老年冠心病患者疾病不确定感及社会支持与生活质量的相关性
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(新疆医科大学第一附属医院心血管内科,乌鲁木齐 830054)

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R541.4

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新疆医科大学人文社会科学基金(2016XYFGL)


Relationship between disease uncertainty, social support and quality of life in elderly patients with coronary heart disease
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(Department of Cardiology, First Affiliated Hospital of Xinjiang Medical University, Urumqi 830054, China)

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    摘要:

    目的 分析老年冠心病患者疾病不确定感及社会支持与生活质量的相关性。方法 回顾性分析2022年4月至2023年3月新疆医科大学第一附属医院心血管内科收治的150例老年冠心病患者的临床资料,包括一般人口学资料、Mishel疾病不确定感量表(MUIS)、社会支持量表及生活质量量表得分等。采用SPSS 26.0统计软件进行数据分析。计量资料比较采用独立样本t检验或方差分析。采用Pearson相关性分析对老年冠心病患者疾病不确定感及社会支持与生活质量的相关性进行分析。采用logistic回归分析老年冠心病患者生活质量的影响因素。结果 150例老年冠心病患者疾病不确定感得分为(119.76±12.85)分,社会支持得分为(61.83±5.42)分,生活质量得分为(63.91±6.28)分。老年冠心病患者生活质量得分在文化程度、家庭人均月收入、治疗缴费方式方面比较,差异有统计学意义(P<0.05)。老年冠心病患者生活质量得分与疾病不确定感得分呈负相关(r=-0.501;P<0.05),与社会支持得分呈正相关(r=0.457;P<0.05)。文化程度(OR=2.824,95%CI 1.343~5.935)、家庭人均月收入(OR=2.751,95%CI 1.345~5.626)、治疗缴费方式(OR=2.702,95%CI 1.379~5.292)、疾病不确定感(OR=3.111,95%CI 1.474~6.565)及社会支持(OR=2.933,95%CI 1.451~5.928)是老年冠心病患者生活质量的影响因素。结论 老年冠心病患者生活质量偏低,且与疾病不确定感、社会支持存在相关性,可针对老年冠心病患者生活质量的影响因素对患者进行干预,以提高患者生活质量。

    Abstract:

    Objective To analyze the relationship between disease uncertainty, social support and quality of life in the elderly patients with coronary heart disease. Methods A retrospectively analysis was made of the clinical data of 150 elderly patients with coronary heart disease in the Department of Cardiology of First Affiliated Hospital of Xinjiang Medical University from April 2022 to March 2023, including general demographic data, Mishel uncertainty in illness scale (MUIS), social support scale and quality-of-life scale scores. SPSS statistics 26.0 was used for data analysis. Measurement data were compared using independent sample t test or analysis of variance. Pearson correlation was used to analyze the correlation between disease uncertainty, social support and quality of life in the elderly patients with coronary heart disease, and logistic regression was used to analyze the influencing factors of quality of life in the elderly patients with coronary heart disease. Results The 150 elderly patients with coronary heart disease scored (119.76±12.85) points for disease uncertainty, (61.83±5.42) points for social support, and (63.91±6.28) points for quality of life. There were significant differences in the quality-of-life scores of elderly patients with coronary heart disease in the aspects of education level, per capita monthly family income and treatment payment method (P<0.05). The quality of life was negatively correlatied with disease uncertainty score (r=-0.501; P<0.05), and positively with social support score (r=0.457; P<0.05). Education level (OR=2.824,95%CI 1.343-5.935), household monthly income per capita (OR=2.751,95%CI 1.345-5.626), treatment payment method (OR=2.702, 95%CI 1.379-5.292), disease uncertainty (OR=3.111,95%CI 1.474-6.565), and social support (OR=2.933,95%CI 1.451-5.928) were the influencing factors of quality of life in the elderly patients with coronary heart disease. Conclusion The quality of life of elderly patients with coronary heart disease is low and is related to disease uncertainty and social support. Interventions can betargeted at the influencing factors of quality of life of the elderly patients with coronary heart disease to improve their quality of life.

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吴红艳,屈宁,甘怀娟.老年冠心病患者疾病不确定感及社会支持与生活质量的相关性[J].中华老年多器官疾病杂志,2024,23(5):378~381

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  • 收稿日期:2023-06-16
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  • 在线发布日期: 2024-05-15
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