冠状动脉支架置入术后健康相关生活质量研究  

Health-related quality of life in patients with coronary heart disease after intracoronary stenting

作　　者：钱玉军[1] 季祥武[2] 张爱元[2] 

机构地区：[1]潍坊医学院,261053 [2]潍坊医学院附属潍坊市人民医院

出　　处：《中国循证心血管医学杂志》2012年第6期558-560,共3页Chinese Journal of Evidence-Based Cardiovascular Medicine

摘　　要：目的研究冠心病(CHD)患者冠状动脉(冠脉)支架置入术后健康相关生活质量(HRQOL)及其影响因素。方法应用中文版健康状况问卷(Short Form 36 Health Survey Questionnaire,SF-36),对行冠脉支架置入术的CHD患者进行问卷调查,评价其HRQOL水平;同时按照手术策略、疾病活动度和医疗付费方式进行分组评价HRQOL评分。结果共回收有效问卷106份。与四川省城乡健康居民比较,CHD患者各维度评分均有下降,差异有统计学意义(P<0.05),以生理职能评分下降和躯体疼痛评分升高最为显著(P<0.01);非急诊PCI者生理功能、躯体疼痛、心理功能三个维度得分均高于急诊PCI者,但社会功能维度低于急诊PCI者,差异均有统计学意义;处于疾病活动期患者的HRQOL各维度得分均低于缓解期患者,差异有统计学意义(P<0.05);自费患者HRQOL各维度得分均低于医保支付患者,以活力、社会功能及心理功能下降最为明显(P<0.05)。结论 CHD患者HRQOL评分较一般人群降低,手术策略、疾病活动度、付费方式均对CHD患者的HRQOL有明显影响。Objective To study the health-related quality of life （ HRQOL ） and influence factors in the patients with coronary heart disease （ CHD ） after intracoronary stenting. Methods The patients were given questionnaires for reviewing the damage degree of HRQOL by using Short Form 36 Health Survey Questionnaire （ SF-36, Chinese version ） . The difference in HRQOL scores was evaluated among groups according to surgery strategy, disease activity and medical payment ways. Results There were totally 106 effective questionnaires retrieved. Compared with urban and rural health residence in Sichuan Province, the dimension scores of the patients decreased with significant difference and especially the scores of physical role and body pain decreased more significantly （ P 0.01 ） . The scores of physical function, body pain and mental function were all higher but social function was lower in the patients with non-emergency PCI than those in the patients with emergency PCI. The dimension scores of HRQOL were lower in the patients at disease active period than those in the patients in remission （ P 0.05 ） . The dimension scores of HRQOL were lower in the patients at their own expense than those in the patients having health insurance, and the decreases of activity, social function and mental function were more significantly （ P 0.05 ） . Conclusion The scores of HRQOL in CHD patients are lower than those in general people, and surgery strategy, disease activity and medical payment ways all have obvious influences.

关 键 词：冠心病 冠脉支架置入术 SF-36量表 健康相关生活质量 评价研究 

分 类 号：R541.4[医药卫生—心血管疾病]