心脏再同步化治疗术后患者生存质量及心理状况的调查研究  

Investigation on the Quality of Life and Psychological Status among Patients after Cardiac Resynchronization Therapy

作　　者：贺小兰[1] 徐英[1] 游桂英[1] 

机构地区：[1]四川大学华西医院心脏内科,成都610041

出　　处：《华西医学》2015年第4期732-735,共4页West China Medical Journal

基　　金：国家科技支撑计划课题(2011BA111B00)~~

摘　　要：目的了解心脏再同步化治疗(CRT)术后患者的生存质量(QOL)及心理状况。方法对2011年1月-2014年1月CRT术后患者及正常人各42例,应用健康调查简表(MOS SF-36)及症状自评量表(SCL-90)分别对整体QOL及心理进行调查。结果 CRT术后患者QOL的评分比正常人群低,而心理SCL-90评分在CRT术后患者中比正常人群高,二者之间比较差异具有统计学意义(P<0.05)。在CRT术后患者中病程长短(以3年为分界点)、运动耐量不增加是患者QOL及心理状况的影响因素,差异具有统计学意义(P<0.05)。结论 CRT术后患者的QOL评分整体低于正常人,心理状况评分高于正常人,说明CRT术后患者合并心理疾病如焦虑、恐慌。医护人员在日常临床工作中需要注意干预,尤其是病程长、运动耐量不增加、无配偶的部分患者,以进一步改善CRT术后患者的生活质量。Objective To analyze the quality of life（QOL） and psychological status among patients having undergone cardiac resynchronization therapy（CRT）.Methods A total of 42 patients underwent CRT in our hospital during January 2011 to January 2014.All the patients were studied by MOS SF-36 scale and symptom checklist-90（SCL-90） on overall QOL and psychological QOL,respectively.Another 42 healthy people in matched control group were also tested.Results The QOL of patients after CRT was significantly lower than that of healthy subjects（P〈0.05）.The psychological status score,which was obtained by the examination of SCL-90,was significantly higher in patients after CRT than in the healthy population（P〈0.05）.The length of the disease course and leveling exercise tolerance are the influence factors for the QOL and psychological status in patients undergoing CRT.Gender does not make any difference between the two groups.Conclusions The QOL of patients having undergone CRT is significantly lower than that of healthy people,and the psychological status score is higher.Medical staff need to pay attention to the mental illness（such as depression,anxiety and panic） of patients after CRT,especially in patients with long course of disease,and patients who fail to improve exercise tolerance or who are mateless.Psychological interventions can further improve the QOL of patients.

关 键 词：心脏再同步化治疗 生存质量 心理生存质量 量表 

分 类 号：R473.5[医药卫生—护理学]