社区老年心血管病患者生活空间与生活质量相关性研究及影响因素分析  

Correlation between living space and quality of lives and influencing factors in elderly patients with cardiovascular disease in community

作　　者：季梦婷[1] 周嫣[2] 钱娟[2] 赵春艳[2] 陈捷[2] 贺亚楠[2] 王小芳[2] 张启颖[2] 

机构地区：[1]上海交通大学医学院附属仁济医院东重症医学科,200126 [2]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2016年第2期170-175,共6页Chinese Journal of Modern Nursing

基　　金：上海市浦东新区学科带头人项目（PWRd2011-03）

摘　　要：目的 调查心血管老年患者的生活空间现状,验证生活空间调查表（LSA）对社区老年人心血管疾病管理的评价作用,为评价治疗和护理效果提供一个全新、综合便捷的工具.方法 LSA、36条目健康调查问卷（SF-36）及一般情况调查表,在上海市浦东新区社区对911例心血管病老年患者开展现状调查,评价心血管疾病患者生活空间的现状、与健康的相关性及影响因素.结果 社区心血管病老年患者LSA得分为（65.26±18.83）分.LSA与体质量指数、学历、经济收入、每月社交活动次数呈正相关（r值分别为0.068,0.223,0.186,0.211;P〈0.01）;与年龄、每月医疗花费呈负相关（r值分别为-0.329,-0.230;P〈0.01）.LSA与SF-36呈正相关（r=0.733,P〈0.05）.结论 生活空间是个多维概念,便捷、易用、有效,与多方面因素相关,且能综合反映社区心血管病老年人的生理、心理和社会状态.LSA可以用于综合评价社区心血管病老年人生活质量,并作为社区老年人心血管疾病管理的有效评价工具.Objective To describe current situation of life space of elderly patients with cardiovascular diseases, and to examine the evaluating effects of life space assessment （ LSA ） in community, in order to provide a new, comprehensive and convenient tool for evaluating effectiveness of treatment and nursing care. Methods The LSA and SF-36 survey were used to investigate the current situation among 911 elderly patients with cardiovascular diseases in Pudong area in Shanghai, and we evaluated the current situation of living space in patients with cardiovascular diseases, the correlation with health and influencing factors. Results Scores of elderly patients with cardiovascular diseases in community was （65. 26 ± 18. 83）. LSA had positive correlation with BMI, education level, economical income, and frequency of social activities per month （ r =0. 068, 0. 223, 0. 186, 0. 211; P 〈0. 01 ）; and negatively correlated with age and medical cost （ r = -0. 329,-0. 230;P〈0. 01）. LSA was positively correlated with SF-36 （r=0. 733, P〈0. 05）. Conclusions living space is a multiple detention concept, which is convenient, easy of use, effective, and correlated with multiple factors. It can reflect physiological, psychological and social status of elderly patients with cardiovascular diseases in community comprehensively. LSA can be used in comprehensive assessing lives quality of elderly patients with cardiovascular diseases in community, and used as a useful evaluation tool for disease management to elderly patients with cardiovascular diseases in community.

关 键 词：老年人 心血管病 生活空间 生活质量 影响因素 

分 类 号：R473.2[医药卫生—护理学]