老年冠心病患者在冠状动脉旁路移植术后生命质量的研究

目的评价不同性别老年冠心病患者在冠状动脉旁路移植术后的生命质量。方法采用诺丁汉健康调查问卷、西雅图心绞痛问卷和杜克活动问卷形式对我院接受冠状动脉旁路移植术后出院的273例患者进行问卷调查。依据年龄分为老年组(166例)和对照组(107例)。结果男性患者中,3份生命质量量表,对照组患者生命质量均优于老年组患者(P<0.05),其中在活动受限、治疗满意程度、疾病的主观感受、精力、疼痛、情绪反应、睡眠、社会孤独感、活动能力存在统计学差异(P<0.05)。女性患者中,3份生命质量量表,对照组患者生命质量也均优于老年组患者(P<0.05,P<0.01),其中在活动受限、治疗满意程度存在统计学差异(P<0.05,P<0.01)。结论冠状动脉旁路移植术后老年冠心病患者生命质量明显减低,其中男性更明显。

Evaluation of quality of life in geriatric patients following coronary artery bypass grafting

Objective To observe the quality of life in geriatric patients of different genders following coronary artery bypass grafting.Methods Three questionnaires about the quality of life:Seattle Angina Questionnaire(SAQ),Nottingham Healthy Profile(NHP),Duke Activity Status Index(DASI),were given to 287 patients,who had undergone coronary artery bypass grafting surgery.Two hundred and seventy-three patients sent back the questionnaires.The patients were divided into geriatric patients group(166 cases) and control group(107 cases).Results In male patients,the scores of life quality between geriatric patients group and the control group had difference in three questionnaires(P<0.05),and especially in exertional scale,treatment satisfaction,disease perception scale,energy level,pain,emotional reaction,sleep,social isolation,physical abilities(P<0.05,P<0.01).In female patients,the scores between geriatric patients group and the control group also had differences in three questionnaires(P<0.05,P<0.01),and especially in exertional scale and treatment satisfaction(P<0.05,P<0.01).Conclusion The geriatric patients had lower score about quality of life following coronary artery bypass grafting,especially in male patients.