老年冠心病患者生活质量调查及分析

Study of the quality of life in elderly patients with coronary artery disease

目的:了解老年冠心病患者的生活质量及其影响因素。方法:采用2008年中国心血管病人生活质量评定问卷(CQQC),对286例冠心病患者生活质量及其相关因素进行评估。结果:参加康复运动(每周≥3次)的冠心病患者的生活质量高于未参加康复运动的患者(P<0.01);合并其它主要脏器(脑、肺、肝、肾)疾病的患者生活质量低于单纯冠心病患者(P<0.05～<0.01);经皮冠脉介入(PCI)术后的冠心病患者生活质量高于单纯药物治疗组(P<0.05～<0.01);冠心病患者的生活质量与患者的每周康复运动次数、家庭人数、教育程度等多方面因素相关(r=0.12～0.54,P<0.05～<0.01)。结论:冠心病患者的生活质量受到自身病情、社会支持、治疗方式等多种因素的影响。

Objective： To explore the quality of life in elderly patients with coronary heart disease （CHD） and its related factors. Methods： In this study, Chinese questionnaire of quality of life in patients with cardiovascular diseases （CQQC） was adopted to test 286 CHD patients. Results： Data analysis revealed the follow results： The quality of life of CHD patients who participated in rehabilitation exercise （≥ times a week） were higher than that of not participated （P〈0.01） ; the quality of life of patients who combined other important organ diseases （brain, lung, liver and kidney） were much worse than that of not combined （P〈0. 05-〈0. 01）; the quality of life of CHD patients after PCI treatment were much higher than that of simple drug treatment group （P〈0.05-〈0.01） ; the quality of life of CHD patients was correlated with rehabilitation exercise frequency, family size, education level and other factors （r= 0.12-0. 54, P〈0.05-〈0.01）. Conclusion： The quality of life of patients with coronary heart disease are impacted by a variety of factors such as their own condition, social support and the way of treatment,