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目的探索慢性心力衰竭患者健康相关生活质量及影响因素。方法采用描述性研究设计方法,以便利抽样方法抽取3家三级医院心血管内科住院的263例慢性心力衰竭患者,采用自设患者资料调查表、明尼苏达心力衰竭生存质量量表,收集患者一般人口学资料、病情相关资料、生活背景资料及健康相关生活质量状况。进行单因素及多元逐步回归分析。结果 263例慢性心力衰竭患者明尼苏达心力衰竭生存质量量表总分为(60.20±21.86)分。单因素分析显示基础心脏疾病、左心室射血分数、心功能分级、近3月住院次数、是否经常运动、是否热心社会活动、家庭成员人数、性格是否开朗、有无宗教信仰是其总分的影响因素(P<0.05)。以明尼苏达心力衰竭生存质量量表得分为因变量、上述9个因素为自变量,经多元逐步回归分析,结果显示心功能分级、是否经常运动、家庭成员人数是影响慢性心力衰竭患者健康相关生活质量的独立因素(P<0.05)。结论心功能较好、经常参加运动、有3人及以上家庭成员的患者健康相关生活质量较好。
Objective To explore the health-related quality of life and its influencing factors in patients with chronic heart failure. Methods A descriptive study design method was used to facilitate the sampling of 263 patients with chronic heart failure admitted to tertiary care hospital in cardiovascular medicine. Self-employed patient data questionnaire and Minnesota Heart Failure Quality of Life Scale were collected to collect the general population Learning materials, disease-related information, background information and health-related quality of life conditions. Univariate and multivariate stepwise regression analysis. Results The total score of heart failure quality of life in 263 patients with chronic heart failure in Minnesota was (60.20 ± 21.86) points. Univariate analysis showed that basic heart disease, left ventricular ejection fraction, cardiac function classification, hospitalization in the past 3 months, whether regular exercise, is enthusiastic about social activities, the number of family members, whether the character is cheerful, with or without religious belief is its total score Influencing factors (P <0.05). Minnesota Heart Failure Quality of Life Scale score as the dependent variable, the above-mentioned 9 factors as independent variables, by multiple stepwise regression analysis, the results showed that cardiac function classification, whether regular exercise, the number of family members affect the health-related quality of life in patients with chronic heart failure Independent factors (P <0.05). Conclusions Cardiac function is better, regular exercise, patients with 3 or more family members have better health-related quality of life.