首页|基于EQ-5D效用值积分体系的心房颤动患者健康相关生活质量研究

基于EQ-5D效用值积分体系的心房颤动患者健康相关生活质量研究

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目的:调查心房颤动患者健康相关生活质量现状并分析其影响因素.方法:便利选取心房颤动患者作为研究对象,采用一般资料调查表、欧洲五维度生活质量(EQ-5D)量表、FRAIL衰弱量表、广泛焦虑自评量表、社会网络量表简表、国际体力活动问卷短卷进行调查,采用单因素分析和多因素Tobit回归模型分析患者生活质量的影响因素.结果:283例心房颤动患者健康效用值为0.869(0.783,1.000),在疼痛/不舒服和焦虑/抑郁维度的问题最为突出;房颤类型、心功能分级、衰弱、焦虑状态是心房颤动患者生活质量的影响因素(P<0.05).结论:心房颤动患者生活质量有待进一步提高,并且可干预因素较多,提示医护人员应制定针对性干预计划,改善现存问题,提升患者的生活质量.
Study on health-related quality of life in patients with atrial fibrillation based on EQ-5D utility score system
Objective:To investigate the current status of health-related quality of life(HRQoL)in patients with atrial fibril-lation(AF)and analyze its influencing factors.Methods:A total of 283 patients with atrial fibrillation were included by convenience sampling and investigated with the general information questionnaire,European quality of life 5 dimensions(EQ-5D)scale,FRAIL scale,generalized anxiety disorder self-rating scale,social network scale short form,International Physical Activity questionnaire short form.Univariate analysis and multivariate Tobit regression model were used to ana-lyze the influencing factors of patients'quality of life.Results:Patients with atrial fibrillation had the most prominent problems in the dimensions of pain/discomfort and anxiety/depression,and the health utility value was 0.869(0.783,1.000).The type of atrial fibrillation,cardiac function classification,frailty and anxiety were the influencing factors of HRQoL(P<0.05).Conclusion:The quality of life of patients with atrial fibrillation needs to be further improved,and there are many influencing factors which can be intervened.It is suggested that medical staff should formulate targeted inter-vention plans to improve the existing problems and improve the quality of life of patients.

Atrial fibrillationHealth-related quality of lifeHealth utility valueInfluencing factors

张艺卓、许志英、林梅

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天津医科大学总医院,天津 300052

心房颤动 健康相关生活质量 健康效用值 影响因素

2024

天津护理
天津市中心妇产科医院 天津护理学会 天津医科大学护理学院

天津护理

影响因子:0.718
ISSN:1006-9143
年,卷(期):2024.32(2)
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