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To analyze the relationship between different combinations of chronic diseases and health-related quality of life (HRQoL) among rural patients with chronic diseases in Shandong Province, and to provide references for improving the HRQoL of patients with chronic diseases.
A multi-stage random sampling method was used to select 531 patients with chronic diseases in Shandong Province for face-to-face questionnaires. The EuroQol five-dimensional five-level questionnaire (EQ-5D-5L) was used to evaluate the patients’ HRQoL. The Tobit regression model was used to analyze the influencing factors of patients’HRQoL.
Among rural patients with chronic diseases, the combinations of chronic diseases with relatively high prevalence rates were arthritis + other diseases (excluding digestive system diseases), pure metabolic diseases, and stroke + metabolic diseases or stroke + metabolic diseases + heart disease, accounting for 27.68%, 19.59%, and 12.81% respectively. The results of the Tobit model showed that the influencing factors of the health utility value of rural patients with chronic diseases were age ≥ 75 years, the course of multiple chronic diseases exceeding 10 years, and disease combinations: patients with any one of digestive system diseases, arthritis, or stroke as part of multiple chronic diseases had significantly lower HRQoL than those with other combinations of chronic diseases.
There are significant differences in the HRQoL of rural patients with chronic diseases with different combinations of chronic diseases. Attention should be paid to health promotion among rural residents, and early screening and prevention should be carried out for high-risk patients with digestive system diseases, arthritis, and stroke to improve the HRQoL of rural residents.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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