摘要
目的：探讨老年冠心病患者生活质量的影响因素,并进行其与生活质量的相关性分析。方法：选择2011-2015年就诊于我院的70例老年冠心病患者进行随访,并进行中国心血管病人生活质量评定问卷（CQQC）评分,比较不同性别、年龄、病程、人体质量指数（BMI）和并发症数量的CQQC得分,采用Spearman相关分析分析生活质量影响因素与CQQC得分的相关性。结果：男性与女性患者的CQQC得分无显著差异（P=0.697）,60-70岁、病程〈15年、BMI〈30kg/m^2以及无并发症患者的CQQC得分显著高于71-87岁、病程〉15年、BMI〉30kg/m^2和有并发症患者（P均〈0.01）。Spearman相关分析显示年龄（r=-0.621）、病程（r=-0.691）和BMI（r=-0.655）均与CQQC得分呈显著负相关,P均〈0.01。四格表卡方检验发现CQQC〉50分的患者比例,60-70岁的得分显著高于〉70岁的（85.42%比31.82%）,病程〈15年的得分显著高于病程〉15年的（79.55%比3.85%）,BMI〈30kg/m^2者的得分显著高于BMI〉30kg/m^2者的（62.22%比20.00%）,P均〈0.01。结论：冠心病患者生活质量受年龄、病程以及人体质量指数等的影响较大,应该注重对患者的随访,指导治疗以及干预生活方式,提高患者生活质量。
Objective：To explore influencing factors of quality of life（QOL）in aged patients with coronary heart disease（CHD）and perform correlation analysis among quality of life and its influencing factors.Methods：A total of70 aged CHD patients treated in our hospital from 2011 to 2015were selected and followed up.All patients received evaluation of Chinese Questionnaire of Quality of life in Chinese patients with cardiovascular diseases（CQQC）.CQQC score was compared between patients with different gender,age,course of disease,body mass index（BMI）and number of complications.Spearman correlation analysis was used to analyze the correlation between influencing factors of QOL and CQQC score.Results：There was no significant difference in CQQC score between male and female patients（P=0.697）.CQQC scores of patients with age 60-70years,course of disease〈15years,BMI〈30kg/m^2 and no complications were significantly higher than those of patients with age 71-87years,course of disease〉15years,BMI〉30kg/m^2 and complications,P〈0.01 all.Spearman correlation analysis indicated that age（r=-0.621）,course of disease（r=-0.691）and BMI（r=-0.655）were significant inversely correlated with CQQC score,P〈0.01 all.Fourfold table chi-square test found that for percentage of patients with CQQC score 50scores,scores of 60-70years were significantly higher than those of〉70years（85.42% vs.31.82%）,scores of course of disease 〈15years were significantly higher than those of course of disease 〉15years（79.55% vs.3.85%）,scores of BMI〈30kg/m^2 were significantly higher than those of BMI〉30kg/m^2（62.22% vs.20.00%）in aged CHD patients,P〈0.01 all.Conclusion：Quality of life in CHD patients are mainly affected by age,course of disease and body mass index etc.So attention should be paid to follow-up,guiding therapy and intervening lifestyle in order to improve patients＇ quality of life.
出处
《心血管康复医学杂志》
CAS
2016年第2期118-122,共5页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
冠心病
随访研究
问卷调查
生活质量
Coronary disease
Follow-up studies
Questionnaires
Quality of life
