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影响心力衰竭住院患者健康相关生活质量的因素

Factors Affecting Health Related Quality of Life in Hospitalized Patients with Heart Failure.

作者信息

Audi Georgia, Korologou Aggeliki, Koutelekos Ioannis, Vasilopoulos Georgios, Karakostas Kostas, Makrygianaki Kleanthi, Polikandrioti Maria

机构信息

Faculty of Health and Caring Professions, Department of Nursing, Technological Educational Institute of Athens, Athens, Greece.

Thriasio General Hospital, Elefsina, Athens, Greece.

出版信息

Cardiol Res Pract. 2017;2017:4690458. doi: 10.1155/2017/4690458. Epub 2017 Nov 1.

Abstract

This study identified factors affecting health related quality of life (HRQOL) in 300 hospitalized patients with heart failure (HF). Data were collected by the completion of a questionnaire which included patients' characteristics and the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Analysis of data showed that the median of the total score of MLHFQ was 46 and the median of the physical and mental state was 22 and 6, respectively. Also, participants who were householders or had "other" professions had lower score of 17 points and therefore better quality of life compared to patients who were civil/private employees ( < 0.001 and < 0.001, resp.). Patients not receiving anxiolytics and antidepressants had lower quality of life scores of 6 and 15.5 points, respectively, compared to patients who received ( = 0.003 and < 0.001, resp.). Patients with no prior hospitalization had lower score of 7 points compared to those with prior hospitalization ( = 0.002), whereas patients not retired due to the disease had higher score of 7 points ( = 0.034). Similar results were observed for the physical and mental state. Improvement of HF patients' quality of life should come to the forefront of clinical practice.

摘要

本研究确定了影响300例住院心力衰竭(HF)患者健康相关生活质量(HRQOL)的因素。通过完成一份问卷来收集数据,该问卷包括患者的特征以及明尼苏达心力衰竭生活问卷(MLHFQ)。数据分析表明,MLHFQ总分的中位数为46分,身体和精神状态的中位数分别为22分和6分。此外,与文职/私人雇员患者相比,身为住户或从事“其他”职业的参与者得分低17分,因此生活质量更好(分别为<0.001和<0.001)。与接受抗焦虑药和抗抑郁药治疗的患者相比,未接受此类药物治疗的患者生活质量得分分别低6分和15.5分(分别为=0.003和<0.001)。与有过住院史的患者相比,无既往住院史的患者得分低7分(=0.002),而未因该病退休的患者得分高7分(=0.034)。在身体和精神状态方面也观察到了类似结果。改善HF患者的生活质量应成为临床实践的首要任务。

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