不稳定心绞痛老年住院患者经皮冠状动脉介入术后生活质量影响因素研究

Influencing factors of quality of life and its relationship with health literacy among elderly inpatient with unstable angina pectoris after percutaneous coronary intervention

目的分析影响不稳定心绞痛(Unstable Angina,UA)老年住院患者经皮冠状动脉介入术(Percutaneous Coronary Intervention,PCI)后生活质量的影响因素。方法采用方便抽样方法选取部分UA老年住院患者进行调查。采用多元线性回归模型分析影响UA老年住院患者PCI术后生活质量的主要因素,采用方差分析、Pearson相关分析法分析其生活质量得分与健康素养各项得分间的关系。结果UA老年住院患者PCI术后生活质量平均得分为(103.76±14.38)分。多元线性回归分析结果显示,年龄>79岁(β=5.829)、初中及以下文化程度(β=5.264)、家庭人均月收入<3000元(β=4.064)、非医保付费方式(β=7.103)、无运动训练(β=6.182)、未规律服药(β=8.176)是影响UA老年住院患者PCI术后生活质量的主要因素(P<0.05)。方差分析结果显示,UA老年住院患者的信息获取能力、交流互动能力、改善健康意愿、经济支持意愿得分均随其生活质量评分降低而降低(P<0.05)。Pearson相关分析结果显示,UA老年住院患者信息获取能力、交流互动能力、改善健康意愿、经济支持意愿各维度得分均与其生活质量评分呈正相关(P<0.05)。结论影响UA老年住院患者PCI术后生活质量的因素较多,且生活质量与其健康素养各项得分均呈正相关。

Objective To analyze the factors associated with quality of life in elderly hospitalized patients with unstable angina pectoris(UA)after percutaneous coronary intervention(PCI).Methods The elderly hospitalized patients with UA after PCI were selected by convenient sampling method.Multiple linear regression model was used to analyze the main factors associated with the quality of life among elderly inpatients with UA after PCI.ANOVA and Pearson correlation analysis were used to analyze the relationship between the quality of life and health literacy.Results The average score of quality of life after PCI was(103.76±14.38)in elderly hospitalized patients with UA.The results of multiple linear regression analysis showed that age above 79 years old(β=5.829),education level with junior high school or below(β=5.264),per capita family income under 3000 yuan(β=4.064),non⁃medical insurance payment method(β=7.103),no exercise training(β=6.182),and irregular medication(β=8.176)were the main influence factors of quality of life(P<0.05).The results of ANOVA showed that the scores of information acquisition ability,communication and interaction ability,health improvement intention and financial support intention of elderly hospitalized patients with UA were all decreased with the decreasing of their score of life quality(P<0.05).The results of Pearson correlation analysis showed that the scores of information acquisition ability,communication and interaction ability,intention to improve health and economic support were positively correlated with the scores of quality of life of elderly hospitalized patients(P<0.05).Conclusion There were many factors associated with the quality of life among elderly inpatient with UA after PCI.The scores of health literacy of patients were positively correlated with quality of life.