慢性心力衰竭患者生活质量的影响因素研究

Influencing Factors of Quality of Life in Patients with Chronic Heart Failure

目的分析慢性心力衰竭(CHF)患者生活质量的影响因素。方法选取无锡市第四人民医院2015—2016年收治的慢性心力衰竭患者351例,患者入院后1 d内在调查员协助下填写自行设计的一般资料调查表和中文版明尼苏达心力衰竭生活质量问卷。CHF患者生活质量的影响因素分析采用多元线性回归分析。结果不同性别患者身体领域、情绪领域及总体生活质量评分比较,差异均有统计学意义(P<0.05);但其他领域评分比较,差异无统计学意义(P>0.05)。不同年龄患者身体领域和其他领域评分比较,差异均有统计学意义(P<0.05);但情绪领域和总体生活质量评分比较,差异均无统计学意义(P>0.05)。不同病程患者身体领域、情绪领域、其他领域及总体生活质量评分比较,差异均无统计学意义(P>0.05)。不同月收入、症状种类、纽约心脏病协会(NYHA)分级及近1年内因心力衰竭入院次数患者身体领域、情绪领域、其他领域及总体生活质量评分比较,差异均有统计学意义(P<0.05)。是否合并焦虑抑郁患者身体领域、情绪领域、总体生活质量评分比较,差异均有统计学意义(P<0.05);但其他领域评分比较,差异无统计学意义(P>0.05)。多元线性回归分析结果显示,月收入、合并焦虑抑郁、症状种类、NYHA分级及近1年因心力衰竭住院次数与CHF患者身体领域、情绪领域评分及总体生活质量评分独立相关(P<0.05);月收入、症状种类、NYHA分级及近1年因心力衰竭住院次数与CHF患者其他领域评分独立相关(P<0.05)。结论月收入、合并焦虑抑郁、症状种类、NYHA分级及近1年因心力衰竭住院次数是CHF患者生活质量的影响因素。

Objective To analyze the influencing factors of quality of life in patients with chronic heart failure.Methods A total of 351 patients with chronic heart failure were selected in the Fourth People' s Hospital of Wuxi from 2015 to 2016,all of them completed the self-made General Information Questionnaire and Chinese Version Minnesota Quality of Life Questionnaire for Heart Failure within 1 day after admission. Multiple linear regression analysis was used to analyze the influencing factors of quality of life in patients with chronic heart failure. Results There were statistically significant differences of body domain score,emotion domain score and overall quality of life score in patients with different gender(P < 0. 05),while no statistically significant differences of other domain score was found in patients with different gender(P > 0. 05). There were statistically significant differences of body domain score and other domain score in patients with different age(P < 0. 05),while no statistically significant differences of emotion domain score or overall quality of life score was found in patients with different age(P > 0. 05). No statistically significant differences of body domain score,emotion domain score,other domain score or overall quality of life score was found in patients with different courses of disease(P > 0. 05). There were statistically significant differences of body domain score,emotion domain score,other domain score and overall quality of life score in patients with different monthly income,with different kinds of symptoms,with different NYHA grading,with different recent 1-year times of hospitalization caused by heart failure(P < 0. 05). There were statistically significant differences of body domain score,emotion domain score and overall quality of life score in patients with anxiety/depression or not(P < 0. 05), while no statistically significant differences of other domain score was found in patients with anxiety/depression or not(P > 0. 05). Multiple linear regression analysis results showed that,monthly income,anxiety/depression,kinds of symptoms,NYHA grading and recent 1-year times of hospitalization caused by heart failure was independently correlated with body domain score,emotion domain score and overall quality of life score in patients with chronic heart failure,respectively(P < 0. 05); monthly income, kinds of symptoms,NYHA grading and recent 1-year times of hospitalization caused by heart failure was independently correlated with other domain score in patients with chronic heart failure,respectively(P < 0. 05). Conclusion The physical and psychological conditions of patients with chronic heart failure will affect the quality of life of patients,rehabilitation exercise should improve the quality of life through two aspects of psychological construction and health training.