Hangzhou Third Hospital, Department of Vascular Surgery - Hangzhou, China.
Hangzhou Third Hospital, Department of Medical Quality Management - Hangzhou, China.
Rev Assoc Med Bras (1992). 2023 Oct 9;69(10):e20230407. doi: 10.1590/1806-9282.20230407. eCollection 2023.
The aim of this study was to investigate the quality of life for patients with in-stent restenosis after interventional therapy of peripheral artery disease and the influencing factors.
A total of 72 in-stent restenosis patients after interventional therapy of peripheral artery disease were enrolled, whose general data were obtained. SF-12 scale was used to evaluate the quality of life. Tilburg Frailty Scale was used to assess senile debilitation. Pittsburgh Quality Index Scale was used to evaluate sleep quality. Activity of Daily Living Scale was used to evaluate the self-care ability. The general data and in-stent restenosis-related indicators were compared between patients with low and high quality of life, respectively. Multivariate regression analysis was made on the factors affecting quality of life.
The average total quality of life score of 72 patients was 74.06±19.26 points. The gender, Fontaine stage and smoking, Activity of Daily Living Scale score, painless walking distance, senile debilitation score, sleep quality score, white blood cells, and C-reactive protein had significant differences between the two groups, respectively (p<0.05). Multivariate regression analysis showed that the female gender, low Fontaine stage (OR=0.186), low senile debilitation score (OR=0.492), and high sleep quality score (OR=0.633) were the protective factors for high quality of life (all p<0.05), and the low Activity of Daily Living score (OR=1.282) was the risk factor for high quality of life (p<0.05).
Quality of life of in-stent restenosis patients after interventional therapy of peripheral artery disease is low. Gender, Fontaine stage, senile debilitation, sleep quality, and Activity of Daily Living score are the influencing factors of quality of life for in-stent restenosis patients.
本研究旨在探讨外周动脉疾病介入治疗后支架内再狭窄患者的生活质量及其影响因素。
选取 72 例外周动脉疾病介入治疗后支架内再狭窄患者，获取其一般资料。采用 SF-12 量表评估生活质量，采用蒂尔堡虚弱量表评估衰老衰弱程度，采用匹兹堡睡眠质量指数量表评估睡眠质量，采用日常生活活动量表评估自我护理能力。比较生活质量低、高的患者的一般资料和支架内再狭窄相关指标，对影响生活质量的因素进行多因素回归分析。
72 例患者的总体生活质量评分为（74.06±19.26）分。两组患者的性别、Fontaine 分期、吸烟、日常生活活动量表评分、无痛行走距离、衰老衰弱评分、睡眠质量评分、白细胞计数、C 反应蛋白比较，差异均有统计学意义（P<0.05）。多因素回归分析结果显示，女性（OR=0.186）、Fontaine 分期低（OR=0.492）、衰老衰弱评分低（OR=0.633）是生活质量高的保护因素（均 P<0.05），日常生活活动量表评分低（OR=1.282）是生活质量高的危险因素（P<0.05）。
外周动脉疾病介入治疗后支架内再狭窄患者的生活质量较低。性别、Fontaine 分期、衰老衰弱程度、睡眠质量和日常生活活动量表评分是支架内再狭窄患者生活质量的影响因素。
