肺高压患者健康相关生活质量调查及其影响因素分析

摘要

目的：调查肺高压患者健康相关生活质量现状,探讨其影响因素。方法采用便利抽样法,运用一般资料调查表、中文版明尼苏达心力衰竭生活质量问卷( MLHF-PH )、医院焦虑抑郁量表(HADS)、社会支持评定量表(SSRS)、慢性病自我效能感量表(SECD6)与医学应对方式量表(MCMQ)对2013年5月—2014年5月165例肺高压患者进行问卷调查。结果肺高压患者 MLHF-PH 平均分(41.93±18.98)分。婚姻状况、不同职业、费用主要来源、疾病类型之间的患者MLHF-PH得分比较,差异有统计学意义(F值分别为6.692,8.593,3.342,4.388；P<0.05)。多元逐步回归分析显示mMRC呼吸困难分级、抑郁、6 min步行距离、纽约心功能分级、症状个数及住院次数纳入回归方程,能解释总变异量的78.1%。结论肺高压患者健康相关生活质量总体处于较低水平,医护人员应给予针对性干预措施,以提高患者健康相关的生活质量。%Objective To investigate the status of Health-related Quality of Life ( HRQOL) in patients with pulmonary hypertension and analyze its influencing factors. Methods A total of 165 patients with pulmonary hypertension were surveyed by General Information Questionnaire, Chinese version of Minnesota Living with Heart Failure-modified for PH ( MLHF-PH ) , Hospital Anxiety and Depression Scale ( HADS ) , Social Support Rating Scale ( SSRS ) , Self-efficacy Management of Chronic Disease ( SECD6 ) and Medical Coping Method Questionnaire (MCMQ). Results The score of MLHF-PH was (41. 93 ± 18. 98), and the scores of MLHF-PH in marital status, different occupations, fee resource and disease type were statistically significant (F =6. 692,8. 593, 3. 342, 4. 388, respectively;P <0. 05). The multiple stepwise regression analysis showed that the severity of mMRC dyspnea, status of depression, 6 minute walk test distance, New York Heart Association ( NYHA ) functional classification, symptoms and times of hospitalization were introduced into the regression model, which could explain 78. 1% of the total variance. Conclusions The general health related quality of life in pulmonary hypertension patients were at a low level. Doctors and nurses should implement particular measurements according to their conditions to improve their quality of life.