阵发性室上性心动过速患者生命质量及其影响因素调查

Quality of life and influencing factors in patients with paroxysmal supraventricular tachycardia

目的分析阵发性室上性心动过速(paroxysmal supraventricular tachycardia,PSVT)患者基本情况和健康相关生命质量(health related quality of life,HRQOL)结果,并研究患者HRQOL的影响因素。方法连续选择2014年10月至2015年9月在第三军医大学附属大坪医院心内科住院的296例PSVT患者进行问卷调查并记录相关资料。男175例,女121例,年龄(59.34±8.54)岁。使用抑郁自评量表(self-rating depression scale,SDS)评估PSVT患者抑郁状况,使用36项简明健康状况调查问卷(short form 36 questionnaire,SF-36)测量PSVT患者的HRQOL分数,并使用单因素方差分析和多元逐步线性回归统计方法对HRQOL的影响因素进行分析。结果患者的SDS量表评分为(47.43±14.14)分,其中无抑郁48.9%;轻度抑郁25.0%;中度抑郁21.3%;重度抑郁4.8%。HRQOL评分与治疗、锻炼呈正相关(P<0.05),与年龄、心功能分级、吸烟、饮酒、糖尿病、原发性高血压(高血压)、SDS评分呈负相关(P<0.05)。影响HRQOL评分的5个最主要因素为治疗、心功能分级、SDS评分、年龄、饮酒。多元线性回归方程:HRQOL评分=533.64+21.86×治疗-19.42×心功能分级-17.93×SDS评分-15.54×年龄+13.68×饮酒(P<0.05)。结论 PSVT患者大部分患有抑郁,重视高龄患者的治疗,教育PSVT患者戒烟、戒酒、积极接收治疗,控制好血压和血糖,改善心功能,加强锻炼,加以心理疏导,以上措施可显著改善PSVT患者生命质量。

Objectives To analysis the basic situation and health related quality of life（HRQOL）in patients withparoxysmal supraventricular tachycardia（PSVT）,and to study the influencing factors on HRQOL.Methods Totally296 patients with PSVT who had been hospitalized in Department of Cardiology of Daping Hospital of The ThirdMilitary Medical University from October 2014 to September 2015 were selected.There were 175 males and 121 females in the respondents,with an age of（59.34±8.54）years.We used self-rating depression scale（SDS）to assessdegree of depression in patient with PSVT,and use short form 36 questionnaire（SF-36）scale to assess the HRQOLof patient with PSVT.The one-way ANOVA and stepwise regression analysis were used to study the influence factors ofHRQOL.Results Average SDS score was 47.43±14.14,and 48.9% of the patients did not have depressive symptoms,25.0% of the patients were mild depression,21.3% of the patients were moderate depression,4.8% of the patientswere severe depression.HRQOL scores showed positive correlation with treatment and exercise（P〈0.05）,alsoshowed negative correlation with age,cardiac functional grading,smoking,drinking,diabetes,hypertension and SDSscore（P〈0.05）.The multivariate linear regression equation was：HRQOL score=533.64＋21.86×treatment-19.42×cardiac functional grading-17.93×SDS score-15.54×age-13.68×drinking（P〈0.05）.Conclusions Most patients with PSVTsuffer from depressive symptoms.The results suggested that more attention must be paid to the patients with older age.To teach patients with PSVT to stop smoking,quit drinking,actively receive treatment,control blood pressure andblood sugar,improve heart function,strengthen the exercise and psychological counseling can significantly improvetheir HRQOL.