PCI术后患者的生活质量及相关因素分析

Analysis of quality of life and related factors in patients after PCI

目的分析经皮冠状动脉介入治疗(PCI)术后患者的生活质量及相关因素。方法选取行PCI治疗的住院患者205例,统计分析患者的人口学特征及其生活质量。对影响PCI术后患者生活质量的因素进行单因素及多元线性回归分析,并进行衰弱、服药依从性与PCI术后患者生活质量的相关分析。结果本研究纳入的205例PCI术后患者中,男153例(74.6%),女52例(25.4%)。不同年龄、居住地、生活自理能力、冠心病时限、月支付药费、饮酒情况、居住方式、医务人员间隔随访时间、四肢功能、合并脑梗死患者的生活质量评分比较,差异均有统计学意义(P<0.05)。多元线性回归分析显示,年龄、居住地及生活自理能力是影响PCI术后患者生活质量的独立危险因素(P<0.05)。单变量线性相关分析显示,衰弱、服药依从性是PCI术后患者生活质量的影响因素(P<0.01)。检验衰弱对PCI术后患者服药依从性及生活质量的回归方程,PCI术后患者生活质量与衰弱呈负相关(B=-0.196,P<0.01);PCI术后患者生活质量与服药依从性呈正相关(B=4.874,P<0.01)。结论服药依从性和衰弱可以严重影响PCI术后患者生活质量,因此,在患者入院后进行术前衰弱及服药依从性评估,并根据患者实际情况提前实施干预措施,可以大大提高PCI术后患者的生活质量。

Objective To analyze the quality of life and related factors in patients after percutaneous coronary intervention(PCI).Methods A total of 205 inpatients who underwent PCI were selected,and the demographic characteristics and quality of life of the patients were statistically analyzed.Univariate and multiple linear regression analysis were performed on the factors affecting the quality of life of patients after PCI,and the correlation analysis was performed among weakness,medication compliance and quality of life of patients after PCI.Results Among the 205 patients after PCI included in this study,there were 153 males(74.6%)and 52 females(25.4%).The differences in quality of life scores were statistically significant(P<0.05)when comparing patients with different age,place of residence,self-care ability,duration of coronary heart disease,monthly payment for medication,alcohol consumption,living style,interval follow-up time of medical staff,limb function,and combined cerebral infarction.Multiple linear regression analysis showed that age,place of residence and selfcare ability were independent risk factors affecting the quality of life of patients after PCI(P<0.05).Univariate linear correlation analysis showed that weakness and medication compliance were the influencing factors of quality of life in patients after PCI(P<0.01).The regression equation of weakness on medication compliance and quality of life of patients after PCI was tested,and the quality of life of patients after PCI was negatively correlated with weakness(B=-0.196,P<0.01).Quality of life of patients after PCI was positively correlated with medication compliance(B=4.874,P<0.01).Conclusion Medication compliance and weakness can seriously affect the quality of life of patients after PCI;therefore,preoperative weakness and medication compliance assessment after admission and implementation of intervention measures in advance according to the actual situation of patients can greatly improve the quality of life of patients after PCI.