社区老年冠心病患者的死亡态度与生存质量分析

Correlation between Death Altitude and Quality of Life in Community Elderly with Coronary Heart Disease

中文关键词: 老年  冠心病  死亡态度  生存质量

英文关键词: elderly  coronary heart disease (CHD)  death altitude  quality of life

中文摘要:

      目的 了鳃社区老年冠心病患者的死亡态度与生存质量状况,分析二者的相关性,为冠心病的临床防治提供依据.方法 选择70例社区老年冠心病患者,分别采用老年人死亡态度量表和世界卫生组织生存质量测定量表简表(WHOQOL-BREF)对患者的死亡态度和生存质量进行评估.结果 患者的死亡态度中死亡逃避维度得分值[(17.26±4.31)分]最高,其次是自然接受维度得分值[(15.79±2.67)分],而趋近导向的死亡接受维度得分值[(11.52±2.54)分]最低;患者的生存质量总分值为[(60.04±7.85)]分,与死亡恐惧与焦虑、逃离导向的死亡接受、趋近导向的死亡接受和死亡逃避得分均呈负相关(r=-0.533,-0.563,-0.268和-0.286),与自然接受得分呈正相关(r=0.283).结论 大多数社区老年冠心病患者对死亡的态度具有矛盾心理,影响其生存质量水平;临床上应关注老年冠心病患者的死亡态度,采取相应的防治措施,以提高其生存质量.

英文摘要:

      Objective To investigate the death altitude and quality of life in community elderly with coronary heart disease (CHD).Methods 70 community elderly with CHD were selected and the Elderly Death Altitude Scale and WHOQOLBREF were applied in investigating their death altitude and quality of life.Results Among the scores of death altitude,the score of death avoidance (17.26±4.31) was the highest,the next was the score of natural acceptance (15.79±2.67),and the lowest was the score of approach death acceptance (11.52±2.54);the total score of quality of life (60.04±7.85) was in negative correlation to the scores of death fear and anxiety,escape death acceptance,approach death acceptance and death avoidance (r=-0533,-0.563,-0.268 and-0.286) while that was in positive correlation to the score of natural acceptance (r=0.283).Conclusions Most of the community elderly with CHD hold a contradictory altitude to death,which is of passive affection on their quality of life;more attention should be paid in clinical to death altitude of community elderly with CHD and certain measures be taken as so to promote the quality of life.