冠心病患者共病状态与生活质量的相关性研究

冠心病患者共病状态与生活质量的相关性研究
郑迎夏;俎德玲;邱婷
【期刊名称】《中华现代护理杂志》
【年(卷),期】2015(000)014
【摘要】目的：通过疾病累计评分量表(CIRS)和欧洲五维健康量表(EQ-5D)评价冠心病患者共病状态程度与生活质量,探讨共病状态和生活质量的相关性。

方法选择2013年7月—2014年6月在心血管内科住院1周以上且入院时护理等级为一级的212例冠心病患者为调查对象,分别应用CIRS和EQ-5D对患者进行评分,并记
录患者的生化指标、住院天数和费用等,分析共病状态与生活质量之间的关系。

结果冠心病患者共病状态严重,分布在各个系统,同时生活质量下降,入院时CIRS评分总分为(20.36±6.36)分,严重指数为(1.45±0.45),共病指数为(6.59±2.23)；EQ-5D 总分为(10.83±2.86)分,直观式健康量表(VAS)得分为(44.29±23.17)分。

CIRS评分分级不同的患者,其EQ-5D评分、VAS评分、住院天数和住院费用的差异均有
统计学意义(P<0.01)。

入院1周后,CIRS评分低组患者改护理级别为“二级护理”的例数更多,差异有统计学意义(P<0.01)。

CIRS评分与EQ-5D评分、住院天数、住院费用、空腹血糖、血肌酐等均呈正相关,与VAS评分呈负相关( r值分别为
0.842,0.802,0.292,0.148,0．323,-0.531；P<0.05)。

结论冠心病患者共病状态与生活质量呈负相关,CIRS的应用可以客观评价共病状态的严重程度。

%Objective To explore the correlation of comorbitidy status and life quality in coronary disease ( CD) patients by the cumulative illness rating scale ( CIRS) and Europe health-related quality of life questionnaire -5 Dimension (EQ-
5D). Methods A total of 212 CD patients, who hospitalized in Department
of Cardiovascular over one week and had over level one care as the survey objects, applied CIRS and EQ-5D, documented biochemical norm, days of hospitalization and expenditure, and were analyzed the correlation between comorbitidy status and life quality. Results The CD patients stayed a serious status of cormorbitidy, distributed in different system and was reduced quality of life. The total score of CIRS was (20. 36 ± 6. 36) when admitted, severity norm was (1. 45 ± 0. 45), comorbitidy norm was (6.
59 ± 2. 23), while total score of EQ-5D was (10. 83 ± 2. 86), in which VAS was (44. 29 ± 23. 17) score. Different level of CIRS patients, th ere were statistically significant on EQ-5D, VAS, days of hospitalization, and expenditure (P<0. 01). After one week admission, the low score of CIRS patients had more people change to level two care with statistical significance (P<0.01). The score of CIRS had positive correlation with EQ-
5D, days of hospitalization, expenditure, fasting blood glucose and serum creatinine, and negative correlation with VAS (r=0. 842,0. 802, 0. 292,0. 148,0. 323,-0. 531;P<0. 05). Conclusions The comorbidity status has negative correlation with life quality in CD patients, and the CIRS can assess the severity of comorbidity status objectively.
【总页数】4页(P1644-1647)
【作者】郑迎夏;俎德玲;邱婷
【作者单位】324000 浙江省衢州市人民医院心血管内科;324000 浙江省衢州市人民医院心血管内科;324000 浙江省衢州市人民医院心血管内科
【正文语种】中文
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