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高龄慢性心衰患者生活质量评价及影响因素 被引量:2

Analysis on quality of life in patients of advanced age with chronic heart failure and its influencing factors
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摘要 目的了解高龄慢性心衰(CHF)患者生活质量以及探讨其影响因素。方法采用SF-36(中文版)量表对我院保障范围内高龄CHF患者生活质量进行评测,并采用多元线性回归分析其生活质量的影响因素。结果与一般人群的SF-36量表各维度得分比较,差异有统计学意义(P<0.05);多元线性回归分析显示,高龄慢性心衰患者的SF-36各维度得分与年龄、慢性阻塞性肺疾病、NYHA等级、B型脑钠肽水平、肌酐水平、陪护6个影响因素呈线性相关(P<0.05)。结论 (1)高龄CHF患者生活质量较差;(2)年龄、慢性阻塞性肺疾病、NYHA等级、B型脑钠肽水平、肌酐水平、陪护对高龄CHF患者生活质量影响较大。 Objective To investigate the quality of life (QOL) in patients of advanced age with chronic heart failure(CHF) and its infiueneing factors. Methods The QOL was assessed in the patients of advanced age with CHF within the service area by SF-36 ( Chinese version). The influencing factors of QOL were analyzed. Results The patients had lower scores than normal people in every dimension of SF-36, the difference showed statistical significance (P 〈 0.05 ). Multiple regression analysis showed that the scores of the patients were positively relative to age, obstructive pulmonary diseases, New York Heart Association (NYHA) classification, level of brain natri- uretic peptide ( BNP), level of creatinine and nursing ( P 〈 0.05 ). Conclusion ( 1 ) The patients of advanced age with CHF have worse QOL. (2) There are many factors influencing their QOL. The most important factors are age, obstructive pulmonary diseases, NYHA classification, level of BNP, level of creatinine and nursing.
出处 《临床军医杂志》 CAS 2013年第11期1111-1114,共4页 Clinical Journal of Medical Officers
关键词 高龄 心力衰竭 生活质量 SF-36量表 advanced age chronic heart failure quality of life SF-36
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