下肢动脉硬化闭塞患者介入治疗前后生存质量研究  

Study on quality of life before and after interventional therapy for patients with lower extremity arteriosclerosis obliterans

作　　者：张永玲[1] 赵晓雯[1] ZHANG Yong-ling;ZHAO Xiao-wen(Department of Health Economics,Harbin Medical University,Harbin 150081,China)

机构地区：[1]哈尔滨医科大学卫生经济学教研室,黑龙江哈尔滨150081

出　　处：《哈尔滨医科大学学报》2018年第3期292-296,共5页Journal of Harbin Medical University

摘　　要：目的探讨下肢动脉硬化闭塞症(ASO)患者生活质量及其影响因素,为普及疾病知识及健康教育工作的开展提供理论基础。方法使用简明健康调查问卷(SF-36量表),采用便利抽样法对在哈尔滨医科大学附属第一医院首次住院治疗的150例下肢动脉硬化闭塞症患者于入院第一日及介入治疗出院后1个月分别进行调查,对可能影响其生活质量的因素进行分析筛选。结果 ASO患者总体生存质量均较低,介入术后较术前有所改善(P <0. 05),Fontaine分级对患者生存质量有直接影响,术前影响患者生存质量相关因素为吸烟、血压、血糖控制水平(P <0. 05),术后影响患者生存质量相关因素为年龄、文化程度及是否遵医服药(P <0. 05)。结论下肢动脉硬化闭塞症患者生存质量主要与疾病Fontaine分级,血压、血糖的控制水平,及药物依从性等因素相关,在疾病知识社会普及中可根据相应影响因素给予针对性的指导。Objective To investigate the quality of life （QOL） of patients with lower extremity arteriosclerosis occlusive disease （ASO） and its influencing factors, and to provide a solid theoretical foundation for the popularization of disease knowledge and health education. Methods By convenient sampling, 150 patients with lower extremity arteriosclerosis obliterans （ASO） for the first hospitalization undergoing intervention therapy in our hospital were recruited. The quality of life （QOL） was investigated by Short-Form Health Survey Scale （SF-36） at the first day of admission and one month after discharge, and the main related factors of QOL were screened and analyzed. Results The overall QOL of ASO patients was lower, and the intervention was improved after operation （P 〈 0. 05 ）. Fontaine grade had a direct effect on the quality of life of patients. The preoperative quality-related factors were smoking, blood pressure, and blood glucose control （P 〈 0. 05 ）. The postoperative quality-related factors were age, education degree, and medication compliance （ P 〈 0. 05 ）. Conclusion The quality of life in patients with lower extremity arteriosclerosis occlusive disease is related to primary Fontaine grade, the level of blood pressure, blood glucose control, postoperative medication compliance and other factors, and we can give specific guidance according to the different affecting factors in the popularization and education of knowledge of the disease.

关 键 词：动脉硬化闭塞症 介入治疗 生存质量 

分 类 号：R543.5[医药卫生—心血管疾病]