目的探讨河南省焦作地区冠心病患者的疲乏现状及其影响因素。方法选取2017年1月至2018年1月河南省焦作地区6家医院心内科收治的415例冠心病住院治疗患者作为研究对象,使用自制基本情况调查问卷及多维疲乏问卷(MFI-20)对患者的基本情况和疲乏状况进行调查。对影响冠心病患者疲乏的因素进行多元线性回归分析。结果共调查冠心病患者405例,患者平均MFI-20得分(69.54±5.28)分,患者普遍存在疲乏状况。单因素分析结果显示,不同性别、年龄、文化水平、治疗费用支付方式等的冠心病患者的MFI-20得分比较,差异有统计学意义(P<0.05)。多元线性回归分析结果显示,年龄、文化程度、合并糖尿病或高血压、是否结婚、家庭人均收入、治疗费用支付方式均是影响冠心病患者疲乏的独立因素(P<0.05)。结论冠心病患者普遍存在疲乏状况,年龄、文化程度、合并糖尿病或高血压等均是影响冠心病患者疲乏的独立因素。针对这些因素对患者进行必要的干预,对缓解患者病情,改善患者生活质量具有非常重要的意义。
ObjectiveTo explore the current status of fatigue and their influencing factors in patients with coronary heart disease in Jiaozuo area, Henan province. MethodsA total of 415 patients with coronary heart disease admitted to the department of cardiology of 6 hospitals in Jiaozuo area, Henan province from January 2017 to January 2018 were selected as the objects. The self-made basic situation questionnaire and the multidimensional fatigue inventory for 20 items (MFI-20) were performed to investigate the basic condition and status of fatigue in patients. Multiple linear regression analysis was performed on influencing factors for fatigue in patients with coronary heart disease. ResultsA total of 405 patients with coronary heart disease were investigated, and the average MFI-20 score was (69.54±5.28). Status of fatigue was common in patients. Univariate analysis results exhibited that the MFI-20 scores in patients with coronary heart disease of different genders, ages, cultural levels, and method of treatment expense payment were statistically significantly different (P<0.05). Multiple linear regression analysis results revealed that the age, educational level, combined with diabetes or hypertension, married or not, household incomes per capita, and method of treatment expense payment were independent influencing factors for fatigue in patients with coronary heart disease (P<0.05). ConclusionThere is widespread status of fatigue in patients with coronary heart disease. The age, educational level, combined with diabetes or hypertension are independent influencing factors for fatigue in patients with coronary heart disease. In allusion to these influencing factors, performing necessary intervention is of great significance to improve life quality of patients, and relieve their condition of illness.