先天性心脏病患者积极心态和运动能力研究  

Study on Positive Attitude and Exercise Ability of Patients with Congenital Heart Disease

作　　者：韩洁 苏洁 杨剑 顾春虎 韩跃虎 苏征 Han Jie;Su Jie;Yang Jian(Department of Cardiovascular Surgery,Xijing Hospital,Air Force Medical University,Xi'an,Shanxi 710032,China)

机构地区：[1]空军军医大学西京医院心血管外科,陕西西安710032 [2]空军军医大学唐都医院检验科,陕西西安710038

出　　处：《四川医学》2025年第4期379-384,共6页Sichuan Medical Journal

基　　金：陕西省创新能力支撑计划(编号:2022TD-57);陕西省自然科学基础研究计划(编号:2024JC-ZDXM-59);陕西省自然科学基础研究计划(编号:2024JC-YBMS-635)。

摘　　要：目的探讨先天性心脏病(CHD)患者的心态与身体活动水平以及心态与峰值耗氧量之间的关联。方法招募2009年1月至2019年12月住院的CHD患者200例,根据疾病分类对患者进行分组,所有患者在进行常规心肺运动测试时接受了生活质量问卷调查。对可能影响CHD患者生活质量的因素行Logistic多因素回归性分析。结果58例(29.00%)患者每周体力运动<600 min,142例(71.00%)患者每周体力运动≥600 min。Logistic回归分析发现,体力运动≥600 min/周是CHD患者生活质量、躯体健康领域和社会领域改善的影响因素(P<0.05)。BMI、NYHA功能(≥2级)和CHD解剖复杂程度(重度)是健康满意的危险因素(P<0.05)。体力运动多(≥600 min/周)是影响的WHO QOL-BREF问卷中生活质量改善、健康满意、身体健康领域和社会领域的显著因素(P<0.05)。200例CHD患者中66.00%为复杂CHD,20.00%为单纯性CHD,14.00%为单室性CHD。在单纯性CHD患者中,心理健康评分与pppVO 2呈正相关(P=0.015)。结论CHD患者病情严重程度与心态、身体活动量相关。CHD轻症亚群与更积极的心态与更高的峰值VO 2相关。虽然潜在的CHD诊断不可改变,但可干预心态和峰值VO 2。Objective To explore the association between mindset and physical activity and between mindset and peak oxygen consumption in patients with congenital heart disease(CHD).Methods From January 2009 to December 2019,200 patients with CHD who were hospitalized were enrolled.Patients were grouped according to disease classification,and all patients received a quality-of-life questionnaire while undergoing routine cardiopulmonary exercise tests.Multivariate logistic regression analysis was performed on factors that might affect life quality of CHD patients.Results 29%of patients had less than 600 minutes of physical exercise per week,and 71.00%had more than 600 minutes per week.Logistic regression analysis showed that physical exercise≥600 min/week was the influencing factor for the improvement of quality of life,physical health and social fields in patients with CHD(P<0.05).BMI,NYHA function(≥2 grade)and anatomical complexity of CHD(severe)were risk factors for health satisfaction(P<0.05).More physical exercise(≥600 min/week)was a significant factor affecting the improvement of quality of life,health satisfaction,physical health domain and social domain in the WHO QOL-BREF questionnaire(P<0.05).Among the 200 CHD patients,66.00%had complex CHD,20.00%had simple CHD,and 14.00%had single ventricular CHD.In patients with simple CHD,mental health score was positively correlated with pppVO 2(P=0.015).Conclusion The severity of CHD is related to mental state and physical activity.The mild subgroup of CHD is associated with a more positive mindset and higher peak VO 2.Although the underlying CHD diagnosis is not modifiable,it can interfere with mentality and peak VO 2.

关 键 词：先天性心脏病 心态 体力运动 积极 生活质量 

分 类 号：R541.1[医药卫生—心血管疾病]