论文部分内容阅读
目的:就高血压、冠心病、充血性心力衰竭(CHF)患者测定“中国心血管病人生活质量评定问卷”(CQQC)的常模,并分析其影响因素。方法:采用整群随机抽样的方法,对地跨中国各大区的19个城市28所医院的7937名对象的生活质量进行调查,建立全国常模,并比较性别、年龄、运动、心理状态、教育、家庭以及医疗条件所致的差异。结果:1、正常人平均得分(国家常模)为(95.74±23.21)分;2、高血压患者平均得分为(73.75±23.62),高血压3级患者生活质量(69.06±21.78)明显低于其他患者(P<0.01);3、冠心病患者的平均得分为(64.67±20.59),其中不稳定型心绞痛患者的生活质量(55.37±18.62)最差(P<0.01);4、CHF患者的平均得分为(40.36±17.24),显著低于高血压和冠心病患者(P<0.01);5、影响因素:(1)性别、年龄:所有人的总体得分为(71.41±27.8)分,男性得分非常显著高于女性(P=0.000);正常人随着年龄增加,得分逐渐减少(P<0.05),除≥70岁组,其他各年龄组男性得分显著高于女性得分(P<0.05);(2)运动:参加运动者的得分(72.64±21.87)非常显著高于未参加运动者(66.91±23.13),P=0.000;(3)心理:心理健康者的得分(70.13±25.66)非常显著高于心理有障碍者(68.91±20.44),P=0.001;(4)其他:受教育程度越高,得分越高;家庭成员为1个人的得分明显低于2人组和3人及以上组的得分;自费患者的得分低于医保或公费患者的得分(P<0.05~<0.001)。结论:本研究样本量大,数据可靠;中国心血管病人生活质量评定问卷能反映年龄、性别、运动、心理、家庭、受教育程度、医疗条件和疾病对生活质量的影响,条目简短明了,可操作性好,值得推广。
Objective: To determine the norm of CQQQ in patients with hypertension, coronary heart disease and congestive heart failure (CHF) and analyze its influencing factors. Methods: A cluster random sampling method was used to investigate the quality of life of 7937 subjects in 28 hospitals across 19 cities in various regions of China. The national norm was established and sex, age, movement and mental status were compared. Education, family and medical conditions caused by differences. The average score of normal people (national norm) was (95.74 ± 23.21) points. The average score of hypertensive patients was (73.75 ± 23.62), and the quality of life of hypertension grade 3 patients (69.06 ± 21.78) was significantly lower than (P <0.01); 3, the average score of patients with coronary heart disease was (64.67 ± 20.59), the quality of life of patients with unstable angina (55.37 ± 18.62) was the worst (P <0.01); 4, The average score was (40.36 ± 17.24), which was significantly lower than those in patients with hypertension and coronary heart disease (P <0.01) .5, Influencing factors: (1) Sex and age: The overall score for all was (71.41 ± 27.8) (P = 0.000). The scores of normal people decreased gradually with age (P <0.05), and the score of male in other age groups was significantly higher than that of female except for the age of 70 (P <0.05) (72.64 ± 21.87) were significantly higher than those who did not participate in exercise (66.91 ± 23.13), P = 0.000; (3) Psychology: The score of mental health was (70.13 ± 25.66) (68.91 ± 20.44), P = 0.001; (4) Others: The higher the education level, the higher the score; The family member is one person whose scores are obviously lower than those of 2 groups and 3 persons Score group; private patients score lower than the score of the patient’s health insurance or public funds (P <0.05 ~ <0.001). Conclusion: The sample size is large and the data are reliable. The quality of life questionnaire for cardiovascular patients in China reflects the influence of age, sex, movement, psychology, family, educational attainment, medical condition and disease on quality of life. Good operability, worth promoting.