心脏瓣膜置换术后症状困扰与生活质量的关系  

Relationship between symptom disturbance and quality of life after heart valve replacement

作　　者：于秋霞[1] YU Qiu-xia

机构地区：[1]山东大学齐鲁医院心脏远程监护中心,济南市250012

出　　处：《护理实践与研究》2020年第17期43-45,共3页Nursing Practice and Research

摘　　要：目的探讨心脏瓣膜置换术后症状困扰与生活质量的关系。方法选择2018年2月至2019年2月我院78例心脏瓣膜置换术患者为研究对象,分别于术后1周、术后1个月采用“心脏瓣膜病症状困扰问卷”以及明尼苏达心脏功能不全生活质量调查表(MLHFQ)调查其症状困扰以及生活质量。结果术后1周的水肿、呼吸困难、心悸、胸闷评分显著高于术后1个月,差异有统计学意义(P<0.05);术后1周和术后1个月食欲、头晕、疲劳评分比较,差异无统计学意义(P>0.05);术后1周的MLHFQ量表身体领域评分显著低于术后1个月,差异有统计学意义(P<0.05),情绪领域、社会经济领域评分比较,差异无统计学意义(P>0.05)。结论心脏瓣膜置换手术后食欲、头晕、疲劳等症状困扰情况以及情绪领域、社会经济领域等生活质量改善不明显,需要进行积极关注与监测,实施有效的健康宣教、症状管理,以减轻患者的疾病困扰,提升其生活质量。Objective To explore the relationship between symptom disturbance and quality of life after heart valve replacement.Methods To select 78 cases of patients undergoing heart valve replacement surgery in our hospital from February 2018 to February 2019 as the study objects,and the"heart valve disease symptom disturbance questionnaire"and Minnesota living with heart failure questionnaire(MLHFQ)were used to investigate their symptoms disturbance and the quality of life at 1 week and 1 month after operation.Results The scores of edema,dyspnea,palpitations,and chest tightness at 1 week after operation were significantly higher than those at 1 month after operation,and the differences were statistically significant(P<0.05).There was no significant difference in appetite,dizziness,and fatigue scores between 1 week and 1 month after operation(P>0.05).The body aspect score of the MLHFQ scale at 1 week after operation was significantly lower than that at 1 month after operation,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the scores of emotional aspect and socioeconomic aspect(P>0.05).Conclusion After heart valve replacement operation,the symptoms of appetite,dizziness,fatigue and other symptoms,as well as the quality of life in the emotional and socio-economic aspect,were not significantly improved.Active attention and monitoring were required,and effective health education and symptom management should be implemented to relieve patient’s disease disturbance,and improve the quality of life.

关 键 词：心脏瓣膜置换手术 症状困扰 生活质量 

分 类 号：R473.6[医药卫生—护理学]