心房颤动患者射频消融术后个人掌控感与健康促进行为的相关性研究  

Correlation between sense of mastery and health promotion behaviors in patients with atrial fibrillation after radiofrequency ablation

作　　者：王凤娟 蔡闵敏 张春[1,3] 王海霞[2] 张洁琼[2] 冯晓茹 李佳欣 胡安倩 Wang Fengjuan;Cai Minmin;Zhang Chun;Wang Haixia;Zhang Jieqiong;Feng Xiaoru;Li Jiaxin;Hu Anqian(School of Nursing,Lanzhou University,Lanzhou 730000,China;Department of Cardiology,Lanzhou University Second Hospital,Lanzhou 730000,China;Department of Nursing,Lanzhou University Second Hospital,Lanzhou 730000,China)

机构地区：[1]兰州大学护理学院,兰州730000 [2]兰州大学第二医院心内科,兰州730000 [3]兰州大学第二医院护理部,兰州730000

出　　处：《保健医学研究与实践》2024年第8期136-143,共8页Health Medicine Research and Practice

基　　金：甘肃省卫生健康行业科研项目(GSWSHL2023-13);中华护理学会科研课题(ZHKYQ202303)。

摘　　要：目的 调查心房颤动患者射频消融术后个人掌控感与健康促进行为的状况,并探讨二者间的相关性,为改善心房颤动患者术后结局提供参考依据。方法 本研究选取2023年1月—2024年1月在兰州大学第二医院心内科接受射频消融术治疗的心房颤动患者202例作为调查对象。调查工具包括患者一般资料调查表、个人掌控感量表(PMS)、中文修订版健康促进生活方式量表(HPLP-ⅡR)。采用Pearson相关分析探究个人掌控感与健康促进行为之间的相关性,采用多元线性回归分析心房颤动患者射频消融术后健康促进行为的影响因素。结果心房颤动患者射频消融术后PMS总分为(22.52±2.53)分,HPLP-ⅡR总分为(103.82±8.47)分,二者之间呈正相关(r=0.704,P<0.01)。多元线性回归分析结果显示,年龄、家庭人均月收入、症状严重程度、个人掌控感是心房颤动患者射频消融术后健康促进行为的影响因素(P<0.05)。结论 心房颤动患者射频消融术后个人掌控感较低,健康促进行为水平有待提升,临床医护人员应采取针对性干预策略以提高患者术后的个人掌控感水平及其健康促进行为依从性,进而改善预后。Objective To investigate the status of sense of mastery and health promotion behaviors in patients with atrial fibrillation after radiofrequency ablation,and to explore the correlation between the two,providing a reference for improving the postoperative outcomes of these patients.Methods This study enrolled 202 patients with atrial fibrillation who underwent radiofrequency ablation treatment in the Department of Cardiology at the Lanzhou University Second Hospital from January 2023 to January 2024 as the participants of the investigation.The investigation tools included a general information questionnaire,the Personal Mastery Scale(PMS),and the Chinese revised version of the Health-Promoting Lifestyle Profile-IIR(HPLP-IIR).Pearson correlation analysis was used to explore the correlation between a sense of mastery and health promotion behaviors,and multiple linear regression analysis was adopted to analyze the influencing factors of health promotion behaviors in patients with atrial fibrillation after radiofrequency ablation.Results The total score of PMS after radiofrequency ablation in patients with atrial fibrillation was(22.52±2.53)points,and the total score of HPLP-IIR was(103.82±8.47)points,showing a positive correlation between the two(r=0.704,P<0.01).Multiple linear regression analysis showed that age,average monthly household income,severity of symptoms,and sense of mastery are influencing factors of health promotion behaviors in patients with atrial fibrillation after radiofrequency ablation(P<0.05).Conclusion Patients with atrial fibrillation have a lower sense of mastery after radiofrequency ablation,and the level of health promotion behaviors needs to be improved.Clinical medical staff should take targeted intervention strategies to strengthen the level of sense of mastery and compliance of health promotion behaviors in patients after surgery,thereby potentiating the prognosis.

关 键 词：心房颤动 射频消融术 个人掌控感 健康促进行为 

分 类 号：R473.5[医药卫生—护理学]