影响慢性心衰患者生活质量的高危因素

High Risk Factors Affecting Quality of Life of Patients with Chronic Heart Failure

目的:探究与分析影响慢性心衰患者生活质量的高危因素.方法:选取2016年5月-2019年5月本院收治的慢性心衰患者56例作为观察组,另选择同期在本院接受体检的50例健康人作为对照组,对比两组中文版明尼苏达心力衰竭生活质量量表(MLHFQ)评分,探讨观察组各维度生活质量评分并与对照组进行对比,分析观察组不同影响因素对生活质量的影响,利用多元线性回归模型对影响生活质量的高危因素进行分析.结果:观察组NYHA分级Ⅳ级患者各维度生活质量评分均明显高于其他分级,Ⅲ级患者各维度生活质量评分均明显高于Ⅱ级与Ⅰ级患者,Ⅱ级患者各维度生活质量评分均明显高于Ⅰ级患者,差异均有统计学意义(P<0.05).病因为扩张型心肌病患者的各维度生活质量评分均明显高于其他病因患者(P<0.05).多元回归分析可见,NYHA分级、病因均为影响慢性心衰患者生活质量的高危因素.结论:慢性心衰患者生活质量明显低于正常健康人,NYHA分级、病因均为影响慢性心衰患者生活质量的高危因素.

Objective:To explore and analyze the high risk factors affecting the quality of life of patients with chronic heart failure.Method:Fifty-six patients with chronic heart failure admitted to our hospital from May 2016 to May 2019 were selected as the observation groups,50 healthy people who underwent physical examination at the same time were selected as the control group.The Chinese version of the Minnesota Living with Heart Failure Questionnaire(MLHFQ)scores of two groups were compared,the quality of life scores in each dimension of the observation group were explored and compared with the control group,and the influence of different factors on the quality of life in the observation group were analyzed,the multiple linear regression models was used to analyze the high-risk factors affecting quality of life.Result:The quality of life scores of the observation group with NYHA gradeⅣwere significantly higher than those of other types of NYHA grade,and gradeⅢwere significantly higher than those of gradeⅡand gradeⅠ,NYHA gradeⅡwere significantly higher than those of gradeⅠ,the differences were statistically significant(P<0.05).The quality of life scores of patients with dilated cardiomyopathy were significantly higher than those of other types(P<0.05).Multiple regression analysis showed NYHA classification and etiology were the high-risk factors affecting quality of life for patients with chronic heart failure.Conclusion:The quality of life of patients with chronic heart failure should be significantly lower than that of normal healthy people,the NYHA classification and etiology are risk factors of the quality of life for patients with chronic heart failure.