三峡库区343例心脏瓣膜置换术后患者生存质量现状及其影响因素分析  

Status quo of postoperative survival quality in 343 cases of heart valve replacementin Three Gorges Reservoir area and its influencing factors analysis

作　　者：张俭荣 张吉琴 程丹 张文静 邓爱琳 王敏 王茂璐 赵艳 邓德琼 魏盼 ZHANG Jianrong;ZHANG Jiqin;CHENG Dan;ZHANG Wenjing;DENG Ailin;WANG Min;WANG Maolu;ZHAO Yan;DENG Deqiong;WEI Pan(Department of Cardiovascular Surgery,Chongqing University Three Gorges Hospital,Chongqing 404000,China)

机构地区：[1]重庆大学附属三峡医院心脏大血管外科,重庆404000

出　　处：《重庆医学》2024年第8期1248-1253,共6页Chongqing medicine

基　　金：重庆市万州区科卫联合医学科研项目(wzstc-kw2020003)。

摘　　要：目的评价三峡库区心脏瓣膜置换术(HVR)后患者的生存质量并分析其主要影响因素。方法采用便利抽样法选取2019年1月至2021年12月在该院首次接受HVR治疗的343例三峡库区心脏瓣膜病患者,采用一般资料调查表和简明健康状况调查量表(SF-36)对患者进行调查,并分析影响生存质量的主要影响因素。结果HVR后患者SF-36的生理健康方面(PCS)得分为(238.0±73.6)分,心理健康方面(MCS)得分为(254.8±83.6)分,各维度得分均明显低于中国常模(P<0.05)。多元逐步线性回归分析结果显示:年龄、性别、居住地、文化程度、术后时间、有无并发症、有无再次入院均是PCS和MCS得分的影响因素(P<0.05)。结论三峡库区HVR后患者生存质量较健康人群存在差距,可根据患者生存质量的各影响因素开展针对性干预,从而提高患者生存质量。Objective To evaluate the postoperative survival quality in the patients with heart valve replacement(HVR)in Three Gorges Reservoir area,and to analyze its main influencing factors.Methods A total of 343 valvular heart disease patients from Three Gorges Reservoir area who received HVR treatment for the first time in this hospital from January 2019 to December 2021 were selected by the convenience sampling method.The general data questionnaire and the MOS 36-item short form health survey(SF-36)were adopted to conduct the survey.The main influencing factors affecting the survival quality were analyzed.Results After HVR,the physical components summary(PCS)score of SF-36 was 238.0±73.6,and the mental components summary(MCS)score was 254.8±83.6,and the scores in each dimension were significantly lower than those of the Chinese norm(P<0.05).The multiple stepwise linear regression analysis results showed that the age,gender,place of residence,education level,postoperative time,complications and readmission were the influencing factors of PCS and MCS scores(P<0.05).Conclusion The survival quality of the patients after HVR is different from that of healthy population.The targeted intervention could be carried out according to the influencing factors of the survival quality of the patients,so as to improve their survival quality.

关 键 词：心脏瓣膜置换 生存质量 现况调查 影响因素 

分 类 号：R654.2[医药卫生—外科学]