慢性心力衰竭患者健康相关生命质量调查

Survey of the health-related quality of life of patients with chronic heart failure

目的运用明尼苏达心力衰竭生命质量量表（MLHFQ）评价慢性心力衰竭患者健康相关生命质量（HRQOL）。方法采用横断面调查法，对北京市3家综合医院符合条件的134名Ⅱ～Ⅳ级慢性心力衰竭住院患者，实施患者知情同意基础上的生命质量及背景情况调查。结果慢性心力衰竭患者MLHFQ综合得分为（45．81±18．49）分，身体领域为（34．96±20．88）分，情绪领域为（56．12±25．89）分。亚组分析结果，男性患者的生命质量低于女性患者；扩张性心肌症和高血压引起的心力衰竭生命质量低于冠心病和风湿性瓣膜病引起的心力衰竭；Ⅲ、Ⅳ级心力衰竭患者的生命质量明显低于Ⅱ级患者，但Ⅲ、Ⅳ级患者间差异无显著性。结论慢性心力衰竭患者的生命质量偏低，尤其是身体领域；不同人口学特征、生活背景及临床指标的患者生命质量不尽相同。

Objective To assess the health-related quality of life （HRQOL） of chronic heart faihlre （CHF） patients used Chinese version of Minnesota Living with Heart Failure Questionnaire （MLHFQ）. Methods A cross-section survey was conducted of 134 participants diagnosised definitely with CHF （ NYHA ： Ⅲ-Ⅳ ） in three hospitals in Beijing of China from Mar. 2004 to Apr. 2006. It was performed by using the MLHFQ and the background questionnaire on the basis of obtaining patients＇ Informed Consent Form. Results The total score of MLHFQ was （45. 81±18.49）, and the score of physical dimensions, emotional dimensions of the MLHFQ were （34.96±20.88） and （56.12±25.89） respectively. Male was lower score in MLHFQ than female. The NYHA classification of Ⅲ and Ⅳ were remarkably lower score in MLHFQ than classification Ⅱ. Conclusions The CHF patient＇s HRQOL was on the low side, especially in the physical dimensions. Inpatients with different demographic data, background and clinic index had different HRQOL.