女性急性冠状动脉综合征生命质量和社会支持的临床研究

The clinical study of the quality of life and the social support in female patients with acute coronary syndrome

目的:探讨女性急性冠状动脉综合征(acute coronary syndrome,ACS)患者生命质量和社会支持情况。方法:采用横断面研究方法,以问卷调查方式,分别使用SF-36简明量表(中文版)和社会支持评判量表,对女性ACS患者的生命质量及社会支持进行调查。结果:在文化层次、医疗支付方面女性均低于男性(P<0.05),女性超重比率高于男性(P<0.05),主动吸烟女性低于男性,而被动吸烟女性高于男性(P<0.01)。生命质量:除躯体疼痛维度外,其余7个维度女性均低于男性(P<0.05～P<0.01),生命质量总分女性低于男性(P<0.01)。社会支持包括客观支持、主观支持、对支持利用度以及社会支持总分女性均低于男性(P<0.05～P<0.01)。结论:女性ACS患者在生命质量及社会支持方面明显低于男性患者。

Objective：To evaluate the quality of life and the social support in female patients with acute coronary syndrome（ACS）.Methods：Using cross-sectional study,surveys were conducted using the SF-36（Chinese version） scale and the social support rating scale to evaluate the quality of life and the social support in female patients with ACS.Results：Females were less than males in the cultural level（P0.05） and the health care payments（P0.05）.The percentage of overweight female was higher than male（P0.05）;females were less than males in active smoking,but higher in passive smoking（P0.01）.Quality of life：in addition to physical pain dimension,females were lower than the males in the other seven dimensions of（P0.05 to P0.01）.The females were lower than the males in the total score（P0.01）.Social support：females were lower than the males in the objective to support,the competent support,the utilization of support and social support（P0.05 to P0.01）.Conclusions：The females were lower than males on quality of life and the social support in patients with ACS.