复发性冠心病患者生活质量的影响因素  

Influencing factors of quality of life in patients with recurrent coronary heart disease

作　　者：王晓渤[1] 刘金苹[1] WANG Xiaobo;LIU Jinping(Department of Geriatrics,Dalian Friendship Hospital,Liaoning Province,Dalian116001,China)

机构地区：[1]大连市友谊医院老年病科,辽宁大连116001

出　　处：《中国当代医药》2022年第22期57-60,共4页China Modern Medicine

基　　金：辽宁省大连市医学科学研究计划项目(1811025)。

摘　　要：目的探讨复发性冠心病患者生活质量的影响因素。方法采用便利抽样方式选取2018年4月至2019年4月就诊于大连市友谊医院的121例复发性冠心病患者为研究对象,收集、整理资料,分析影响其生活质量的危险因素。结果复发性冠心病患者的中国心血管患者生活质量评定问卷(CQQC)总分为(84.65±21.65)分,处于中等水平;单因素分析结果显示,文化程度、家庭人均月收入、医疗费用支付方式、合并高血压、吸烟史、合并糖尿病、社会支持与复发性冠心病患者生活质量有关,差异有统计学意义(P<0.05);婚姻状况、年龄、性别、病程、心脏功能分级、合并高脂血症与复发性冠心病患者生活质量无关,差异无统计学意义(P>0.05);多元线性回归分析结果显示,医疗费用自费、文化程度高中及以下、吸烟史、家庭人均月收入<3000元、合并糖尿病、合并高血压、心理弹性<70分、社会支持<45分是影响复发性冠心病患者生活质量的危险因素(P<0.05)。结论复发性冠心病患者的生活质量处于中等水平,受医疗费用支付方式、合并高血压、文化程度、吸烟史、家庭人均月收入、合并糖尿病、社会支持等影响。Objective To explore the influencing factors of quality of life in patients with recurrent coronary heart disease.Methods A total of 121 patients with recurrent coronary heart disease treated in Dalian Friendship Hospital from April 2018 to April 2019 were selected as research objects according to convenient sampling.The data was collected and sorted out,and the risk factors affecting their quality of life was analyzed.Results The total score of Chinese cardiovascular quality of life questionnaire(CQQC)in patients with recurrent coronary heart disease was(84.65±21.65)points,which was in the middle level.Univariate analysis showed that education level,family income per month,payment of medical expenses,hypertension,smoking history,diabetes mellitus and social support were related to the quality of life of patients with recurrent coronary heart disease(P<0.05).Marital status,age,educational level,gender,course of disease,cardiac function grade and hyperlipidemia were not related to the quality of life of patients with recurrent coronary heart disease(P>0.05).The results of multiple linear regression analysis showed that the risk factors of quality of life in patients with recurrent coronary heart disease were medical expenses,self education,education level,high school and below,smoking history,family per capita income less than 3000 yuan,diabetes mellitus,hypertension,resilience<70 points,and social support<45 points(P<0.05).Conclusion The quality of life of patients with recurrent coronary heart disease is at a moderate level,which is influenced by the payment method of medical expenses,hypertension,education,smoking history,family income per month,diabetes mellitus and social support.

关 键 词：冠心病 复发 生活质量 影响因素 

分 类 号：R541.4[医药卫生—心血管疾病]