性别因素对中国稳定性心绞痛患者生命质量的影响研究  

Influence of gender differences on quality of life in Chinese patients with stable angina pectoris

作　　者：韩月蓉[1] 吴晶[1] 丛洪良[2] 周津[2] 陈志军[3] 

机构地区：[1]天津大学药物科学与技术学院,天津300072 [2]天津胸科医院心内科,天津300051 [3]天津武警后勤学院附属医院教务科,天津300162

出　　处：《中国农村卫生事业管理》2013年第4期406-409,共4页Chinese Rural Health Service Administration

摘　　要：目的:使用基于偏好的普适性量表(EQ-5D、SF-6D)以及特异性量表(西雅图心绞痛量表)比较不同性别稳定性心绞痛患者生命质量情况,探讨性别差异对患者生命质量的影响。方法:对天津、成都两个城市稳定性心绞痛患者进行问卷调查。收集的信息包括社会人口资料、临床信息以及生命质量量表调查内容。结果:共回收有效问卷411份,其中男性204名(平均年龄66.2岁),女性207名(平均年龄69.9岁)。相比男性患者,女性患者教育程度和家庭收入更低、病程更长。更多的女性患者有睡眠问题、患有高血压、独居。女性患者普适性量表(EQ-5D、SF-6D)得分低于男性患者,差异有统计学意义,而且女性患者中汇报有焦虑或者抑郁问题的人数更多。结论:女性稳定性心绞痛患者生命质量差于男性患者,更易抑郁,在临床治疗和预后中需要加强对女性患者的关注。Objective To examine gender differences on quality of life in Chinese patients with stable angina pectoris （SAP） using two generic preference- based instruments （EQ--5D, SF--6D） and Seattle Angina Questionnaire （SAQ）. Methods A cross--sectional study of SAP patients was carried out in Tianjin and Chengdu from July to Decem- ber, 2011. Information solicited from the participants included their socio--demographic data, clinical conditions and quality of life. Results 411 patients （50. 26% females, 49. 74% males） responded to the survey. Compared to men, women were older and more likely to live alone. Women had a higher burden of co--morbid illness and more sleep problems. For quality of life,the EQ --5D and SF--6D scores of women were lower than those of men. Women were more likely to report depressive symptoms. Conclusions Women with stable angina pectoris tend to report worse health --related quality of life outcomes compared to men.

关 键 词：稳定性心绞痛 生命质量 性别差异 效用值 

分 类 号：R541.4[医药卫生—心血管疾病]