目的 探讨老年稳定性冠心病(stable coronary heart disease,SCAD)患者生活质量(quality of life,QOL)现状及影响因素.方法 选取首都医科大学宣武医院老年SCAD患者96例,采用问卷调查的方法收集患者人口学资料和疾病相关资料,采用Fried量表(the Fried frailty criteria,FFC)评估患者衰弱情况,采用健康状况调查简表(SF-36)评估患者的QOL,采用多重线性回归分析老年SCAD患者QOL的影响因素.结果 96例患者中男63例、女33例,年龄60～96岁,平均(77.4±9.6)岁;41.7%的患者没有进行规律的运动锻炼,肥胖患者占53.1%,多重用药患者占88.5%,患有严重合并症占40.6%;纽约心脏协会(New York Heart Association,NYHA)心功能分级Ⅱ～Ⅳ级患者占70.8%,日常生活依赖的患者占78.2%,处于身体衰弱状态的患者占42.7%.96例患者的QOL得分为(113.72±13.44)分.多重线性回归分析结果显示,老年SCAD患者的QOL随着营养风险的降低、衰弱程度的减轻、日常生活自理能力和运动时长的增加而提升(P<0.05).结论 老年SCAD患者的QOL处于中等水平.建议适当增加老年SCAD患者的运动时长、提升日常生活自理能力,并关注营养状态和衰弱状态的管理.
Status and influencing factors of quality of life in elderly patients with stable coronary heart disease
Objective To explore the status and influencing factors of quality of life(QOL)in elderly patients with stable coronary heart disease(SCAD).Methods A total of 96 elderly patients with SCAD from Xuanwu Hospital,Capital Medical University were selected,the demographic data and disease-related data of the patients were collected by questionnaire,the Fried frailty criteria(FFC)scale was used to evaluate the fragility status and the MOS 36-item short from health survey(the MOS 36-item short from health survey,SF-36)was used to evaluate the QOL of the patients,and multiple linear regression was used to analyze the influencing factors of QOL in elderly SCAD patients.Results Among the 96 patients,there were 63 males and 33 females,aged from 60 to 96 years,with an average age of(77.4±9.6)years.41.7%of the patients did not take regular exercise,53.1%were obese,88.5%were taking multiple drugs,and 40.6%were suffering from serious complications.Patients with the New York Heart Association(NYHA)cardiac function classification Ⅱ～Ⅳgrade accounted for 70.8%,patients who had little ability of daily living accounted for 78.2%,and 42.7%patients were in the state of frailty.The QOL score of the patients was(113.72±13.44)score.The multiple linear regression analysis results showed that the QOL of elderly SCAD patients increased with the decrease of nutritional risk,the reduction of fragility,the increased ability of daily living and longer exercise duration(all P<0.05).Conclusions Elderly patients with SCAD have a moderate QOL.It is suggested to appropriately increase the duration of exercise,the ability of daily living,and pay attenttion to the state management of nutrition and fragility.
stable coronary artery disease(SCAD)quality of life(QOL)fragilitystate of nutritioninfluencing factorelderly
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