经皮冠状动脉介入术后患者的生活质量及其影响因素

Patients’ Life Quality and It’s Impact Factors after Percutanenous Coronary Intervention

目的描述冠心病患者经皮冠状动脉介入(percutanenous coronary intervention,PCI)术后生活质量现状,并分析其影响因素。方法采用健康调查简表(medical outcomes study-short form 36,MOS SF-36)测评180位PCI术后患者的生活质量,对资料进行描述性和推断性分析。结果本组PCI术后患者总体生活质量在中高水平。生活质量的九个维度中精神健康得分最高,其次为社会功能、情感职能、躯体疼痛和精力,一般健康状况和自我报告的健康变化得分最低。PCI术后患者的年龄、性别、职业、既往史对生活质量有影响。结论护理工作者应对PCI的冠心病患者采取个性化的干预措施,以提高患者的生活质量。

Objective To describe patients＇ life quality after percutanenous coronary intervention （PCI） and further explore the impacting factors. Methods One hundred and eighty patients undergoing PCI were surveyed by MOS SF-36 scale. The data was analyzed descriptively and inferentially. Results The general quality of patients＇ life was at the average to high level. For the nine dimensions of life quality,the score of the mental health was the highest,followed by the score of role emotion, mental energy, physical pains, and energy score of the state of health and health transformation reported by self was the lowest. The factors impacting the quality of life were age, gender, occupation and past history. Conclusion To improve patients＇ life quality, care-giver should provide personal interventions to patients with coronary heart disease before or after PCI during daily nursing work.