冠心病心功能不全患者家庭关怀度与生活质量的相关性研究

Correlation between Family Care Level and Quality of Life in Coronary Artery Disease Patients with Heart Dysfunction

目的探讨冠心病心功能不全患者家庭关怀度与生活质量的相关性。方法对符合诊断标准的冠心病心功能不全患者,以家庭关怀度指数问卷(APGAR)评分结果进行分组,0～6分为家庭功能障碍组(障碍组),7～10分为家庭功能良好组(良好组)。分别比较其心功能不全生活质量量表(MLHFQ)评分情况,并进行相关分析。结果 70例冠心病心功能不全患者中,家庭功能良好者41例,APGAR评分为(8.21±0.74)分,家庭功能障碍者29例,APGAR评分为(4.27±0.58)分,两组评分间差异有统计学意义(P<0.05)。冠心病心功能不全患者APGAR各因子评分均明显高于对照者。家庭功能良好组患者MLHFQ情绪领域、其他领域因子评分及总分,均明显低于障碍组,差异有统计学意义(P<0.05),而两组身体领域评分无明显差异。Pearson相关分析显示,冠心病心功能不全患者AP-GAR与MLHFQ多个因子评分及总分呈负相关(P<0.05)。结论家庭关怀度与冠心病心功能不全患者生活质量密切相关。

Objective To study the correlation between the family care level and the quality of life in coronary artery disease （CAD） patients with heart dysfunction. Methods According to the scores gained from family APGAR Index question- naire, the CAD patients with heart dysfunction were divided into two groups： family dysfunction group, with scores between 0and 6; and better family function group, with scores between 7and 10. The scores of each item gained from the Mininesota Liv- ing with Heart Failure Questionnaire （MLHFQ） were further compared between these two groups, and the correlations of these results were analyzed. Results Totally 70 patients were enrolled, among whom 41 patients belonged to the better family functiongroup with APGAR score of （8.21 ±0. 74） and 29 patients belonged to the family dysfunction group with APGAR score of （4. 27 ± 0. 58） （P 〈 0. 05）. The score of each item of APGAR in the dysfunction group was significantlyly higher than that in better family function group （P 〈 O. 05 ）. The overall score of MLHFQ as well as the scores in mental status were significantly superiorin the better family function group than in the family dysfunction group （P 〈0. 05）. However, the scores in the field of ＂ Phys- ical status＂ showed no significant differences. Pearson＇s correlation analysis revealed that the total score and the scores in each i- tem of APGAR were negatively correlated with the overall scores and the scores of some fields of MLHFQ （ P 〈 0. 05 ）. Conclu- sion The family care level is associated with quality of life in CAD patients with heart dysfunction.