Abstract: Objective To investigate the quality of life in patients with myocardial infarction after returning to work,and to analyze the influencing factors so as to provide basis for developing targeted intervention and secondary prevention of cardiovascular disease. Methods General information questionnaire,Medical Outcomes Study Short Form -8(SF-8),Health Promoting Lifestyle Profile II,Medical Coping Modes Questionnaire and Social Support Rating Scale were used to investigate 326 patients with myocardial infarction who had returned to work after discharging from Departments of Cardiology in 3 tertiary hospitals in Zhengzhou by convenience sampling method. Results The total score of quality of life in patients with myocardial infarction after returning to work was(28.03±2.55),and the 3 aspects with lower scores were social function(2.48±1.09),emotional role(2.22±0.87) and mental health(2.38±0.88). Multiple linear regression analysis showed that the influence factors of quality of life were health responsibility,nutrition,exercise,self-realization,stress coping,objective support,subjective support,utilization of social support,coping,yield,time to return to work,number of stents installed,income and complications,whether to participate in and complete cardiac rehabilitation(P<0.05)。Conclusion The quality of life of patients with myocardial infarction needs to be improved after they return to work. Targeted interventions should be carried out according to the factors affecting the quality of life,so as to improve the quality of life of patients with myocardial infarction after returning to work,and to help patients return to society better.

Key words: Myocardial Infarction, Return to Work, Quality of Life, Root Cause Analysis, Community Nursing

摘要： 目的 对心肌梗死患者重返工作后的生活质量进行调查,分析影响生活质量的因素,为制订针对性的二级预防和干预措施提供借鉴。方法 采取便利抽样方法,采用一般资料调查表、医学结局研究简短量表-8、健康促进生活方式评定量表Ⅱ、医学应对方式量表和社会支持评定量表对郑州市3所医院326例已重返工作的心肌梗死患者进行问卷调查。结果 心肌梗死患者重返工作后生活质量总分为(28.03±2.55),在社会功能(2.48±1.09)、情感角色(2.22±0.87)和精神健康(2.38±0.88)方面得分较低,影响生活质量的因素为面对应对维度得分、屈服应对维度得分、年龄、重返工作时间、支架植入个数、家庭月收入、合并症、是否参与及完成心脏康复等(P<0.05)。结论 心肌梗死患者重返工作后的生活质量水平有待提高,应根据影响生活质量的因素开展针对性的干预,提高心肌梗死患者重返工作后的生活质量,从而帮助患者更好地回归社会。

关键词: 心肌梗死, 重返工作, 生活质量, 影响因素分析, 社区护理