that of the control group. The factors affecting the quality of life of patients with Graves disease are marital status, duration of disease, whether newly diagnosed, the status of goiter and whether they receive health education. Health education is important for the prevention and treatment of thyroid diseases Measures, health care workers in the treatment of patients with Graves should strengthen patient health education.