摘要
目的:应用36条简明健康状况调查表评估康复干预前后冠心病患者生活质量变化。方法:①选择2002-02/05在心内科住院的冠心病患者60例,男49例,女11例。均同意接受指定量表评估。②对患者进行常规的药物治疗的同时,加规范化的康复治疗,康复治疗包括:运动疗法、心理护理、健康教育等。运动时间和强度从最低限度开始,运动时间每天10～20min,每周3次。③采用中文版36条简明健康状况调查表犤共有36个条目分8个维度(生理功能、生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康)和1个健康变化自评。本次采用正向赋分,即生活质量总分越高,生活质量越好犦评估患者生活质量。在患者入院及出院时发放量表。④计量资料差异比较采用配对资料的t检验。结果:冠心病患者60例均完成量表评估,并进入结果分析。36条简明健康状况调查表评分:冠心病患者出院时,生理职能、躯体疼痛、总体健康、活力、社会功能、情感职能、精神健康、健康变化维度评分均明显高于入院时(45.67±37.26,72.98±18.38,56.59±14.33,73.82±12.06,76.58±11.12,71.15±22.86,81.06±10.58,58.66±15.92;32.36±42.13,61.43±19.70,45.83±15.43,61.83±15.21,59.26±18.07,39.42±34.33,70.21±13.22,31.23±16.19,t=2.16～5.86,P<0.05～0.01)。结论:①康复干预可改善冠心病患者生活质量。②36条简明健康状况调查表可较为有效评价冠心病患者生活质量。
AIM： To evaluate the changes of quality of life in patients with coronary heart disease after rehabilitative intervention by the 36-item short-form （SF-36）. METHODS：①Sixty inpatients with coronary heart disease, who treated at the Department of Cardiology from February to May 2002, were selected, including 49 males and 11 females. They all agreed to assess by the special scale.② At the same time of performing routine drug treatment on patients, the rehabilitative treatment was added, including： cinesiateics, psychological care and health education etc. The movement time and intensity were beginning from the lower limit, and the time of movement was 10-20 minutes every day, three times every week.③The SF-36 of Chinese edition [totally 36 items, including 8 dimension （physiological function, physiological profession, body ache, general health, activity, social function, emotional function, mental health） and one changes of health for self-evaluation. The points were given directly this time.i.e.,the higher score the quality of life, the better the quality of life was] was used to assess the quality of life of the patients.④ The scale was sent out at the moment of hos-pitalization and discharge. The differences of measurement data were corn-pared by the t-test of pair-matching materials. RESULTS：Totally 60 patients with coronary heart disease were conducted the scale evaluation, and involved in the result analysis. The score of SF36： At the moment of discharge, the scores of physiological function, body ache, general health, activity, social function, emotional profession, mental health and dimension of healthy change were all higher significantly than those at the moment of hospitalization （45.67±37.26,72.98±18.38, 56.59±14.33, 73.82±12.06, 76.58±11.12, 71.15±①②22.86, 81.06±10.58, 58.66±15.92： 32.36±42.13, 61.43±19.70,45.83±15.43, 61.83±15.21, 59.26±18.07, 39.42±34.33, 70.21±13.22, 31.23±16.19, t=2.16-5.86, P〈 0.05 -0.01 ）. CONCLUSION： ①The rehabilitative intervention can ameliorate the quality of life in patients with coronary heart disease.② The SF-36 can assess effectively the quality of life in patients with coronary heart disease.
出处
《中国临床康复》
CSCD
北大核心
2005年第32期50-51,共2页
Chinese Journal of Clinical Rehabilitation
