摘要
目的调查冠心病心绞痛患者的生活质量(qualityof life,QOL)及影响因素。方法选取2014年7月至2015年6月期间收治的冠心病心绞痛患者221例作为调查对象,分别采用一般资料表、36条目的健康调查简表(SF-36)和西雅图心绞痛调查问卷(SAQ)调查患者生活质量。结果冠心病心绞痛患者的SF-36各维度得分均显著低于健康人群(P<0.05)。多元线性回归分析结果表明,SF-36生活质量总分与性别、年龄呈显著负相关(P<0.05),而与运动情况、躯体活动受限程度、心绞痛发作情况、疾病认识程度呈显著的正相关性(P<0.05)。结论冠心病心绞痛患者普遍存在QOL降低,其影响因素主要包括患者性别、年龄、运动情况、躯体活动受限程度、心绞痛发作情况、疾病认识程度等。因此,要提高冠心病心绞痛患者的QOL,除了积极改善患者的症状外,还应考虑从心理因素、社会因素、家庭因素等方面通过开展有效的健康教育及临床指导全面调动患者的主观能动性。
Objective To investigate the quality of life（QOL） and influencing factors in the patients of coronary heart disease（CHD）. Methods From July 2016 to June 2015,221 patients of CHD were collected as the subjects. The QOL were measured with Demographic data questionnaire,MOS item short from health survey（SF-36） and Seattle Angina Questionnaire（SAQ） respectively. Results The score of every domain in SF-36 for CHD patients was lower than health group（P〈0. 05）. The results of the multiple linear regression showed that the total score of SF-36 QOL was negatively correlated with age and gender（P〈0. 05） and positively with exercises,limitation of motion for somatic activity,angina attacks and the recognition of disease（P〈0. 05）. Conclusion QOL is generally low in CHD patients. The influencing factors include the gender,age,exercises,the limitation of motion for somatic activity,angina attacks and the recognition of disease.In order to improve QOL of CHD patients,except for the active improvements in patients＇ symptoms,the psychological factor,social factor and family factor should be considered to effectively conduct health education and actively provide comprehensive clinical guidance.
作者
李献丽
范淑红
LI Xian - li, FAN Shu - hong(Affiliated Hospital of Inner Mongolia Medical University, huhhot Inner Mongolia 01005)
出处
《世界中西医结合杂志》
2018年第1期81-84,共4页
World Journal of Integrated Traditional and Western Medicine
