心房颤动患者射频消融术后“空白期”生活掌控感现状及影响因素  

Status and influencing factors of life mastery in atrial fibrillation patients during blanking period after radiofrequency ablation

作　　者：丁云美 王茂敬[2] 李少玲[2] 卢晓虹[2] 曹丽华 李雪[1] 张静雅[1] 魏丽丽[3] 崔岩[4] Ding Yunmei;Wang Maojing;Li Shaoling;Lu Xiaohong;Cao Lihua;Li Xue;Zhang Jingya;Wei Lili;Cui Yan(School of Nursing,Qingdao University,Qingdao 266021,China)

机构地区：[1]青岛大学护理学院,山东青岛266021 [2]青岛大学附属医院心内科 [3]青岛大学附属医院护理部 [4]青岛大学附属医院医学会诊中心

出　　处：《护理学杂志》2021年第23期21-24,共4页Journal of Nursing Science

基　　金：青岛市市南区科技计划项目(2020-2-020-YY)。

摘　　要：目的调查房颤患者射频消融术后“空白期”生活掌控感现状并分析其影响因素,为患者制订康复方案提供参考。方法采用一般资料调查表、个人生活掌控感量表、简化版疾病感知问卷、领悟社会支持量表对204例射频消融术后“空白期”房颤患者进行问卷调查。结果房颤患者射频消融术后“空白期”生活掌控感总得分20.75±5.86;疾病感知总得分52.50±12.42;社会支持总得分65.58±9.90。多元逐步回归分析结果显示,文化程度、家庭收入、房颤病程、并存疾病数、疾病感知、社会支持是患者术后“空白期”生活掌控感的影响因素(P<0.05,P<0.01)。结论房颤患者射频消融术后“空白期”生活掌控感水平较低,医护人员应多关注低文化程度、低经济收入、短病程、有合并症的患者;通过个性化健康教育引导患者减轻负性情绪,改善负向疾病感知,促进患者生活掌控感水平提升和生活质量改善。Objective To investigate atrial fibrillation patients′life mastery during blanking period after radiofrequency ablation(RFCA)and to analyze the influencing factors.Methods A total of 204 patients with atrial fibrillation during blanking period after RFCA were surveyed with a demographic questionnaire,the Personal Mastery Scale(PMS),the Brief Illness Perception Questionnaire(BIPQ)and the Perceived Social Support Scale(PSSS).Results The patients scored(20.75±5.86)points in life mastery,(52.50±12.42)points in illness perception,and(65.58±9.90)points in perceived social support.Multiple regression analysis showed that patients′education levels,monthly family income,course of atrial fibrillation,numbers of comorbidities,illness perception and social support contributed to influence life mastery levels in atrial fibrillation patients during blanking period after RFCA(P<0.05,P<0.01).Conclusion Patients with atrial fibrillation had poor life mastery during blanking period after RFCA.More attention should be paid to patients with lower education levels,lower income,shorter course of atrial fibrillation and those with more comorbidities.Clinical workers should guide patients to change their negative emotions and correctly understand the di-sease by delivering individualized health education,so as to improve patients′life mastery level,as well as their quality of life.

关 键 词：心房颤动 射频消融术 空白期 生活掌控感 影响因素 

分 类 号：R473.5[医药卫生—护理学]