《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (2): 156-157.

• 论文 • 上一篇    下一篇

冠心病患者健康相关生活质量评价

严腊梅，陈建宁，孙炜   

  1. 南京医科大学第二附属医院心血管内科，江苏南京市 210011。
  • 收稿日期:2009-11-11 修回日期:2010-01-22 出版日期:2010-02-25 发布日期:2010-02-25

Health-Related Quality of Life in Coronary Artery Disease

YAN La-mei, CHEN Jian-ning, SUN Wei.   

  1. Department of Cardiology, Second Affiliated Hospital of Nanjing Medical University, Nanjing 210011, Jiangsu, China
  • Received:2009-11-11 Revised:2010-01-22 Published:2010-02-25 Online:2010-02-25

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摘要： 目的探讨冠心病患者的生活质量及其相关因素。方法研究对象为100例稳定型心绞痛患者，100例排除冠心病者作为对照，采用SF-36量表(36-Item Short-Form)对两组患者进行健康状况问卷调查，采用多元线性回归模型对冠心病患者的健康相关生活质量(health-related quality of life, HRQOL)的影响因素进行分析。结果稳定型心绞痛患者的HRQOL和非冠心病组比较，除了在情感作用维度方面外，一般健康、躯体功能、躯体疼痛、躯体角色、精神卫生、社会功能、活力各个维度降低。多元线性回归模型分析显示，年龄和性别是冠心病患者HRQOL的独立预测因子。结论冠心病影响患者的生活质量，临床治疗护理时要注意提高冠心病患者的生活质量。

关键词: 冠心病, 健康相关生活质量, 评价研究

Abstract: ObjectiveTo compare the health-related quality of life (HRQOL) of patients with or without coronary artery disease (CAD) and also to determine the factors affecting their quality of life.MethodsOne hundred patients with CAD and 100 patients without CAD were included in this cross-sectional study. The patients with CAD and the patients without CAD were matched by age, sex, marital status, and income. HRQOL was measured with the generic HRQOL instrument.ResultsHRQOL scores of the patients with CAD differed significantly from the patients without CAD. Compared to the patients without CAD, the HRQOL of the patients with CAD was lower in the dimensions of mobility, hearing, breathing, elimination, usual activities, mental function, discomfort and symptoms, vitality, and sexual activity. The patients with CAD had lower HRQOLscores than the patients without CAD. In the patients with CAD, age and sex independently affected the HRQOL. Older patients and women had worse HRQOL.ConclusionCoronary artery disease negatively affects HRQOL. It is thought that interventions to increase quality of life the patients with CAD may improve their HRQOL.

Key words: coronary artery disease, Health-related Quality of Life, evaluation