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目的 :调查高原地区慢性心力衰竭(CHF)患者生活质量现状,并分析其影响因素。方法 :2014年11月至2015年7月,选取西宁地区3所三级甲等医院CHF就诊患者160例作为研究对象,应用患者一般资料问卷、明尼苏达心力衰竭生活质量量表(MLHFQ)、慢性病患者自我效能量表(CDSMP)进行调查。结果 :高原地区CHF患者生活质量得分为(52.36±21.32)分,回归分析显示:年龄、工作状态、学历、月收入、一年内再住院情况、自理程度、自我效能是患者生活质量水平的主要影响因素。结论 :高原地区CHF患者生活质量有待改进,应根据患者生活质量水平及不同影响因素特征进行针对性的健康教育。
Objective: To investigate the status quo of quality of life in patients with chronic heart failure (CHF) in the plateau and analyze its influencing factors. Methods: From November 2014 to July 2015, 160 CHF patients from three Grade A Hospitals in Xining were enrolled in this study. The data of general information questionnaire, Minnesota Heart Failure Quality of Life Scale (MLHFQ), chronic diseases Self-efficacy scale (CDSMP) to investigate. Results: The quality of life of patients with CHF in the plateau was (52.36 ± 21.32) points. Regression analysis showed that age, work status, education, monthly income, rehospitalization within one year, degree of self-care and self-efficacy were the major influence on quality of life factor. Conclusion: The quality of life of patients with CHF in plateau should be improved. Specific health education should be based on the quality of life of patients and the characteristics of different influencing factors.