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急性心肌梗死合并糖尿病患者生活质量的影响因素分析
引用本文:朱亮,张倩,邢凤梅. 急性心肌梗死合并糖尿病患者生活质量的影响因素分析[J]. 现代预防医学, 2018, 0(13): 2342-2345
作者姓名:朱亮  张倩  邢凤梅
作者单位:华北理工大学护理与康复学院,河北 唐山 063000
摘    要:
目的 探讨急性心肌梗死(AMI)合并糖尿病(DM)患者生活质量的影响因素。方法 2016年8月-2017年3月对唐山市某三甲医院心内科住院的急性心肌梗死合并糖尿病的436名患者,使用统一的一般资料问卷、营养风险筛查量表2002(NRS2002)、心肌梗死多维度量表(MIDAS)进行问卷调查。结果 AMI合并DM患者生活质量总分为(46.43±15.08)分,躯体活动、情绪反应、安全性、依赖性、药物不良反应、担心用药及饮食7个维度得分指标分别为:39.42%、32.00%、33.78%、32.08%、27.63%、13.38%、26.50%;多重回归显示,存在营养风险、年龄大、文化程度低、收入水平低和非经皮冠状动脉介入治疗术的患者生活质量较差。〖HTH〗结论 营养风险、年龄、文化程度、月收入和治疗方式是影响AMI合并DM的患者生活质量的主要因素。

关 键 词:急性心肌梗死  糖尿病  营养风险  生活质量

Influencing factors of the quality of life of AMI with DM patients
ZHU Liang,ZHANG Qian,XING Feng-mei. Influencing factors of the quality of life of AMI with DM patients[J]. Modern Preventive Medicine, 2018, 0(13): 2342-2345
Authors:ZHU Liang  ZHANG Qian  XING Feng-mei
Affiliation:College of Nursing and Rehabilitation,North China University of Science and Technology,Tangshan,Hebei 063000,China
Abstract:
Objective To investigate the influencing factors of the quality of life on acute myocardial infarction (AMI) with diabetes mellitus (DM) patients.Methods 436 patients were chosen by stratified cluster sampling in a top-level hospital in Tangshan to conduct common general information questionnaire,the Nutritional Risk Screening Scale 2002 and Myocardial Infarction Dimensional Assessment Scale questionnaire.Results The score of the quality of life of AMI with DM patients was (46.43±15.08),and all dimensions of it including physical activity,emotional response,safety,dependence,drug adverse reactions,fears and diet scores were 39.42%,32%,33.78%,32.08%,27.63%,13.38% and 26.50% respectively.The multiple stepwise regression showed that patients with nutritional risks,older age,low education levels,low-income levels,and non-percutaneous coronary interventions had a poorer quality of life.Conclusion The influencing factors of the quality of life on acute myocardial infarction (AMI) with diabetes mellitus (DM) patients are nutritional risk,age,degree of culture,income and therapy treatment.
Keywords:Acute myocardial infarction (AMI)  Diabetes mellitus (DM)  Nutritional risk  The quality of life
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