瓣膜置换术后患者早期康复干预依从性的影响因素分析  

Influencing factors of compliance during early rehabilitation therapy in patients with heart valve replacement

作　　者：林长缨[1] 何湛[1] 古剑雄[1] 

机构地区：[1]广东医学院附属医院,广东湛江524001

出　　处：《广东医学院学报》2008年第4期384-386,共3页Journal of Guangdong Medical College

摘　　要：目的调查分析瓣膜置换术后患者早期康复训练依从性的影响因素。方法使用医院焦虑抑郁量表及自编的依从性调查问卷对100例瓣膜置换术后患者进行调查、随访,对影响早期康复训练依从性的因素进行分析。结果患者的文化程度、经济状况、家人的关心程度、医患关系、焦虑、抑郁等在依从者和不依从者间差异有统计学意义(P<0.01或0.05),而在年龄、性别及瓣膜的型号等差异无统计学意义(P>0.05)。结论改善焦虑、抑郁,建立良好的医患关系,稳定家庭、社会支持系统,可提高瓣膜置换术后早期康复干预依从性,改善患者的生活质量。Objective To investigate the influencing factors of compliance during early rehabilitation therapy in patients with heart valve replacement （HVR）. Methods A total of 100 patients with HVR were surveyed by Hospital Anxiety-Depression Scale and self-made compliance questionnaire. Results There was a significant difference between compliant and uncompliant patients in education degree, economic status, family concern, doctor-patient relationship, anxiety, depression, and the like （P 〈 0.01 or 0.05）. The compliance was unrelated to the age, sex and valvar type （ P 〉 0.05）. Conclusion The compliance and quality of life may be improved during early rehabilitation therapy in patients with HVR by ameliorating anxiety and depression and establishing good doctor-patient relationship and stable family and social support system.

关 键 词：依从性 康复 瓣膜置换术 

分 类 号：R541.2[医药卫生—心血管疾病]