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1 Vol. 13 No Λ1 QOL 4 50 QUIK QUIK 2 QOL QUIK 3 QUIK QUIK QOL QOL DRG/PPS 1) 2) 3) QOL Λ

2 334 QOL QOL QOL QOL QOL T S % 35 60% QOL QUIK QUIK QUIK 4) QOL QOL 0 1 ο 3 4 ο 9 10ο19 20ο QOL QUIK 1 220mg/dl 2 140mg/dl mmHg 90mmHg 4 BMI 25 1 QOL QOL QUIK 6 1 QUIK 9 1

3 335 2 QUIK 1 6 QOL

4 336 QOL 10 QOL QOL p= QOL 2 QUIK QUIK 15.6± ±4.6 p< ± ±2.5 p< ± ±1.5 p< ± ±0.9 p< QOL 3 QUIK 3 QOL QOL QOL 67.2±10.7 QOL 62.6±9.0NS) QOL QOL p=0.074 QOL QUIK 16.9± ± QUIK QUIK 14.9± ±8.4NS P= QUIK 21.5± ±8.6 P=0.066 P= QUIK 6 QUIK

5 337 QOL CABG PTCA QOL 5 7) QOL QOL QOL QOL QUIK QOL QOL 8) QOL 9) 10) 11) 12) 13) QOL 14) QOL 70 QUIK QOL QUIK QOL ) 19) QOL QOL QOL QOL QOL 1 QOL 2 QOL QOL 3 QOL

6 Panic Disorder Ter Horst GJ Central autonomic control of the heart angina and pathogenic mechanisms of post myocardial infarction depression Eur J Morphol Ketterer MW Chest pain and the treatment of psychosocial/emotional distress in CAD patients J Behav Med QOL QUIK Weintraub WS Mauldin PS and Becker E et al A comparison of the costs and quality of life after coronary angioplasty or coronary surgery for multivessel coronary artery disease Results from the Emory angioplasty versus surgery trial EAST Circulation Hlatky MA Rogers WJ and Johnstone I et al For the Bypass Angioplasty Revascularization Investigation BARI Investigators Medical care costs and quality of life after randomization to coronary angioplasty or coronary bypass surgery N Engl J Med Pocock SJ Henderson RA Reed P Tresure T and Hampton JR for the RITA Trial Participants Quality of life employment status and anginal symptoms after coronary angioplasty orbypass surgery 3 year follow upin the randomized intervention treatment of angina RITA trial Circulation QOL I QUIK Strauss WE The veterans affairs study of angioplasty compared to medical therapyinvestigators A comparison of quality life scores in patients with angina pectoris after medical therapy Outcomes of a randomized clinical trial Circulation CABG

7 339 Quality of Life in Patients with Heart Failure or Myocardial Infarction after Intensive Care Fumi MAKIYAMA (Accepted Nov. 15, 2003) Key words : quality of life(qol), acute heart disease, self completed questionnaire, quik Abstract (Subjects) To assess quality of life (QOL) in patients with myocardial infarction (MI) or heart failure (HF) after intensive care as compared with healthy control. 18 HF, 17 MI patients and 35 randomly selected healthy control were included. (Design) A new QOL questionnaire (QUIK) was given to in-patients at primary care hospital. QUIK is a self-completed and close-ended questionnaire, which covers four domains including physical functioning (20 questions), emotional adjustment (10), interpersonal relationships (10), and attitudes toward-life (10), totaling 50 questions from the perspective of holistic system theory. (Results) 1) QUIK scores in the patients group were significantly worse than the healthy group in physical functioning (p<0.001), emotional adjustment (p<0.01), and attitudes toward life (p<0.0001) of QOL, however, no significant differences were found in interpersonal relationships. 2 In the patients group, factors on related matters of QOL (age, sex, hyperlipemia, hypertension, BMI, smoking, employment status, living alone, having dependent children, recurrence, chest pain and stroke) were not significantly different between the poor QOL group and the good QOL group, although smokers had slightly greater impairment of QOL than non-smokers. 3 HF patients had more impairment in the QOL domain of attitudes toward life than MI patients. Other QOL domains saw no significant difference between the two groups. 4 Diastolic cardiomyopathy (DCM) patients had more impairment in attitudes toward life of QOL than the non-dcm group. Other QOL domains showed no significant difference between the two groups. (Conclusions) Patients with heart disease after intensive care had more impairment QOL as compared with healthy control. My study suggests that we not only have to care for physical and mental symptoms, but also to helppatients remake their attitude toward life. Correspondence to : Fumi MAKIYAMA Graduate of the Department of Nursing, Faculty of Medical Welfare, Kawasaki University of Medical Welfare Kurashiki, , Japan (Kawasaki Medical Welfare Journal Vol.13, No.2, )