冠状动脉介入治疗患者生存质量的调查分析

Investigation on quality of life for patients with percutaneous coronary intervention

目的了解冠心病心绞痛患者在接受冠状动脉介入治疗后3个月的生存质量状况，为制订护理策略提供依据，以提高冠状动脉介入治疗患者的生存质量。方法应用西雅图心绞痛量表（Seattle angina questionnaire，SAQ）对89例行冠脉介入治疗的冠心病心绞痛患者，于治疗后3个月进行问卷调查，并对结果进行分析。结果SAQ5个方面的得分程度有所不同，以心绞痛发作频繁程度、心绞痛稳定状态得分最高，活动能力受限情况、治疗方法满意程度得分相对较低，疾病主观感受程度得分最低，此5项得分依次为（95，96±14，52）分，（91．35±15．68）分，（82，09±9，80）分，（81．05±10．28）分和（56．27±11．12）分。结论冠脉介入治疗能够有效改善冠心病心绞痛患者的生存质量，但不同层次方面的改善程度不同，提示护理人员要根据患者的具体情况进行积极的护理干预，以进一步全面提高冠心病心绞痛患者的生存质量。

Objective In order to investigate the conditions of quality of life for angina patients after three months cured by percutaneous coronary intervention, and then provide certain effective nursing methods. Methods The Seattle Angina Questionnaire （SAQ）was used to evaluate quality of life of 89 patients 3 months after PCI. Results SAQ scores in five categories were different.The highest scores were in the frequence of onset of angina aspect and stablisity of angina aspect.The lower scores was in the motive aspect and satisfiction of treatment.The lowest scores were in the subjective feelings of angina aspect, the conc0rete scores of them were （95.96±14.52）, （91.35±15.68）, （82.09±9.80）, （81.05±10.28） and （56.27±11.12） respectively. Conclusion Interventional treatment could be effective to promote quality of life in patients with angina. Further nursing intervention should be given to patients with PCI to promote their quality of life.