School of Nursing, Lanzhou University, Lanzhou, 730000, Gansu, China.
Department of Cardiology, The 940th Hospital of Joint Logistic Support Force of PLA, Lanzhou, 730050, Gansu, China.
BMC Cardiovasc Disord. 2022 Sep 6;22(1):397. doi: 10.1186/s12872-022-02844-x.
A key outcome in coronary heart disease (CHD) is Health Related Quality of Life (HRQoL), and family functioning is important in the management of CHD. But few studies have examined both together, and little is known about them among inpatients with CHD in less developed areas of China. Therefore, this study aimed to assess the HRQoL and family functioning status of inpatients with CHD in Lanzhou from Northwest China, and identify the factors that affect their HRQoL.
A cross‑sectional study was conducted in 224 CHD inpatients at one major hospital. Sociodemographic data and disease information of CHD inpatients were collected by face-to-face using a structured questionnaire and data were also obtained from patient medical records. HRQoL was measured using the Sickness Impact Profile (SIP). Family functioning was measured using the family APGAR index. Multiple binary logistic regression analysis (MBLRA) was used to explore potential risk factors associated with HRQoL, and Pearson's correlations were used to assess the relationship between family functioning and HRQoL.
The overall, physical and psychosocial SIP scores were 25.03 ± 8.52, 18.61 ± 9.90 and 28.08 ± 9.64, respectively. The total family APGAR score was 6.11 ± 2.45. MBLRA found older age, poorer cardiac function and more severe disease were associated with poorer HRQoL, while better family functioning, higher monthly income, and urban living were associated with better HRQoL. Family functioning was weakly to moderately correlated with total and psychosocial HRQoL.
Older and less affluent inpatients with lower educational level, less family support and more severe CHD have poorest quality of life, and health care providers should consider interventions to support them.
冠心病（CHD）的一个关键结果是健康相关生活质量（HRQoL），家庭功能在 CHD 的管理中很重要。但很少有研究同时研究这两个方面，在中国欠发达地区的 CHD 住院患者中，对它们的了解也很少。因此，本研究旨在评估中国西北兰州的 CHD 住院患者的 HRQoL 和家庭功能状况，并确定影响其 HRQoL 的因素。
在一家主要医院对 224 例 CHD 住院患者进行了横断面研究。通过面对面的方式使用结构化问卷收集 CHD 住院患者的社会人口统计学数据和疾病信息，并从患者病历中获得数据。使用 Sickness Impact Profile（SIP）测量 HRQoL。使用家庭 APGAR 指数测量家庭功能。采用多二元逻辑回归分析（MBLRA）探讨与 HRQoL 相关的潜在危险因素，采用 Pearson 相关分析评估家庭功能与 HRQoL 的关系。
总体、生理和心理社会 SIP 评分分别为 25.03±8.52、18.61±9.90 和 28.08±9.64。家庭 APGAR 总分 6.11±2.45。MBLRA 发现年龄较大、心功能较差和疾病较严重与 HRQoL 较差相关，而家庭功能较好、月收入较高和城市居住与 HRQoL 较好相关。家庭功能与总 HRQoL 和心理社会 HRQoL 呈弱到中度相关。
年龄较大、经济条件较差、文化程度较低、家庭支持较少、CHD 较严重的住院患者生活质量最差，医疗保健提供者应考虑采取干预措施为他们提供支持。
