社区规范管理的稳定性冠心病患者生活质量研究  

Research on the quality of life in patients with stable coronary artery disease under standardized management in community

作　　者：杨玲[1] 杜雪平[1] YANG Ling;DU Xueping(Yuetan Community Health Service Center Fuxing Hospital,Capital Medical University,Beijing 100045,China)

机构地区：[1]首都医科大学附属复兴医院月坛社区卫生服务中心,北京100045

出　　处：《中华全科医学》2023年第11期1898-1902,共5页Chinese Journal of General Practice

基　　金：首都卫生发展科研专项项目(首发2018-3-7023)。

摘　　要：目的分析社区规范管理的稳定性冠心病患者不同人口学特征和不同行为特征生活质量的差异,提出针对性改善措施。方法运用目的性抽样的方法选取北京市西城区月坛社区卫生服务中心2021年6月-2022年6月规范管理的75岁以下的稳定性冠心病患者980例,自行设计问卷收集受试者一般资料、合并症、依从性、危险因素控制、运动等信息;采用SF-36健康调查简表对受试者的生活质量进行评分。对比分析不同人口学特征和不同行为特征患者的生活质量。结果社区规范管理的稳定性冠心病患者SF-36量表的躯体健康总测量(PCS)平均分为84.25(75.25,90.50)分,心理健康总测量(MCS)平均分为84.50(76.11,92.72)分。是否经皮冠状动脉介入治疗的MCS差异有统计学意义(Z=-3.610,P<0.001);是否吸烟、是否服用钙离子拮抗剂、是否服用抗血小板聚集药物、血压、低密度脂蛋白胆固醇是否达标、近期是否有心绞痛、是否运动、有无运动指导的PCS、MCS差异有统计学意义(均P<0.05)。结论全科医生应通过督促戒烟,规律服用冠心病二级预防用药,控制好血压、血糖、血脂等危险因素,指导运动等措施改善社区规范管理的稳定性冠心病患者的生活质量。Objective To analyze the difference of the quality of life of patients with stable coronary artery disease with different demographic characteristics and different behavior characteristics under standardized management in community,and put forward targeted measures to improve their quality of life.Methods A total of 980 patients under 75 years of age with stable coronary artery disease and standardized management were selected from Yuetan Community Health Service Center in Xicheng District,Beijing from June 2021 to June 2022 by means of purposive sampling.A self-designed questionnaire was used to collect subjects'general data,complications,compliance,risk factor control,exercise and other information.The subjects'quality of life was scored using the MOS item short from health survey(SF-36).To compare and analyze subjects quality of life of different demographic characteristics and behavioral characteristics.Results The average score of SF-36 physical component summary(PCS)of patients with stable coronary artery disease under standardized management in community was 84.25(75.25,90.50)points,and the average score of mental component summary(MCS)was 84.50(76.11,92.72)points.There was statistical significance in MCS with or without PCI(Z=-3.610,P<0.001).There were statistically significant differences in PCS and MCS of smoking,calcium antagonists,anti-platelet aggregation drugs,regular medication,blood pressure,blood glucose,low density lipoprotein cholesterol(LDL-C)whether reach the standard or not,recent angina pectoris,exercise and with or without exercise instruction(all P<0.05).Conclusion General practitioners should improve the quality of life of patients with stable coronary artery disease by urging them to quit smoking,regularly take secondary preventive drugs for coronary artery disease,control risk factors such as blood pressure,blood sugar,blood lipids,and guiding exercise.

关 键 词：稳定性冠心病 社区规范管理 生活质量 SF-36健康调查简表 

分 类 号：R541.4[医药卫生—心血管疾病] R197.61[医药卫生—内科学]