摘要
目的 应用普适性量表—健康状况问卷评价经皮冠状动脉成形术 (PTCA)对冠心病患者生活质量的影响。方法 接受PTCA治疗的成功病例 6 2例 ,采用问卷调查的方式 ,选用健康状况问卷和自行设计的针对冠状动脉介入治疗术后情况的随访表。术前资料于手术前一晚采集 ,术后 3月及 6月以信访、门诊复查的方式发放问卷 ,将手术前后的计分进行比较 ,同时对比手术前后超声心动图测量的左室射血分数 (LVEF)。结果 术后发生心绞痛的病例数减少 (P <0 .0 0 1) ,患者左心室收缩功能较术前增加 (P <0 .0 1)。健康状况问卷除总体健康感觉外 ,手术前后均有显著差异 ,术后 3月及术后 6月计分均较术前显著提高 (P <0 .0 0 0 1,精力及活力为P <0 .0 0 5 ) ,但术后 3月与术后 6月之间无显著差别。心绞痛迅速而可靠地缓解是术后早期生活质量提高的主要原因。半数以上患者术后体力恢复较慢 ,大部分在随访期内恢复正常工作。结论 经皮冠状动脉腔内成形术可显著提高冠心病患者的生活质量 。
Objective To evaluate the impact of percutaneous transluminal coronary angioplasty (PTCA) on quality of life (QOL) of coronary artery disease patients.Methods There were 62 patients who had undergone successful PTCA. The Short Form 36 (SF 36) was used to evaluate the QOL of these patients. We also designed a special form to follow up angina symptoms, employment status and physical strength after PTCA. The forms were filled the evening before PTCA, three months and six months after PTCA respetively. The data for the forms were collected from structured interview and mailed questionnaire. LVEF before and after PTCA evaluated by echocardiography were compared.Results The number of patients who had angina decreased significantly (P<0.001) and the LVEF improved (P<0.01) after PTCA. There were significant improvements in the following SF 36 measures (P<0.0001, vitality P<0.005): physical component score, mental component score, physical functioning, role limitations due to physical health problems, bodily pain, vitality, social functioning, role limitations due to emotional health problems and mental health. General health perceptions did not change significantly. The main reason for the improvement of quality of life is the rapid alleviation of angina pectoris. Most of the patients felt that regaining of physical strength was slow. After PTCA most patients resumed their work.Conclusion Successful percutaneous transluminal coronary angioplasty could significantly improve both objective cardiac function index and quality of life. It was an ideal method for the treatment of coronary artery diseases according to the standards of social psychological biomedicine.
出处
《中国行为医学科学》
CSCD
2002年第2期133-135,共3页
Chinese Journal of Behavioral Medical Science
