Unsar Serap, Sut Necdet, Durna Zehra
Trakya University Edirne Health College, Edirne, Turkey.
J Cardiovasc Nurs. 2007 Nov-Dec;22(6):501-7. doi: 10.1097/01.JCN.0000297382.91131.8d.
:In recent years, health-related quality of life (HRQoL) has been increasingly used as an indicator of health outcome. The aims of the study were to compare the HRQoL of patients with coronary artery disease (CAD) to patients without CAD and also to determine the HRQoL of patients with CAD and the factors affecting their quality of life.
Patients with CAD who attend the outpatients' clinic in the Cardiology Department at Trakya University's Medicine Faculty Hospital agreed to be interviewed. One hundred patients with CAD and 100 people serving as patients without CAD were included in this cross-sectional study. Patients with CAD and patients without CAD were matched by age, sex, marital status, and income. Health-related quality of life was measured with the generic HRQoL instrument.
CAD patients' HRQoL scores differed significantly from patients without CAD. Compared to patients without CAD, the HRQoL of patients with CAD was lower in the dimensions of mobility (P < .001), hearing (P = .022), breathing (P < .001), elimination (P = .035), usual activities (P < .001), mental function (P = .004), discomfort and symptoms (P = .018), vitality (P = .006), sexual activity (P < .001), and total score (P < .001). Patients with CAD had lower HRQoL scores than patients without CAD. In patients with CAD, age and sex independently affected the HRQoL. Older patients and women had worse HRQoL. Coronary artery disease negatively affects HRQoL. It is thought that interventions to increase patients' quality of life may improve their HRQoL.
近年来，健康相关生活质量（HRQoL）越来越多地被用作健康结果的指标。本研究的目的是比较冠心病（CAD）患者与非CAD患者的HRQoL，并确定CAD患者的HRQoL及其影响生活质量的因素。
同意接受访谈的特拉凯亚大学医学院附属医院心内科门诊的CAD患者。本横断面研究纳入了100例CAD患者和100例作为对照的非CAD患者。CAD患者和非CAD患者按年龄、性别、婚姻状况和收入进行匹配。使用通用的HRQoL工具测量健康相关生活质量。
CAD患者的HRQoL评分与非CAD患者有显著差异。与非CAD患者相比，CAD患者在活动能力（P <.001）、听力（P =.022）、呼吸（P <.001）、排泄（P =.035）、日常活动（P <.001）、心理功能（P =.004）、不适与症状（P =.018）、活力（P =.006）、性活动（P <.001）和总分（P <.001）等维度的HRQoL较低。CAD患者的HRQoL评分低于非CAD患者。在CAD患者中，年龄和性别独立影响HRQoL。老年患者和女性的HRQoL较差。冠状动脉疾病对HRQoL有负面影响。人们认为，旨在提高患者生活质量的干预措施可能会改善他们的HRQoL。
