Wang Wenru, Thompson David R, Ski Chantal F, Liu Meili
National University of Singapore, Singapore.
Eur J Prev Cardiol. 2014 Mar;21(3):321-9. doi: 10.1177/2047487312454757. Epub 2012 Jul 5.
Healthcare providers are called on to assess and improve the health-related quality of life (HRQL) of patients with myocardial infarction (MI). However, there is lack of empirical data on HRQL of such individuals in mainland China. The purpose of this study is to assess HRQL and identify associated factors in hospitalized Chinese MI patients.
A single group, cross-sectional design was adopted with a sample of 192 hospitalized MI patients at two teaching hospitals in Xi'an, People's Republic of China. HRQL was assessed using the Chinese Mandarin versions of the Short Form 36 health survey (SF-36), the Myocardial Infarction Dimensional Assessment Scale (MIDAS), and the Hospital Anxiety and Depression Scale (HADS).
Chinese MI patients reported poor HRQL as measured by both the generic (SF-36) and disease-specific (MIDAS) instruments. Advancing age and the presence of heart failure, anxiety, and depression were significant predictors of overall HRQL. Smoking and hypertension were significant predictors of the physical aspects of HRQL.
Assessing HRQL of hospitalized Chinese MI patients and identifying associated factors may help health professionals in the design and delivery of appropriately tailored and culturally relevant interventions to this group of patients.
医疗服务提供者被要求评估并改善心肌梗死（MI）患者与健康相关的生活质量（HRQL）。然而，中国大陆此类人群的HRQL缺乏实证数据。本研究的目的是评估中国住院MI患者的HRQL并确定相关因素。
采用单组横断面设计，样本为中国西安两家教学医院的192例住院MI患者。使用中文版36项简短健康调查（SF-36）、心肌梗死维度评估量表（MIDAS）和医院焦虑抑郁量表（HADS）评估HRQL。
通过通用工具（SF-36）和疾病特异性工具（MIDAS）测量，中国MI患者报告的HRQL较差。年龄增长以及心力衰竭、焦虑和抑郁的存在是总体HRQL的重要预测因素。吸烟和高血压是HRQL身体方面的重要预测因素。
评估中国住院MI患者的HRQL并确定相关因素可能有助于卫生专业人员为这组患者设计和提供适当定制且与文化相关的干预措施。
