倦怠对急性冠脉综合征患者康复过程中生活质量的影响研究

发布时间：2018-07-31 08:23

【摘要】：背景既往研究发现倦怠可导致急性冠脉综合征(ACS)患者在康复过程中体力恢复不良,但倦怠是否会导致ACS患者在中长期康复过程中的生活质量下降目前还不清楚。目的观察倦怠对ACS患者康复过程中生活质量的影响。方法选取2014年1月—2015年2月昆明医科大学第一附属医院心内科收治的ACS患者,收集其一般资料和临床资料。患者出院当天采用哥本哈根倦怠量表的一般倦怠子量表评估倦怠程度,将其分为高倦怠组和低倦怠组。并在出院当天、出院后1个月、半年和1年定期随访,采用生活质量8条简明量表(SF-8)和西雅图心绞痛量表(SAQ)评估患者生活质量,构建广义估计方程分析重复测量的生活质量指标在高倦怠组和低倦怠组中有无差别。结果共纳入91例患者,其中高倦怠组42例,低倦怠组49例。经校正性别、年龄、文化程度等混杂因素后,高倦怠组生理健康和心理健康得分均低于低倦怠组(Z=-3.21、-2.07,P0.05);高倦怠组躯体受限程度(PL)、心绞痛稳定状态(AS)、心绞痛发作频率(AF)、治疗满意度(TS)、疾病认知程度(DP)得分均低于低倦怠组(Z=-5.23、-3.55、-3.76、-4.09、-4.92,P0.05)。结论倦怠可导致ACS患者康复过程中生活质量下降。
[Abstract]:Background previous studies have found that burnout can lead to poor physical recovery in patients with acute coronary syndrome (ACS) during rehabilitation, but it is not clear whether burnout will lead to a decline in the quality of life of ACS patients in the long term. Objective to observe the effect of burnout on the quality of life of patients with ACS during rehabilitation. Methods from January 2014 to February 2015, patients with ACS in Department of Cardiology, first affiliated Hospital of Kunming Medical University, were selected and their general and clinical data were collected. On the day of discharge, the general burnout subscale of Copenhagen Burnout scale was used to assess the degree of burnout, which was divided into high burnout group and low burnout group. On the day of discharge, 1 month, 6 months and 1 year after discharge, the patients were followed up regularly. The quality of life (QOL) was evaluated by 8 brief quality of life (SF-8) and Seattle angina pectoris scale (SAQ). A generalized estimation equation was constructed to analyze whether repeated measurements of QOL were different between the high burnout group and the low burnout group. Results 91 patients were included, including 42 cases of high burnout group and 49 cases of low burnout group. After adjusting for mixed factors such as sex, age and education, The scores of physical and mental health in the high burnout group were lower than those in the low burnout group (P0.05), and the (DP) scores in the high burnout group were lower than those in the low burnout group (P 0.05), and the frequency of (AS), angina pectoris attack frequency in the high burnout group was lower than that in the low burnout group (P 0.05), and the (DP) score in the high burnout group was lower than that in the low burnout group (P 0.05), and that in the high burnout group was lower than that in the low burnout group (P 0.05). Conclusion Burnout can lead to the deterioration of quality of life in patients with ACS during rehabilitation.
【作者单位】：昆明医科大学第一附属医院心内科;云南省昆明市儿童医院心内科;
【基金】：国家自然科学基金资助项目(81360040) 云南省科技厅-昆明医科大学应用基础联合专项基金(2013FB140) 美国雅礼协会贾氏家庭健康基金(2011CF04)
【分类号】：R541.4

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