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目的了解不同生活方式对住院冠心病心绞痛患者生活质量的影响。方法采用中国心血管病人生活质量评定问卷(CCQQ)及生活方式问卷对宁夏医科大学总医院、宁夏自治区人民医院及银川市第一人民医院942例住院冠心病心绞痛患者的生活质量进行调查。结果住院冠心病患者生活质量的评估中,不吸烟患者生活质量较高(P<0.05),主要表现在病情、医疗状况及生活状况的评分优于吸烟者(P<0.05);不饮酒者的病情、医疗状况和一般生活状况优于饮酒者(P<0.05),总体生活质量差异无统计学意义(P>0.05)。随着每周运动次数的增加,患者的生活质量评分呈上升趋势,尤其是运动者在体力状况、病情和医疗情况的评分优于不运动者(P均<0.05)。结论膳食、运动及吸烟是住院冠心病心绞痛患者生活质量的影响因素,合理膳食及运动有助于改善生活质量,而吸烟的作用则与之相反。
Objective To understand the influence of different life styles on quality of life in patients with coronary heart disease and angina pectoris. Methods The quality of life of 942 hospitalized patients with coronary heart disease and angina pectoris in Ningxia Medical University General Hospital, People’s Hospital of Ningxia Hui Autonomous Region and First People’s Hospital of Yinchuan City were surveyed using the Chinese Cardiovascular Quality of Life Questionnaire (CCQQ) and lifestyle questionnaire. Results The quality of life of non-smoking patients was higher in the assessment of quality of life of patients with coronary heart disease (P <0.05), which was better than that of smokers in condition, medical condition and living condition (P <0.05) The condition, medical condition and general living condition were better than drinkers (P <0.05), and there was no significant difference in overall quality of life (P> 0.05). With the increase of the number of exercise per week, the quality of life score of patients showed an upward trend. Especially, the score of physical activity, condition and medical condition of athletes was better than that of non-athletes (P <0.05). Conclusion Diet, exercise and smoking are the influencing factors of quality of life in patients with coronary heart disease and angina pectoris. Reasonable diet and exercise are helpful to improve the quality of life, while the effect of smoking is opposite.