健康相关生活质量：诊断性血管造影的影响。
Health-related quality of life: The impact of diagnostic angiography.
机构信息
School of Nursing, University of California Los Angeles, California 90095-1702, USA.
出版信息
Heart Lung. 2011 Mar-Apr;40(2):147-55. doi: 10.1016/j.hrtlng.2010.05.056. Epub 2010 Aug 6.
BACKGROUND
Little is known regarding the effects of index angiograms on health-related quality of life related to angiographic outcome, that is, positive or negative for coronary heart disease (CHD).
METHODS
A longitudinal, comparative design was used. Ninety-three patients underwent initial angiography and completed questionnaires (Cardiac-Quality of Life Index, Short Form-36 mental and physical, and Cardiac Attitudes Index) before, 1 week and 1 year after angiography. Data were evaluated with linear regression and analysis of variance.
RESULTS
Fifty-five patients were CHD positive (age 65.3 ± 10.7 years, 49% were female), and 38 patients were CHD negative (age 59.5 ± 12 years, 53% were female). Compared with CHD-positive patients over 1 year, CHD-negative patients reported lower scores on the Cardiac-Quality of Life Index (P < .008), Short Form-36 mental and physical measures (P = .004), and Cardiac Attitudes Index (P = .05).
CONCLUSION
CHD-negative patients experienced lower health-related quality of life and lower perceived control than CHD-positive patients. After an index angiogram, a negative finding may not be sufficient to relieve negative emotions.
背景
对于血管造影结果（即冠心病阳性或阴性）与血管造影相关的健康相关生活质量的影响，人们知之甚少。
方法
采用纵向、对比设计。93 例患者在初始血管造影前、1 周和 1 年后完成了问卷调查（心脏生活质量指数、36 项简易量表精神和躯体健康状况、心脏态度指数）。使用线性回归和方差分析对数据进行评估。
结果
55 例患者为冠心病阳性（年龄 65.3 ± 10.7 岁，49%为女性），38 例患者为冠心病阴性（年龄 59.5 ± 12 岁，53%为女性）。与冠心病阳性患者相比，1 年后冠心病阴性患者的心脏生活质量指数（P <.008）、36 项简易量表精神和躯体健康状况（P =.004）和心脏态度指数（P =.05）评分较低。
结论
冠心病阴性患者的健康相关生活质量和感知控制均低于冠心病阳性患者。在进行索引血管造影后，阴性结果可能不足以缓解负面情绪。
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