【摘要】 [目的]了解慢性HBsAg携带者的生活质量及其影响因素,为制定干预措施提高其生活质量提供依据。[方法]以某集团公司现有在岗5年以上的职工中的HBsAg携带者104人为研究组,并随机抽取与其具有可比性的正常人群105人为对照组,采用《生活质量综合评定问卷(GQOL-74)》进行生活质量的调查,分析慢性HBsAg携带者生活质量的现状;对可能影响慢性HBsAg携带者生活质量的因素用自制问卷进行调查,分析HBsAg慢性携带者生活质量的影响因素。[结果](1)HBsAg慢性携带者GQOL-74总分为59.88±9.82,低于正常人得分(66.73±7.86);(2)影响乙肝病毒表面抗原携带者生活质量的因素主要有:工作后感觉和工作满意度(X22,X24)、对乙肝病毒表面抗原携带认识的片面性(X34、X39、X42、X45)、是否经常生病(X10)、与领导的关系(X27)和对乙肝病毒表面抗原携带后所采取的措施(X48)。[结论](1)慢性HBsAg携带者的生活质量因HBsAg的感染而受到了影响;(2)影响乙肝病毒表面抗原携带者生活质量的主要因素是心理因素,而导致这些心理因素形成的原因又主要是因为对乙肝病毒表面抗原携带认识的片面性性。更多还原

【Abstract】 [Objective]To measure the current quality of life(QOL)of the hepatitis B virus surface antigen(HBsAg)carriers and its influential factors to provide evidence for insitituting prevention measares to improve QOL.[Methods]104 HBsAg carriers and 105 controls from Panzhihua Steel and Iron Group Corporation were consistent in age,sex and occupation.Their current quality of life were measured by Generic Quality of Life Inventory-74(GQOL-74)and evaluated by Unpaired t-test.Meanwhile,epidemiology survey on QOL was fulfilled.Bivariate Correlation Analysis and Stepwise Regression Analysis were applied to analyze the risk factors influencing QOL of HBsAg carriers.[Results](1)Scores for the current QOL of HBsAg carries were 59.88 ± 9.82,significantly lower than that of the control group(66.73 ± 7.86);(2)There were 9 risk factors associated with QOL of HBsAg carries.They were the feeling after job(X22)and the degree of satisfaction to job(X24),the knowledge about hepatitis B(X34、X39、X42、X45),suffering from other diseases frequently(X10),the relationship with leaders(X27)and the preventive measures taken after becoming HBsAg carriers(X48).[Conclusions](1)The current quality of life in HBsAg carries is not satisfactory;(2)Mental health is the most important risk factor influencing the quality of life of HBsAg carriers.And the poor mental health was mainly resulted from the poor knowledge about hepatitis B.更多还原