心房颤动患者肺静脉隔离消融术后"空白期"疾病感知现状及影响因素  

Status and influencing factors of illness perception in atrial fibrillation patients during blanking period after pulmonary vein isolation and ablation

作　　者：谷佳芸 丁云美 魏丽丽[2] 崔岩[3] Gu Jiayun;Ding Yunmei;Wei Lili;Cui Yan(School of Nursing,Qingdao University,Qingdao 266000,China;Department of Nursing,Affiliated Hospital of Qingdao University,Qingdao 266000,China;Department of Medical Consultation Center,Affiliated Hospital of Qingdao University,Qingdao 266000,China)

机构地区：[1]青岛大学护理学院,青岛266000 [2]青岛大学附属医院护理部,青岛266000 [3]青岛大学附属医院医学会诊中心,青岛266000

出　　处：《中国实用护理杂志》2024年第8期627-633,共7页Chinese Journal of Practical Nursing

基　　金：青岛市市南区科技计划项目(2020-2-020-YY)。

摘　　要：目的调查心房颤动患者肺静脉隔离消融术后"空白期"疾病感知现状并分析其影响因素,为提升患者对疾病的认知、加快康复进程提供参考。方法采用横断面调查方法,以便利抽样法,选取2022年8月至2023年5月于青岛大学附属医院320例肺静脉隔离消融术后"空白期"门诊复查的心房颤动患者作为研究对象,采用一般资料调查表、简易疾病感知问卷(BIPQ)和修订版控制态度量表(CAS-R)进行现场调查。结果本研究共纳入320例患者,男177例,女143例,年龄(61.64±10.74)岁。调查对象的疾病感知总分为(42.98±10.49)分,感知控制总分为(27.20±5.65)分。多元线性回归分析结果显示,年龄、静息心率、术后病程和感知控制是疾病感知的影响因素(F=25.24,P<0.05)。结论心房颤动患者肺静脉隔离消融术后"空白期"的疾病感知状况亟待改善,医护人员应对高龄、静息心率快、术后病程短及感知控制力低的患者多加重视,采取有效措施以减轻负性疾病感知,促进术后康复。Objective To investigate atrial fibrillation patients′illness perception during the blanking period after pulmonary vein isolation(PVI)and to analyze its influencing factors,so as to provide a reference for improving patients′cognition of the disease and speeding up the rehabilitation process.Methods This study was a cross-sectional survey.Convenience sampling method was adopted to select 320 patients with atrial fibrillation who were reexamined in the outpatient department during the blanking period after PVI from Affiliated Hospital of Qingdao University from Auguest 2022 to May 2023 as the research subjects.The General Information Questionnaire,the Brief Illness Perception Questionnaire(BIPQ),and the Control Attitudes Scale-Revised(CAS-R)were used for on-site investigation.Results Totally 320 patients were included in this study,including 177 males and 143 females,aged(61.64±10.74)years old.The total score of BIPQ was(42.98±10.49)points,the total score of CAS-R was(27.20±5.65)points.The results of multiple linear regression analysis showed that age,resting heart rate,postoperative course,and perceived control were the influencing factors of illness perception(F=25.24,P<0.05).Conclusions The illness perception of atrial fibrillation patients during the blanking period after PVI needs to be improved urgently.Medical staff should pay more attention to patients with old age,fast resting heart rate,short postoperative course,and low perceived control,and take effective measures to reduce negative illness perception and promote postoperative rehabilitation.

关 键 词：心房颤动 肺静脉隔离消融术 "空白期" 疾病感知 影响因素 

分 类 号：R473.5[医药卫生—护理学]