主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
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中国护理管理 ›› 2024, Vol. 24 ›› Issue (5): 769-774.doi: 10.3969/j.issn.1672-1756.2024.05.025

• 专科管理 • 上一篇    下一篇

下肢动脉硬化闭塞症患者生活质量及影响因素分析

卢莎 刘丽萍 曾秋   

  1. 重庆医科大学附属第一医院血管外科,400016 重庆市
  • 出版日期:2024-05-15 发布日期:2024-05-15
  • 通讯作者: 刘丽萍,硕士,主任护师,副教授,护士长,E-mail:840804395@qq.com
  • 作者简介:卢莎,硕士在读,主管护师
  • 基金资助:
    国家自然科学基金项目(81800417);重庆医科大学附属第一医院科研基金(HLJJ2018-37);重庆医科大学附属第一医院援鄂抗疫科研专项(YEZX-70)

Quality of life and its influencing factors in patients with lower extremity arteriosclerosis obliterans

LU Sha, LIU Liping, ZENG Qiu   

  1. Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China
  • Online:2024-05-15 Published:2024-05-15
  • Contact: E-mail:840804395@qq.com

摘要: 目的:分析下肢动脉硬化闭塞症患者生活质量及影响因素,为改善患者生活质量提供依据。方法:采用便利抽样法,选取2022年6月—11月重庆市某三级甲等医院下肢动脉硬化闭塞症患者302例为调查对象,采用疼痛程度数字评分量表、生活自理能力评分量表和中文修订版外周动脉疾病生活质量量表评估其生活质量。应用SPSS?22.0统计学软件,采用ANOVA方差分析及多元逐步回归分析等方法进行统计、分析。结果:下肢动脉硬化闭塞症患者生活质量评分为(57.22±13.69)分。不同居住地、个人平均月收入、医疗费用支付方式、步行距离、疼痛分级、生活自理能力评定结果、吸烟年限患者的生活质量得分比较,差异具有统计学差异(P<0.05)。多元逐步回归分析结果显示,生活质量的3个影响因素为疼痛分级、生活自理能力评定结果、步行距离。结论:下肢动脉硬化闭塞症患者总体生活质量差,其主要影响因素为疼痛、生活自理能力和步行距离。提示临床应加强对高危人群的早期筛查,早诊断、早治疗,从而改善下肢动脉硬化闭塞症患者生活质量。

关键词: 动脉硬化闭塞症;生活质量;影响因素

Abstract: Objective: To investigate the quality of life and its influencing factors in patients with lower extremity arteriosclerosis obliterans. Methods: A total of 302 patients with lower extremity arteriosclerosis obliterans in a tertiary Grade A hospital in Chongqing, from June to November 2022 were recruited by convenience sampling, and their quality of life was assessed by the Numeric Rating Scale(NRS), the Barthel Index(BI) and the revised Chinese version of the Vascular Quality of Life Questionnaire. The SPSS 22.0 statistical software was used to analyze data by ANOVA analysis of variance and multiple stepwise regression analysis. Results: Quality of life score of patients with lower extremity arteriosclerosis obliterans was 57.22±13.69. There were significant differences in QOL scores among patients with different places of residence, average monthly income, payment method, walking distance, pain score, self-care ability and smoking years (P<0.05). Multiple stepwise regression analysis found pain grade, self-care ability, walking distance were related to quality of life. Conclusion: The overall quality of life of patients with lower extremity arteriosclerosis obliterans is poor, and the main influencing factors are pain, self-care ability and walking distance. It suggests that early screening, early diagnosis, and early treatment should be strengthened to improve the quality of life of patients with lower extremity arteriosclerosis obliterans.

Key words: arteriosclerosis obliterans; quality of life; influencing factor

中图分类号:  R47;R197