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首页> 外文期刊>Nursing research >The symptoms of unstable angina: do women and men differ?
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The symptoms of unstable angina: do women and men differ?

机译：不稳定型心绞痛的症状：男人和女人有区别吗？

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BACKGROUND: Research has shown that there are differences between women and men in the epidemiology, presentation, and outcomes of coronary heart disease. OBJECTIVES: The purpose of this study was to determine if there were sex differences in the symptoms of unstable angina (UA) and if so, to determine if these differences remained after controlling for age, diabetes, anxiety, depression, and functional status. METHOD: This descriptive study used a nonexperimental, quantitative design. A convenience sample of 50 women and 50 men, hospitalized with UA, were recruited from an urban and a suburban medical center. Instruments included the Unstable Angina Symptoms Questionnaire (UASQ), the Hospital Anxiety and Depression Scale (HADS), and the Canadian Cardiovascular Society (CCS) classification of angina. RESULTS: Multivariate analysis indicated that women experienced significantly (p <.05) more shortness of breath (74% vs. 60%), weakness (74% vs. 48%), difficulty breathing (66% vs. 38%), nausea (42% vs. 22%), and loss of appetite (40% vs. 10%) than men. After controlling for age, diabetes, anxiety, depression, and functional status, women were still more likely than men to report weakness (p =.03), difficulty breathing (p =.02), nausea (p =.03), and loss of appetite (p =.02). Chi-square analysis of symptom descriptors revealed that women disclosed more (p <.05) upper back pain (42% vs. 18%), stabbing pain (32% vs. 12%), and knifelike pain (28% vs. 12%). Women also had a significantly higher incidence of depression (22% vs. 2%, p <.01). CONCLUSIONS: Findings suggest that women and men have similar symptoms during an episode of UA, however, a higher proportion of women have less typical symptoms.
机译：背景：研究表明，在冠心病的流行病学，表现和预后方面，男女之间存在差异。目的：本研究的目的是确定不稳定型心绞痛（UA）症状是否存在性别差异，如果存在，确定在控制了年龄，糖尿病，焦虑，抑郁和功能状态后这些差异是否仍然存在。方法：该描述性研究使用了非实验性的定量设计。从城市和郊区医疗中心招募了50例接受UA住院治疗的50名女性和50名男性的便利样本。仪器包括不稳定型心绞痛症状问卷（UASQ），医院焦虑和抑郁量表（HADS）和加拿大心血管学会（CCS）心绞痛分类。结果：多因素分析表明，女性的呼吸困难（74％vs. 60％），无力（74％vs. 48％），呼吸困难（66％vs. 38％）明显增加（p <.05） （分别为42％和22％）和食欲不振（40％和10％）。在控制了年龄，糖尿病，焦虑症，抑郁和功能状态之后，女性仍然比男性更容易报告虚弱（p = .03），呼吸困难（p = .02），恶心（p = .03）和食欲不振（p = .02）。对症状描述符的卡方分析显示，女性的上背部痛（42％比18％），刺痛（32％比12％）和刀样疼痛（28％比12）更多（p <.05）。 ％）。女性的抑郁症发生率也明显更高（22％比2％，p <.01）。结论：研究结果表明，在UA发作期间，男女症状相似，但是，较高比例的女性症状较轻。

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