中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2015年
14期
1644-1647
,共4页
冠心病%生活质量%共病状态%护理级别
冠心病%生活質量%共病狀態%護理級彆
관심병%생활질량%공병상태%호리급별
Coronary disease%Quality of life%Comorbidity status%Care level
目的：通过疾病累计评分量表(CIRS)和欧洲五维健康量表(EQ-5D)评价冠心病患者共病状态程度与生活质量,探讨共病状态和生活质量的相关性。方法选择2013年7月—2014年6月在心血管内科住院1周以上且入院时护理等级为一级的212例冠心病患者为调查对象,分别应用CIRS和EQ-5D对患者进行评分,并记录患者的生化指标、住院天数和费用等,分析共病状态与生活质量之间的关系。结果冠心病患者共病状态严重,分布在各个系统,同时生活质量下降,入院时CIRS评分总分为(20.36±6.36)分,严重指数为(1.45±0.45),共病指数为(6.59±2.23)；EQ-5D总分为(10.83±2.86)分,直观式健康量表(VAS)得分为(44.29±23.17)分。 CIRS评分分级不同的患者,其EQ-5D评分、VAS评分、住院天数和住院费用的差异均有统计学意义(P<0.01)。入院1周后,CIRS评分低组患者改护理级别为“二级护理”的例数更多,差异有统计学意义(P<0.01)。 CIRS评分与EQ-5D评分、住院天数、住院费用、空腹血糖、血肌酐等均呈正相关,与VAS评分呈负相关( r值分别为0.842,0.802,0.292,0.148,0．323,-0.531；P<0.05)。结论冠心病患者共病状态与生活质量呈负相关,CIRS的应用可以客观评价共病状态的严重程度。
目的：通過疾病纍計評分量錶(CIRS)和歐洲五維健康量錶(EQ-5D)評價冠心病患者共病狀態程度與生活質量,探討共病狀態和生活質量的相關性。方法選擇2013年7月—2014年6月在心血管內科住院1週以上且入院時護理等級為一級的212例冠心病患者為調查對象,分彆應用CIRS和EQ-5D對患者進行評分,併記錄患者的生化指標、住院天數和費用等,分析共病狀態與生活質量之間的關繫。結果冠心病患者共病狀態嚴重,分佈在各箇繫統,同時生活質量下降,入院時CIRS評分總分為(20.36±6.36)分,嚴重指數為(1.45±0.45),共病指數為(6.59±2.23)；EQ-5D總分為(10.83±2.86)分,直觀式健康量錶(VAS)得分為(44.29±23.17)分。 CIRS評分分級不同的患者,其EQ-5D評分、VAS評分、住院天數和住院費用的差異均有統計學意義(P<0.01)。入院1週後,CIRS評分低組患者改護理級彆為“二級護理”的例數更多,差異有統計學意義(P<0.01)。 CIRS評分與EQ-5D評分、住院天數、住院費用、空腹血糖、血肌酐等均呈正相關,與VAS評分呈負相關( r值分彆為0.842,0.802,0.292,0.148,0．323,-0.531；P<0.05)。結論冠心病患者共病狀態與生活質量呈負相關,CIRS的應用可以客觀評價共病狀態的嚴重程度。
목적：통과질병루계평분량표(CIRS)화구주오유건강량표(EQ-5D)평개관심병환자공병상태정도여생활질량,탐토공병상태화생활질량적상관성。방법선택2013년7월—2014년6월재심혈관내과주원1주이상차입원시호리등급위일급적212례관심병환자위조사대상,분별응용CIRS화EQ-5D대환자진행평분,병기록환자적생화지표、주원천수화비용등,분석공병상태여생활질량지간적관계。결과관심병환자공병상태엄중,분포재각개계통,동시생활질량하강,입원시CIRS평분총분위(20.36±6.36)분,엄중지수위(1.45±0.45),공병지수위(6.59±2.23)；EQ-5D총분위(10.83±2.86)분,직관식건강량표(VAS)득분위(44.29±23.17)분。 CIRS평분분급불동적환자,기EQ-5D평분、VAS평분、주원천수화주원비용적차이균유통계학의의(P<0.01)。입원1주후,CIRS평분저조환자개호리급별위“이급호리”적례수경다,차이유통계학의의(P<0.01)。 CIRS평분여EQ-5D평분、주원천수、주원비용、공복혈당、혈기항등균정정상관,여VAS평분정부상관( r치분별위0.842,0.802,0.292,0.148,0．323,-0.531；P<0.05)。결론관심병환자공병상태여생활질량정부상관,CIRS적응용가이객관평개공병상태적엄중정도。
Objective To explore the correlation of comorbitidy status and life quality in coronary disease ( CD) patients by the cumulative illness rating scale ( CIRS) and Europe health-related quality of life questionnaire -5 Dimension (EQ-5D). Methods A total of 212 CD patients, who hospitalized in Department of Cardiovascular over one week and had over level one care as the survey objects, applied CIRS and EQ-5D, documented biochemical norm, days of hospitalization and expenditure, and were analyzed the correlation between comorbitidy status and life quality. Results The CD patients stayed a serious status of cormorbitidy, distributed in different system and was reduced quality of life. The total score of CIRS was (20. 36 ± 6. 36) when admitted, severity norm was (1. 45 ± 0. 45), comorbitidy norm was (6. 59 ± 2. 23), while total score of EQ-5D was (10. 83 ± 2. 86), in which VAS was (44. 29 ± 23. 17) score. Different level of CIRS patients, there were statistically significant on EQ-5D, VAS, days of hospitalization, and expenditure (P<0. 01). After one week admission, the low score of CIRS patients had more people change to level two care with statistical significance (P<0.01). The score of CIRS had positive correlation with EQ-5D, days of hospitalization, expenditure, fasting blood glucose and serum creatinine, and negative correlation with VAS (r=0. 842,0. 802, 0. 292,0. 148,0. 323,-0. 531;P<0. 05). Conclusions The comorbidity status has negative correlation with life quality in CD patients, and the CIRS can assess the severity of comorbidity status objectively.
