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1、 精品文档 明尼苏达心力衰竭生活质量调查表（明尼苏达大学，1986 年）在最近的一个月内，您的心力衰竭对您的生活的影响 很少 Did your heart failure prevent you from living as you wanted during the 无 Very NO last month by Little 您的踝关节或腿出现肿胀？1.causing swelling in your ankles or legs,etc.?0 1 2 3 使您在白天被迫坐下或躺下休息？2.making you sit or lie down to rest during the day?
2、0 1 2 3 使您在步行或上楼梯困难？3.making your walking about or climbing stairs difficult?0 1 2 3 使您在家中或院子里工作困难？4.making your working around the house or yard difficult?0 1 2 3 使您离开家出门困难？5.making your going places away from home difficult?0 1 2 3 使您晚上睡眠状况困难？6.making your sleeping well at night difficult?0 1 2 3
3、使您和您的朋友或家人一起做事困难？7.making your relating to or doing things with your friends or 0 1 2 3 family difficult?使您做获得收入的工作困难？8.making your working to earn a living difficult?0 1 2 3 9.使您的做娱乐、体育活动或喜好的事情困难？0 1 2 3 making your recreational pastimes,sports or hobbies difficult?使您的性生活困难?10.making your sexual ac
4、tivities difficult?0 1 2 3 11.使您对您喜欢的食物也吃的很少？0 1 2 3 making you eat less of the foods you like?使你有呼困难？12.making you short of breath?0 1 2 3 .精品文档 使您疲劳、乏力、或没有精力？13.0123 making you tired,fatigued,or low on energy?使您在医院住院？14.0123 making you stay in a hospital?使您因就医花钱？15.0123 costing you money for medic
5、al care?使您因为治疗出现了副作用？16.0123 giving you side effects from treatments?使您觉得自己是家人或朋友的负担？17.0123 making you feel you are a burden to your family or friends?使您觉得不能控制自己的生活？18.0123 making you feel a loss of self-control in your life?使得您焦虑？19.0123 making you worry?使您不能集中注意力或记忆力下降？20.0123 making it difficult for you to concentrate or remember things?使您情绪低落？21.0123 making you feel depressed?.