慢性心衰患者生命质量及其影响因素研究-社会医学与卫生事业管理专业毕业论文.docxVIP

2Abst隋ct 2 Abst隋ct 0bjective：①To evaIuate the capabiI耐of the Chjnese version of Minnesota Living with Heart Fa¨u怆Ques瓤onnaire(MLHFQ)in Chinese patients of heart failure．②To assess the heaIth reIated qua“ty of I讦色of heart failure．③To expIore some possibIe influentiaI factors Of demOgraphic index and cfinic characteristics on the diffbnent areas 0f HRQO L． MethOds：We cOnducted a crOss—sectiOn survey of 1 38 particjpants diaqnOsised de行niteIy w吐h heart fa舢re(NYHA=II～Ⅳ)．n th怆e hospitals in Beijing from August，2002 tO Ap—I，2006．It was perfOrmed using a test-retest design wjth tO fj¨jn the Chinese versjon of Minnesota Living with Heart Failure Questionnaire(MLHFQ)．the MedicaI Outcomes Study Short Form Health Survey(MOS SF．36) and the backgrOund questiOnnaire in the first and secOnd days respectiveIy when patients were in hosp_taf．Questionnaire’s capabi¨ty was measured by．ts reIiabi“tv，va|idb and feasib．1ity．Pa“ent’s qual时of IIfe was measured by questionnaires．And impact factors of QOL was seIected by muIf|p|e¨near regression． Result：①Intemal consistency was achieved for each of the 3 sub—scales with O．624 to 0，817 of Cronbach a．Reproducibil褂怕nged from 0，555 to 0．680 for sub—scales． CrIterion valid时was∞n而mled by comparing MLHFQ w-th SF．36．Response was 1 1．43 minutes in average and jts responsive rate was aImost 100％．②The heaIth related quaI垤y of l“色of heart failu『e was on the Iow side，especially in physical area． FemaIe has hi口her score in qua¨ty of“fe than maIe．The NYHA cIassi行cation of m and Ⅳwere reman(abIy Iower than classificationⅡ．③There were some demographic inde×，I．ving style，famiIy background and c¨nic cha阳cteristics as factors impading aua¨ty of 1．fe of heart failure．n di舱rent sub·scaIe and total score．BV multipIe 1．near rearessiOn anaIysis，NYHA cIassmcatjOn，whether there were cardiOpathies．n famiIy membefs and introverted，e)(trove№d chara曲er take important e仟ect On pa村ent，s QOL¨ Butthesethreefactorsiustaccounted 14．6％～18．9％ofthe variance．novera¨score． ConcIusi