Study On The Health Quotient Of Hospitalized Patients With Chronic Hepatitis B And Its Influencing Factors

Objective:To study the health quotient of hospitalized patients with chronic hepatitis B and its influencing factors through cross-sectional study, in order to provide scientific and reliable basis for improving the health quotient of patients with chronic hepatitis B.Methods:Select the hospitalized patients with chronic hepatitis B from department of gastroenterology, infectious and Liver and gallbladder surgery during December2012to May2013in Central South University xiangya third hospital as our research object. Investigate the health quotient of the hospitalized patients by using socio demographic information Questionnaire, Xie Huazhen health quotient Questionnaire, Chronic Liver Disease Questionnaire (Chronic Liver diseases, Questionnaire, CLDQ). Use independent sample t test, t test, analysis of variance and Kuskal-Wallis H test, the multi-factor logistic regression analysis method for statistical analysis.Results:1. In this research, gender was given priority to male, which accounted for75%; Age was given priority to young people, accounting for72.7%; Workers and peasants took most part of the professional,accounted for18.8%and40.6%; Cultural degree was given priority to person with junior high school, accounted for40.6%; Marital status of married was the most, accounted for90.6%; The economy was given priority to person of generally, accounted for69.6%; People merger in one or two kinds of diseases was took the part of48.5%; The liver classification was given priority to person with Child class B, accounted for76.6%.2. The five dimensions scores of health quotient of patients with chronic hepatitis B were17.28±2.25(way of life),16.13±2.33(mental status),15.16±2.48(self health care),15.87±2.42(health knowledge),13.97±2.89(lifestyle), the scores of five dimensions were lower than the critical value (24.00).3. In the lifestyle dimensions, there were63cases with lower scores than the critical value, accounted for49.22%; In the mental state dimension, there were85cases with lower scores than the critical value, accounting for66.40%; In the self care dimension, there were105cases with lower scores than the critical value, accounted for82.03%; In life skills dimension, there were90cases with lower score than the critical value, accounted for70.31%; In the health knowledge dimension, there were109cases with lower scores than the critical value accounted for85.16%.4. The single factor analysis of health quotient:(1) The scores of lifestyle dimension between different gender hospitalized patients with chronic hepatitis B was statistically significant (P<0.05), the scores of mental status, self care, life skills and health knowledge dimension between different gender hospitalized patients with chronic hepatitis B were no statistically significant (P>0.05);(2) The scores of lifestyle dimension between different age hospitalized patients with chronic hepatitis B was statistically significant (P<0.05),the scores of mental status, self care, life skills and health knowledge dimension between different age hospitalized patients with chronic hepatitis B were no statistically significant (.P>0.05); The scores of self care and health knowledge dimension between different degree of education hospitalized patients with chronic hepatitis B were statistically significant (P<0.05), the scores of mental status, lifestyle and life skills dimension between different degree of education hospitalized patients with chronic hepatitis B were no statistically significant (P>0.05);(3) The scores of lifestyle, mental status, self care, life skills and health knowledge dimension between different professional hospitalized patients with chronic hepatitis B were statistically significant (P<0.05); The scores of health knowledge dimension between different marital status hospitalized patients with chronic hepatitis B was statistically significant (P<0.05), the scores of mental status, self care, life skills and lifestyle dimension between different marital status hospitalized patients with chronic hepatitis B were no statistically significant (P>0.05);(4) The scores of lifestyle, mental status, self care, life skills and health knowledge dimension between different economic conditions hospitalized patients with chronic hepatitis B were statistically significant (P<0.05).(5) The scores of lifestyle, mental status, self care, life skills and health knowledge dimension between different merger disease status in hospitalized patients with chronic hepatitis B were no statistically significant (P>0.05); The scores of mental status dimension between different liver function classification of hospitalized patients with chronic hepatitis B was statistically significant (P<0.05),the scores of lifestyle, self care, life skills and health knowledge dimension between different liver function classification of hospitalized patients with chronic hepatitis B were no statistically significant (P>0.05).(6) The scores of quality of life of hospitalized patients with chronic hepatitis B were131.37±30.95points on average, the lowest was29.00points and the highest was203.00points,5. Multiple factor analysis of health quotient:Sex and age were the influence factors of lifestyle dimension scores; Economic conditions, degree of education, and the quality of life score were the influence factors of mental state dimension scores; Economic conditions and degree of education were the influence factors of self care dimension scores; Age and degree of education were the influence factors of life skills dimension scores; Sex and degree of education were the influence factors of health knowledge dimension scores.Conclusions:1. The five dimensions scores of health quotient of patients with chronic hepatitis B were17.28±2.25(way of life),16.13±2.33(mental status),15.16±2.48(self health care),15.87±2.42(health knowledge),13.97±2.89(lifestyle), the scores of five dimensions were lower than the critical value (24.00).2. Sex and age were the influence factors of lifestyle dimension scores; Economic conditions, degree of education, and the quality of life score were the influence factors of mental state dimension scores; Economic conditions and degree of education were the influence factors of self care dimension scores; Age and degree of education were the influence factors of life skills dimension scores; Sex and degree of education were the influence factors of health knowledge dimension scores.