“中国心血管病人生活质量评定问卷”常模的测定

目的：就高血压、冠心病、充血性心力衰竭（CHF）测定“中国心血管病人生活质量评定问卷”（CQQC）的常模，并分析其影响因素。方法：采用整群随机抽样的方法，对地跨全国各大区的20个城市28所医院的7937名对象的生活质量进行调查，建立全国常模，并比较性别、年龄、运动、心理状态、教育、家庭以及医疗条件所致的差异。结果：（1）正常人平均得分（常模）为（95．74±23．21）分；（2）高血压患者平均得分为（73．75±23．62）．高血压Ⅲ期患者生活质量（69．06±21．78）明显低于其他患者（P〈0．01）；（3）冠心病患者的平均得分为（64．67±20．59），其中不稳定型心绞痛患者的生活质量（55．37±18．62）最差（P〈0．01）；（4）CHF患者的的平均得分为（40．36±17．24），显著低于高血压和和冠心病患者（P〈0．01）；（5）影响因素：①性别、年龄：所有人的总体得分为（71．41±27．8）分，男性得分非常显著高于女性（P=0．000）；正常人随着年龄增加，得分逐渐减少（P〈0．05），除≥70岁组，其他各年龄组男性得分显著高于女性得分（P〈0．05）；②运动：参加运动者的得分（72．64±21．87）非常显著高于未参加运动者（66．91±23．13），P=0．000；③心理：心理健康者的得分（70．13±25．66）非常显著高于心理有障碍者（68．91±20．44），P=0．001；④其他：受教育程度越高，得分越高；家庭成员为1个人的得分明显低于2人组和3人及以上组的得分；自费患者的得分低于医保或公费患者的得分（P〈0．05～0．001）。结论：本研究样本量大，数据可靠；中国心血管病人生活质量评定问卷能反映年龄、性别、运动、心理、家庭、受教育程度、医疗条件和疾病对生活质量的影响，条目简短明了，可操作性好，值得推广。

Determination of national norm of China questionnaire of quality of life in patients with cardiovascular diseases

Objective： To determine the national norm of Chinese questionnaire of quality of life in patients with cardio- vascular diseases （CQQC） according patients with hypertension, coronary artery disease （CAD）, and congestive heart failure （CHF） and to analyze the influence lectors. Methods： The quality of life was estimated by CQQC to evaluate 7937 persons normal and with cardiovascular disease （contain with hypertension, CAD, and CHF ） in 28 hospitals of 20 cities across China. The data were compared in gender, age, exercise, psychology, education, number of family member and medical cost. Results： （1） The rdean score （national norms） of normal person was （95.74 ± 23.21） ; （2） The score of hypertension patients was （73.75±23.62）, the score of hypertension stage 3 group （69.06±21.78） was least compared with other stages （P〈0.01） ; （3） The score of CAD patients was （64. 67±20.59）, the score of unstable angina group （55.37±18. 62） was least compared with other types in CAD patients （P〈0. 01）; （4） The score of CHF patients was （40.36±17.24）, it was least compared with hypertension and CAD patients （P〈0. 01） （5） Influence factor; （1） Sex, age： The mean score was （71.41±27.8） for 7937 persons, the score of male persons was significantly higher than that of female （P=0. 000）; in normal persons, along with age increased, the score decreased （P〈0. 05） ; except ≥70 ages group, the score of male persons was higher than that of female （P〈0. 05） ; （2） Exercise： The score of patients participating exercise was significantly higher than that of no participating exercise （72.64±21.87） vs. （66.91±23.13）, P=0. 000]; （3） Psychology： The score of patients with healthy psychology was significantly higher than that of with psychology disorder （70. 13±25.66） vs. （68. 91±20.44）, P=0. 001]; （4） Other： patients with better education, more than 1 family members and hospitalization insurance had better scores （P 〈0. 05-〈0. 001）. Conclusion： The sample size is large and the datum is reliable for China questionnaire of quality of life in patients with cardiovascular diseases. It can reflect influence of age, sex, exercise, psychology , family, education background, medical condition and disease, its item is brief, clear, and operation is good, so it may well be spread.