明尼苏达心力衰竭生活质量调查表

1、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Didyourheartfailurepreventyoufromlivingasyouwantedduringtheastmonthby无NO很少VeryLittle1.您的踝关节或腿岀现肿胀？causingswellinginyouranklesorlegs,etc.?01232.使您在白天被迫坐下或躺下休息？makingyousitorliedowntorestduringtheday?01233.使您在步行或上楼梯困难？makingyourwalkingaboutorclimbing

2、stairsdifficult?01234.使您在家中或院子里工作困难？makingyourworkingaroundthehouseoryarddifficult?01235.使您离开家岀门困难？makingyourgoingplacesawayfromhomedifficult?01236.使您晚上睡眠状况困难？makingyoursleepingwellatnightdifficult?01237.使您和您的朋友或家人一起做事困难？makingyourrelatingtoordoingthingswithyourfriendsorfamilydifficult?01238.使您做获得收入

3、的工作困难？makingyourworkingtoearnalivingdifficult?01239.使您的做娱乐、体育活动或喜好的事情困难？makingyourrecreationalpastimes,sportsorhobbiesdifficult?012310.使您的性生活困难？makingyoursexualactivitiesdifficult?012311.使您对您喜欢的食物也吃的很少？makingyoueatlessofthefoodsyoulike?012312.使你有呼困难？makingyoushortofbreath?012313.使您疲劳、之力、或没有精力？making

4、youtired,fatigued,orlowonenergy?012314.使您在医院住院？makingyoustayinahospital?012315.使您因就医花钱？costingyoumoneyformedicalcare?012316.使您因为治疗岀现了副作用？givingyousideeffectsfromtreatments?012317.使您觉得自己是家人或朋友的负担？makingyoufeelyouareaburdentoyourfamilyorfriends?012318.使您觉得不能控制自己的生活？makingyoufeelalossofself-controlinyourlife?012319.使得您焦虑？makingyouworry?012320使您不能集中注意力或记忆力下降？makingitdifficultforyoutoco