老年慢性心力衰竭住院患者的健康相关生活质量研究

Study on health-related quality of life in elderly inpatients with chronic heart failure

目的 研究影响老年慢性心力衰竭住院患者的健康相关生活质量的因素.方法 选择住院治疗的老年慢性心力衰竭患者88例,通过采访及问卷调查获得患者的人口统计学资料、临床资料、用药资料以及自我护理行为能力的资料,分别进行健康相关生活质量的相关性分析.结果 患者的NYHA心功能等级越高、患者自我护理的信心越差以及抑郁状态越严重,患者的健康相关生活质量评分越低,具有显著的相关性,包括身体领域质量和情绪领域质量均存在相关性（P＜0.05）;患者的认知功能越差以及住院时间越长,患者的健康相关生活质量总体以及情绪领域质量评分越低,具有相关性（P＜0.05）;患者服用醛固酮拮抗药、慢性心衰患病时间越长以及工资收入越低,患者的健康相关生活质量总体及身体质量就越低,具有相关性（P＜0.05）;患者服用地高辛药物以及同时服用多种药物均影响患者的健康相关生活质量总体,具有相关性（P＜0.05）;患者的受教育程度越高,患者身体质量越高,具有相关性（P＜0.05）;家庭成员人数越多,情绪领域质量越低具有相关性（P＜0.05）.结论 患有抑郁症状、NYHA心功能等级较高、收入较低、自我护理能力较差以及心力衰竭患病时间较长,都会影响患者的健康相关生活质量.

Objective To study the influence factors of the health-related quality of life （HRQL） in elderly patients with chronic heart failure （CHF）.Methods 88 elderly patients with CHF were selected to obtain their demographics,clinical data,self care behavior ability of data and correlation of HRQL through interview and questionnaire.Results The self nursing of the patients heart function in patients with higher New York heart association （NYHA） grade,confidence and depression were related with the bad HRQL （P＜ 0.05）; cognitive function of patients and longer hospital stay were related with bad quality of life in general and emotional （P ＜ 0.05）; patients treated with aldosterone antagonists,longer CHF disease duration and lower wage income were related with bad quality of life in general and physical field （P ＜ 0.05）; in patients taking digoxin drug and multiple medications were related with bad quality of life in general （P ＜ 0.05）;patients with high quality education were related with good quality of life （P ＜ 0.05）; more family members were related with good emotional quality （P ＜ 0.05）.Conclusion Patients with depressive symptoms,higher NYHA cardiac function grade,low income,poor heart failure self nursing ability and longer duration of disease will affect their HRQL.