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目的:探讨老年慢性收缩性心力衰竭(CHF)患者生存质量的影响因素,为制定相应的干预措施提供依据。方法:采用世界卫生组织生存质量量表简表(WHOQOL-BREF)对146例老年慢性收缩性心力衰竭患者进行生存质量测量,根据NYHA心功能分级分为3组,以文献健康组为对照组,患者分组之间、与健康组之间进行比较。结果:不同心功能分级患者的生存质量在生理、心理、社会关系、环境等4个领域的得分均低于健康组,有统计学差异(P<0.05)。影响得分的主要领域为环境、生理、心理。结论:慢性收缩性心力衰竭患者生存质量明显下降,药物治疗的同时,还应从心理、社会等多角度对患者进行治疗和健康关怀,以提高其生存质量。
Objective: To investigate the influencing factors of quality of life in elderly patients with chronic systolic heart failure (CHF), and to provide basis for making corresponding interventions. Methods: Quality of life was measured in 146 elderly patients with chronic systolic heart failure by WHOQOL-BREF. The patients were divided into 3 groups according to NYHA functional class. Patients were divided into groups and compared with healthy groups. Results: The scores of quality of life in patients with different cardiac function grading were lower than those in healthy group in the four fields of physiology, psychology, social relations and environment (P <0.05). The main areas of influence score are environment, physiology and psychology. Conclusion: The quality of life of patients with chronic systolic heart failure is significantly decreased. At the same time of medical treatment, patients should be treated and treated with good health care in order to improve their quality of life.