| Objective: to study the life quality level in hospitalized patients with coronary heart disease,stroke and their physical,psychological,social,and disease specific four areas in terms of quality of life.Compare different characteristics of the patients’ life quality,to analyze its influencing factors and to explore the causes of differences between different characteristics of the patients’ quality of life.Through comparing patients’ life quality before and after hospitalization,to evaluate the effectiveness that the systemic treatment on patients quality of life improvement.Offer reference to further improve the patients’ quality of life,choose the appropriate health education intervention plan and improve medical and health services.Methods: This study,with stratified sampling according to the level of hospital,selected two secondary hospitals and two tertiary hospitals randomly in one city between June and December,2015.Choose 290 cases patients with coronary heart disease,310 cases of patients with cerebral apoplexy,a total of 600 cases of hospitalized patients who accord with inclusion criteria as the research object in four hospitals’ cardiovascular internal medicine,thoracic surgery,neurology and neurosurgery.In the time of the patients admitted to hospital and the time of discharged,this study use the QLICD-CHD V1.0 and the QLICD-ST V2.0 developed by Chonghua Wan et al to investigate the life quality of patients whose first diagnosis is coronary heart disease orcerebral apoplexy.Establish database with EPIDATE3.1 for data entry,perform statistical analysis of data by using EXCEL and SPSS 21.0.Results:1.The coronary heart disease patients’ quality of life score was 65.09±14.76,cerebral apoplexy patients’ quality of life score was 49.83±8.05,coronary heart disease patients life quality is higher than that of patients with cerebral apoplexy,the difference is statistically significant(t = 15.761,P < 0.01).In four areas,psychological function scores in patients with coronary heart disease(CHD)are highest and their physical function scoring lowest.Social function in patients with cerebral apoplexy scored the highest,lowest scoring psychological function.2.Analyzing the influence factors of quality of life in patients with coronary heart disease(CHD),the quality of life of men are higher than women,and the difference is statistically significant(t = 2.729,P < 0.01);Middle-aged patients is higher than elderly patients and higher than young patients,and the difference is statistically significant(F= 15.868,P < 0.01);Patients who have a spouse are higher than patients with no spouse,and the difference is statistically significant(t = 2.004,P < 0.05);Patients’ quality of life vary by different work conditions,the on-the-job personnel and retirees are higher than the unemployed,and the difference is statistically significant(F = 28.504,P < 0.01);The higher the cultural level,the higher the quality of life and the difference is statistically significant(F = 31.986,P < 0.01);The better the economic conditions,the higher the quality of life and the difference is statistically significant(F = 33.320,P <0.01);Patient’s quality of life vary by different ways of payment,urban medical insurance payment patients’ life quality is higher than farmers in patients and higher than commercial medical insurance patients and higher than patients at their own expense,and the difference is statistically significant(F = 72.131,P < 0.01);Patient’s quality of life vary by different courses,the shorter course,the higher patients’ life quality and the difference is statistically significant(F = 28.706,P < 0.01);The qualityof life of patients without complications are higher than the patients with complications,and the higher the quality of life,the less complications patients,and the difference is statistically significant(F = 17.231,P < 0.01).However multiple-factor analysis found that the main factors influencing the coronary heart disease patients’ quality of life include marital status,educational level,work status,course and complications.In cerebral apoplexy patients,patients’ quality of life varies by different age.The young patients’ QOL are higher than that of middle-aged patients and higher than older patients’,and the differences are statistically significant(F = 99.568,P < 0.01);The tendency in Different marital status,work status,educational level,economic status,medical treatment charge of payment,course of the disease and complications is same with patients with coronary heart disease(CHD),and the differences are statistically significant(P < 0.05).Multiple-factor analysis found that factors influencing the stroke patients’ quality of life include age,marital status,educational level,work status,economic condition,medical treatment charge of payment,the duration of symptoms and the course.3.The comparative study between before and after hospital found that patients with coronary heart disease in discharge life quality(67.97 + 13.99)is higher than on admission(65.09±14.76)and the difference is statistically significant(t = 25.312,P <0.01).Stroke patients discharged from hospital life quality(59.92±10.30)is higher than on admission(49.83±8.05),also have a statistically significant difference(t = 34.721,P< 0.01).The results show that the quality of life of patients with coronary heart disease and stroke were improved after hospital systemic treatment.4.The life quality at discharge patients in hospitals with different grades were higher than on admission,but life quality rise extents are different.The comparison study found that quality of life of patients with coronary heart disease in the tertiary hospital after hospital treatment rise significantly higher than in the secondary hospital,and the difference is statistically significant(t = 5.418,P < 0.01).The quality of life ofpatients with cerebral apoplexy in the tertiary hospital after hospital treatment rise lower than in the secondary hospital,and the difference is statistically significant(t = 13.986,P< 0.01).Conclusion:1.The levels of the life quality in patients with coronary artery disease are at medium,and the levels of cerebral apoplexy patients’ quality of life are at low.Life quality of hospitalized patients with coronary heart disease and stroke are lower than the norm of the general population in our country,which shows that being attacked by a disease have an impact on human life quality.2.The main factors influencing the life quality of patients with coronary heart disease include marital status,educational level,work status and course of diseases;The main factors influencing the life quality of stroke patients include age,marital status,job status,educational level,economic status,medical treatment charge payment and course of diseases.3.With a comparison between the life quality of patients before and after in the hospital,the systemic treatment can improve the life quality of patients. |
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