Health-related quality of life in patients after the acute myocardial infarction
Health-related quality of life in patients after the acute myocardial infarction
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DOI：
10.2478/s11536-012-0118-5
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发表时间：
2013-04-01
影响因子：
--
通讯作者：
Ilic, Mirko V.
中科院分区：
文献类型：
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作者：
Rancic, Natasa K.;Petrovic, Branislav D.;Ilic, Mirko V.
急性心肌梗死对患者的生活质量有负面影响。本研究的目的是评估急性心肌梗死患者在发病后一个月的健康相关生活质量，研究涉及160名年龄在30 - 79岁的男女患者。在患者入住冠心病监护室时和一个月后评估患者的健康相关生活质量。使用了以下问卷：EuroQuolVAS和EuroQuol 5 Dimension。心绞痛根据加拿大心血管学会分类进行分级。结果：男性和女性以相似的方式评估他们的健康状况（60.48 +/- 11.98 vs 60.55 +/- 12.24）。接受直接冠状动脉介入治疗的患者的EuroQuolVAS平均评分显著高于接受溶栓治疗的患者（68.69 +/- 9.67 vs 52.31 +/- 7.87，p < 0.001）。在这些问题的答案中，中度和严重的问题最多：疼痛/不适，焦虑/抑郁和自我护理。两人（0.92 +/- 0.43 vs 3.27 +/- 0.59，p < 0.001）和女性（0.89 +/- 0.46 vs 3.19 +/- 0.55，p < 0.001）的平均值急性心肌梗死后1个月心绞痛平均评分明显低于入院时，患者的生活质量非常低。接受直接冠状动脉介入治疗的患者评价其健康状况优于接受溶栓治疗的患者。心绞痛平均评分较低，健康相关生活质量较高。
Acute myocardial infarction has a negative impact on patient's quality of life. The aim of this paper was to evaluate the health-related quality of life in patients one month after the acute myocardial infarction.The study involved 160 patients of both sexes, 30 to 79 years of age. The health-related quality of life in patients was assessed at the admission at the coronary care unit, and one month after. The following questionnaires were used: EuroQuolVAS and EuroQuol 5 Dimension. Angina pectoris was ranked according to the Canadian Cardiovascular Society Classification. Results: Men and women evaluated their health condition in a similar way (60.48 +/- 11.98 vs 60.55 +/- 12.24). Patients who (have) undergone primary coronary intervention had significantly higher average scores on EuroQuolVAS than the patients who were treated with thrombolytic therapy (68.69 +/- 9.67 vs 52.31 +/- 7.87, p < 0.001). Modest and severe problems were the most presented in answers to those questions: pain/discomfort, anxiety/depression and self-care. Both men (0.92 +/- 0.43 vs 3.27 +/- 0.59, p < 0.001) and women (0.89 +/- 0.46 vs 3.19 +/- 0.55, p < 0.001) had significiantly lower average marks of angina pectoris one month after the acute myocardial infarction than at the admission to the hospital.One month after the acute myocardial infarction the quality of life in patients was very impared. Patients who undergone to the primary coronary intervention evaluated their health condition as better than the patients who were treated with thrombolytic therapy. Those patients also had the lower average marks of angina pectoris and the higher health-related quality of life.