| Objectives To understand the real situation of quality of life of patients with coronary heart disease after PCI and CABG treatment. The study try to analyze and evaluate the possible causes and related factors of the postoperative quality of life of patients with PCI and CABG treatment from multiple dimensions, including symptom dimension,psychosocial dimension, cognitive dimension, physical functional dimension and etc. And also provide a theoretical basis for improving the future to improve their quality of life.Methods Use the CROQ questionnaire to investigate the quality of life of patients and outpatients in Coal General Hospital with coronary heart disease. Subjects were divided into three groups: the PCI group(198), the CABG group(126 people), and the drug treatment group(158). Clinical data sorted by the EXCEL spreadsheet, statistics performed by the SPSS 19.0. Measurement data described by the`c±s, independent sample t-test is used between two groups. The one-way ANOVA analysis is used to compare among many groups. P<0.05 was statistically significant.Results 1 Marriage status: In the PCI and CABG surgery groups, the patients who are get married gain a higher score than the unmarried, divorced and widowed patients, the difference was statistically significant(P<0.05). 2 Economic situation: In the three groups,the patient’s total score of general economic situation is higher than the patients with poor economic situation, the patient’s total score of good economic situation is higher than the patients with general economic situation, and the difference was statistically significant(P<0.05). 3 Healthy education: In the PCI and CABG surgery groups, the patients who received healthy education gain a higher score than the patients who did not receive health education, the difference was statistically significant(P<0.05). 4 Course of disease: In the CABG surgery group and drug treatment group, the patients with the longer duration of disease, gain the lower score, the patients with the shorter duration of disease, gain the higher score, the difference was significant(P<0.05). 5 Age: In the three groups, the younger patients gain higher score than the older patients, the difference was statistically significant(P<0.05). 6 Physical activity: In the three groups, patients who take more times to do physical activity within a week, gain a higher score of CROQ questionnaire, the difference was statistically significant(P<0.05). 7 Medical expenses payments: In the CABG surgery group, the patients with free medical service and medical insurance scored higher than the patients with charged medical service, the difference was significant(P<0.05). 8 Wether have diabetes: In CABG surgery group, patients with diabetes gain higher score than patients without diabetes, the difference was significant(P<0.05). 9Gender: In the PCI surgery group, the quality of life of female patients scored higher than male patients, the difference was statistically significant(P<0.05). 10 In the three groups,the score on the symptoms, physical function, psychological function, cognitive function four dimensions of the patients with coronary heart disease after PCI and CABG surgery and the patients under drug treatment the difference was statistically insignificant. On the dimension of psychological social function, patients after PCI surgery or under drug treatment scored higher than the patients after CABG, the difference was statistically significant(P <0.05).Conclusions 1 The study found that patients with coronary heart disease have many factors affect the quality of life, including age, marital status, economic status, physical activity, the acceptance of health education, length of the course, character traits payment of medical expenses. 2 In the three groups of patients, the patients with good economichave a better quality of life than the patients with general economic situation, the patients with general situation have a better quality of life than the patients with poor economic situation; the yonger patients have a better quality of life than the older patients; the patients who take more physical exercise get a better quality of life. 3 In the PCI and CABG surgery groups, the married patients have a better quality of life than the patients who get divorced and be widowed; the patients received health education have a better quality of life than the patients who did not receive health education. 4 In the PCI surgery group, the female patients have a better quality of life than the male patients. 5 In the CABG surgery group, patients with diabetic complications have a lower quality of life than the patients without diabetes; the patients with free medical service and medical insurance have a better quality of life than the patients with charged medical service. 6 In the CABG surgery group and drug treatment group, the patients with shorter duration of disease have a better quality of life than the patients with longer duration of disease. 7 In psychological social functioning dimension, the situatian of patients after PCI surgery or under drug treatment is better than the patients after CABG surgery. 8 In our clinical work, health care workers in the importance of factors in patients with somatic physiology of the disease itself, but also should pay attention to their mental and other health, social support and marital status. Improve the social and medical security system, extensive disease-related health education can help improve long-term prognosis and quality of life in patients with coronary artery disease after revascularization. 9 For patients after CABG surgery should receive more health care workers and psychological social support from their relatives and families and help to improve their own health care by medical standards, reduce postoperative adverse reactions, also contribute to improving the quality of life of patients. |
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