心肌梗死对患者生活质量影响的调查:单中心横断面研究

H. Jalilian, A. Imani, H. Mir, Elnaz Javanshir, M. Mamene, S. Heydari
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引用次数: 1

摘要

背景:心脏病是最常见的心血管疾病之一,由于其致残性和限制性,影响着患者生活质量的不同维度。因此,本研究旨在研究2017年伊朗东阿塞拜疆省Shahid Madani医疗培训医院心肌梗死对患者生活质量的影响。方法:采用横断面研究。本研究共选取了220例心脏病发作患者。采用系统随机抽样方法进行抽样。数据采用明尼苏达州心衰患者生活问卷(MLHFQ)收集。使用SPSS22进行描述性统计(频率、平均值)和统计分析(Mann-Whitney检验、Spearman相关和广义线性模型回归),p值< 0.05为显著性水平。结果:本组心脏病发作对患者生活质量的总影响平均得分为30.09±17.73。心脏病发作对患者身体、情绪和一般生活质量影响的平均得分分别为34.85±24.24、26.63±27.73和27.51±17.83。受教育程度(P值= 0.006)、收入状况(P值= 0.000)与心脏病发作对患者生活质量影响的平均得分有统计学显著相关;年龄(CC = 0.135, p值= 0.046)、住院次数(CC = 0.187, p值= 0.006)与心脏病发作对患者生活质量影响的平均评分呈显著正相关。结论:心脏病发作对患者的生活质量有相当大的影响,尤其是对身体方面的影响。因此,卫生专业人员应更多地关注这些弱势群体,并提供适合这些群体的康复服务,以减少疾病的影响。
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Survey of the Impact of Myocardial Infarction on Patients’ Quality of Life: A Single-Centre Cross-Sectional Study
Background: A heart attack is one of the most common cardiovascular diseases, affecting different dimensions of the patients’ quality of life due to the disease’s disabling and limiting nature. Therefore, this study aimed to examine the impact of myocardial infarction on patients’ quality of life referring to the Shahid Madani Medical & Training Hospital, in East Azerbaijan Province in 2017, in Iran. Methods: This was a cross-sectional study. A total of 220 patients with a heart attack were selected in this study. Sampling was conducted using the systematic random method. Data were collected using the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Descriptive statistics (frequency, mean) and statistical analyses (Mann-Whitney test, Spearman correlation, and Generalized Linear Models Regression) were performed at a significance level of P-value < 0.05 using SPSS22. Results: In this study, the mean score of the total effect of a heart attack on the patients’ quality of life was 30.09 ± 17.73. The mean score of the effect of a heart attack on the patient’s quality of life in the physical, emotional, and general subscales was 34.85 ± 24.24, 26.63 ± 27.73, and 27.51 ± 17.83, respectively. There was a statistically significant association between education status (P-value = 0.006), income status (P- value = 0.000), and the mean score of the effect of a heart attack on the patient’s quality of life; also a positive and significant correlation was found between age (CC = 0.135, P-value = 0.046), the number of hospitalization (CC = 0.187, P-value = 0.006) and the mean score of the effect of a heart attack on the patient’s quality of life. Conclusion: A heart attack has a considerable impact on the patients’ quality of life, particularly on the physical dimension. Hence, health professionals should pay more attention to these vulnerable groups and offer rehabilitation services suitable to these groups to reduce the impact of the disease.
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