Lee Hyung Tak, Shin Jinho, Lim Young-Hyo, Kim Kyung Soo, Kim Soon Gil, Kim Jeong Hyun, Lim Heon Kil
Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea.
Division of Cardiology, Department of Internal Medicine, Hanyang University Medical Center, Seoul, Korea
Angiology. 2015 Apr;66(4):326-32. doi: 10.1177/0003319714533182. Epub 2014 May 2.
Using data from 2007 to 2011 of the Korea National Health and Nutrition Examination Survey, we evaluated the influence of coronary heart disease (CHD) on health-related quality of life (HRQoL) as measured by the EQ-5D in comparison with the general population and the predictors of HRQoL in CHD. Compared with the general population, HRQoL was impaired in the EQ-5D dimensions of mobility, usual activities, pain/discomfort, and anxiety/depression. The impairment of HRQoL was much greater in the older age group and in females. In subjects with CHD, the predictors for a low EQ-5D index were old age, female sex, low education, stroke, and noncardiovascular comorbidities, and the predictors for a low EQ Visual Analogue Scale were low income and noncardiovascular comorbidities. For the improvement in HRQoL, preventing stroke and noncardiovascular comorbidities is important, especially among female and older Asian patients with CHD.
利用韩国国家健康与营养检查调查2007年至2011年的数据，我们评估了冠心病（CHD）对以EQ-5D衡量的健康相关生活质量（HRQoL）的影响，并与普通人群进行了比较，同时评估了冠心病患者HRQoL的预测因素。与普通人群相比，冠心病患者在EQ-5D的行动能力、日常活动、疼痛/不适以及焦虑/抑郁维度的HRQoL受损。HRQoL的损害在老年组和女性中更为严重。在冠心病患者中，EQ-5D指数较低的预测因素为老年、女性、低教育程度、中风和非心血管合并症，而EQ视觉模拟量表得分较低的预测因素为低收入和非心血管合并症。为改善HRQoL，预防中风和非心血管合并症很重要，尤其是在亚洲老年女性冠心病患者中。
