摘要
[目的]了解冠心病病人的膳食质量情况及其对疾病严重程度的影响,为指导冠心病病人合理膳食提供依据。[方法]采用半定量食物频率问卷及地中海饮食问卷对哈尔滨医科大学附属第二医院的208例冠心病病人进行调查。[结果]冠心病病人膳食质量合格率为66.83%。加拿大心血管病分会(CCS)分级为Ⅰ级33例(15.87%),Ⅱ级62例(29.81%),Ⅲ级86例(41.35%),Ⅳ级27例(12.98%)。体质指数(BMI)、膳食质量、性别和吸烟史是冠心病病人CCS分级的主要影响因素(P<0.01)。[结论]冠心病病人的膳食质量有待提高,应针对高体质指数、膳食质量不合格、男性和有吸烟史的病人开展宣传教育,倡导均衡膳食,改善病人的生活方式,提高健康水平。
Objective:To understand the status quo of dietary quality in patients with coronary heart disease and its effect on the severity of illness,so as to provide evidence for guiding patients with coronary heart disease to take rational diet.Methods:A total of 208 patients with coronary heart disease in the Second Affiliated Hospital of Harbin Medical University were surveyed by using Smei‑Quantitative Food Frequency Questionnaire(SQFFQ)and Mediterranean Diet Questionnaire.Results:The qualified rate of diet quality in patients with coronary heart disease was 66.83%.The classification of Canadian Cardiovascular Society(CCS)among patients with coronary heart disease showed that 33 cases at levelⅠ(15.87%),62 cases at levelⅡ(29.81%),86 cases at levelⅢ(41.35%),and 27 cases at level IV(12.98%).Body mass index(BMI),dietary quality,gender and smoking history were the main influencing factors of CCS classification in patients with coronary heart disease(P<0.01).Conclusion:The dietary quality of patients with coronary heart disease needs to be improved.Propaganda and education should be carried out among patients with high BMI,unqualified dietary quality,male and smoking.And balanced diet among patients should be advocated.So as to improve lifestyle and health status of patients with coronary heart disease.
作者
方圆
刘国杰
FANG Yuan;LIU Guojie(Second Affiliated Hospital of Harbin Medical University,Heilongjiang 150086 China)
出处
《护理研究》
北大核心
2020年第15期2640-2644,共5页
Chinese Nursing Research
基金
黑龙江省卫生计生委科研课题,编号:2018436。
关键词
冠心病
膳食质量
严重程度
体质指数
吸烟
生活方式
影响因素
coronary heart disease
dietary quality
severity
body mass index
smoking
lifestyle
influencing factors