埋藏式心脏起搏器植入患者术后6个月生存质量的纵向研究  

Longitudinal study on quality of life during postoperative 6 months in patients with implanted cardiac pacemaker

作　　者：李慧 柏晓玲 韦清 吴娟 LI Hui;BAI Xiaoling;WEI Qing;WU Juan(Department of Critical Care Medicine,Guizhou Provincial People’s Hospital,Guiyang,Guizhou 550002,China;Guizhou Nursing Vocational College,Guiyang,Guizhou 550025,China;Neurological ICU,Guizhou Provincial People’s Hospital,Guiyang,Guizhou 550002,China;Nursing College,Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou 550002,China)

机构地区：[1]贵州省人民医院重症医学科,贵阳550002 [2]贵州护理职业技术学院,贵阳550025 [3]贵州省人民医院神经内科ICU,贵阳550002 [4]贵州中医药大学护理学院,贵阳550002

出　　处：《重庆医学》2024年第22期3447-3453,3457,共8页Chongqing Medical Journal

摘　　要：目的纵向探讨埋藏式心脏起搏器(PM)植入患者术后6个月内生存质量(QOL)变化趋势,以期为医护人员实施针对性的护理措施提供依据。方法采用前瞻性研究设计,分层抽样选取贵州省某三甲医院心内科住院的252例埋藏式PM植入患者作为调查对象,分别在患者出院时、植入后1个月、植入后3个月和植入后6个月时使用起搏器患者生存质量测定量表(QLIPPv1.0)进行调查。结果QLIPPv1.0躯体功能、一般认知功能、心理功能、社会功能和总分在不同测量时间点比较差异均有统计学意义(P<0.001),采用LSD事后两两比较,躯体功能得分、一般认知功能得分和总分均为:植入后6个月>植入后3个月>植入后1个月>出院当天(P<0.05),心理功能得分和社会功能得分均为:植入后1个月、植入后3个月、植入后6个月>出院当天(P<0.05),植入后6个月>植入后3个月(P<0.05)。埋藏式PM植入患者术后不同时期的QLIPPv1.0得分不同,其随着时间推移有不断上升的趋势,测量次数每增加1次,QLIPPv1.0得分增加6.527分(β=6.527,P<0.001)。埋藏式PM植入患者QOL受多种因素影响,包括婚姻状况、就业情况、文化程度、家庭月收入及起搏器类型。结论埋藏式PM植入患者的QOL随时间呈现动态变化的特点,植入后1~3个月的心理功能及社会支持也不容忽视,医护人员可以根据不同时期的变化特点及影响因素,采取针对性的干预措施。Objective To investigate the change trend of quality of life(QOL)during postoperative 6 months in the patients with implanted cardiac pacemaker(PM)in order to provide a basis for the medical staff to implement the targeted nursing measures.Methods A prospective study design was used.The stratified sampling was adopted to select 252 inpatients with PM implantation in the cardiology department of a class 3A hospital in Guizhou Province as the respondents.The pacemaker patient quality of life measuring scale(QLIPPv1.0)was used to conduct the survey on the patients at discharged,in 1,3,6 months after PM implantation.Results There were statistically significant differences in the physical function,general cognitive function,psychological function,social function and total score of QLIPPv1.0 among different measuring times(P<0.001).By using LSD afterwards pairwise comparison,the scores of physical function,general cognitive function and total score were:6 months after implantation>3 months after implantation>1 month after implantation>discharge day(P<0.05),the scores of psychological function and social function were:6 months after implantation,3 months after implantation,1 month after implantation>discharge day(P<0.05),6 months after implantation>3 months after implantation(P<0.05).The QLIPPv1.0 scores at postoperative different times in the patients with implanted PM were different and showed the constantly ascending trend with time passing.For each additional measurement,the QLIPPv1.0 score was increased by 6.527 points(β=6.527,P<0.001).QOL of the patients with PM implantation was affected by many factors,including marital status,educational level,employment status,family monthly income and pacemaker type.Conclusion QOL of the patients with PM implantation shows the dynamic change over time.The psychological function and social support in 1-3 months after implantation could not be ignored.Medical staff could take the targeted intervention measures according to the changing characteristics and influencing factors du

关 键 词：埋藏式心脏起搏器 植入 不同时期 生存质量 纵向研究 

分 类 号：R473[医药卫生—护理学]