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目的:评估老年冠心病患者的生活质量(quality of life,QOL),分析影响其QOL的相关因素。方法:采用问卷对江西省吉安市中心人民医院门诊及住院的冠心病(CHD)患者100例进行调查,该问卷由健康调查问卷、西雅图心绞痛问卷、社会支持量表等组成。结果:老年冠心病患者的健康简表评分在8个维度比健康老年人群低(P<0.05),其中生理职能维度下降最明显;影响QOL的因素有生理功能的改变、心理精神因素和社会支持。结论:老年冠心病患者的生活质量明显低于健康老年人群,造成老年冠心病患者QOL下降的主要因素是生理功能改变导致的日常生活受限,抑郁情绪及社会支持对QOL的改变也有一定程度的影响。
Objective: To evaluate the quality of life (QOL) in elderly patients with coronary heart disease (CHD) and to analyze the related factors affecting QOL. Methods: A questionnaire was used to investigate 100 outpatients and hospitalized patients with coronary heart disease (CHD) from Central People ’s Hospital of Ji’an City, Jiangxi Province. The questionnaire consisted of Health Questionnaire, Seattle Angina Questionnaire and Social Support Scale. Results: The score of health profile in elderly patients with coronary heart disease was significantly lower in eight dimensions than that in healthy elderly (P <0.05), with the most significant decrease in the dimension of physical function; the factors influencing QOL were changes in physiological function, psychological and psychiatric factors and social support . CONCLUSION: The quality of life of elderly patients with coronary heart disease is significantly lower than that of healthy elderly. The main factors contributing to the decline of QOL in elderly patients with coronary heart disease are the limitation of daily life due to the change of physiological function, the degree of depression and social support to QOL change influences.