银川市住院冠心病患者生活质量分析  

Analysis of quality of life in inpatients with coronary heart disease in Yinchuan city

作　　者：来丽萍[1] 杨锐英[1] 郭秀兰[1] 

机构地区：[1]银川市第一人民医院心内二科,宁夏银川750001

出　　处：《心血管康复医学杂志》2013年第6期550-553,共4页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的：摘要：目的：了解银川住院冠心病患者生活质量现状。方法：采用中国心血管病人生活质量评定问卷（CQQC）对银川市第一人民医院住院确诊冠心病314例患者生活质量进行调查。结果：稳定型心绞痛CQQC总分[（68．64-4-18．16）分比（63．6±19．25）分]明显高于常模（P〈0．01）。与稳定型心绞痛患者比较，不稳定型心绞痛体力[（14．77±8．96）分比（11．11±5．57）分]、病情[（18．13±4．66）分比（10．64±3．68）分]、生活[（8．81±4．07）分比（7．26±3．84）分]、工作状况[（5．49±2．41）分比（4．56±2．76）分]得分显著降低（P〈0．01）；男女评分无显著性差异（P〉0．05）；与40-49岁组、50～59岁组比较，60～69岁组体力和一般生活评分显著降低；70-80岁组患者在体力、一般生活、工作状况和病情得分显著降低（P〈0．05或P〈0．01）。经皮冠状动脉介入术（PCI）治疗患者体力和病情得分显著高于药物治疗患者（P〈0．05或P〈0．01）。结论：银川市住院冠心病稳定型心绞痛患者生活质量评分高于全国常模，不稳定型心绞痛对病情、体力、生活和工作等多方面评分影响较大。Objective： To explore situation of quality of life in inpatients with coronary heart disease （CHD） from Yinchuan. Methods： Chinese questionnaire of quality of life in patients with cardiovascular diseases （CQQC） was used to survey quality of life in 314 patients diagnosed as CHD admitted in first people＇s hospital of Yincuan city. Re- salts： Compared with norm, there was significant increase in total score of CQQC [（63.6 ± 19.25） scores vs. （68. 64± 18. 16） scores] in patients with stable angina pectoris （SAP）, P（0.01. Compared with SAP patients, there were significant decrease in scores of physical strength [ （14.77 ± 8.96） scores vs. （11.11 ±5.57） scores], patient＇s condition [ （18.13 ± 4.66） scores vs. （10.64 ± 3.68） scores], general living[ （8.81 ± 4.07） scores vs. （7.26 ±3.84） scores] and working status [ （5.49 ± 2.41） scores vs. （4.56 ± 2.76） scores] in patients with unstable angina pectoris （UAP）, P〉0.01; there were no significant difference in CQQC scores between male and female, P〈0. 05. compared with 40-49 years group, 50-59 years group, there were significant decrease in scores of physical strength and general living in 60469 years group; there were significant decrease in scores of physical strength, gen- eral living, working status and patient＇s condition （P〈0.05 or P〉0.01） in 70-80 years group （P（0.05）. The scores of physical strength and patients condition in PCI group were higher than those of patients undergoing medication （P（0.05 or P〈0.01）. Conclusion： In inpatients with coronary heart disease from Yinchuan city, score of quality of life of patients with stable angina pectoris is higher than that of national norm. Unstable angina pectoris possesses more influence on patient＇s condition, physical strength, general living and working status.

关 键 词：冠状动脉疾病 生活质量 问卷调查 

分 类 号：R541.409[医药卫生—心血管疾病]