慢性心衰再同步治疗患者生活质量及其心理行为影响因素  

Influencing Behavioral and Psychological Factors of Patients with Heart Failure Following Cardiac Resynchronization Therapy

作　　者：黄靖 赵一衡 方进博[3] 

机构地区：[1]四川大学华西临床医学院,四川成都 [2]西双版纳职业技术学院,云南西双版纳 [3]四川大学华西医院护理部,四川成都

出　　处：《护理学》2017年第2期58-64,共7页Nursing Science

摘　　要：目的:探索心脏再同步治疗术后患者生活质量现状,研究心理行为因素对其影响。方法:本研究为横断面研究,通过便利抽样选取成都市某三甲医院接受心脏再同步治疗的141名患者进行研究。采用Morisky服药依从性问卷、心脏病患者抑郁调查表和明尼苏达心衰竭生活质量量表对患者进行调查。结果:患者生活质量得分为(30.89 ±12.11)。回归分析显示抑郁状态(β = 0.190, p = 0.014)、限水(β = 0.243, p = 0.028)、是否规律运动(β = 0.130, p = 0.086)是影响生活质量的心理行为因素。结论:本研究可了解心脏再同步治疗术后患者生活质量现状以及行为与心理因素对其影响,护理人员可以此为依据,提供针对性地护理措施,指导和管理患者术后的健康行为,以提高患者生活质量。Objective: To describe the status of quality of life and identify the psychological and behavioral factors of quality of life among patients with heart failure following Cardiac resynchronization therapy. Methods: This cross-sectional study recruited 141 patients with chronic heart failure following cardiac resynchronization therapy by convenient sampling. Patients completed questionnaires that included demographic data, the Morisky Medication Adherence Scale, the Cardiac Depression Scale, and the Minnesota Living With Heart Failure Questionnaire. Results: The average total score of Minnesota Living With Heart Failure Questionnaire was 30.89 ±12.11. The quality of life was significantly influenced by depression (β = 0.190, p = 0.014), restrictions of fluid (β = 0.243, p = 0.028) and regular exercise (β = 0.130, p = 0.086). Conclusion: This paper describes the status of quality of life and defines the behavioral factors of quality of life of patients with chronic heart failure following cardiac resynchronization therapy. The results can guide clinical nurses to manage and carry out health education for patients, to improve their quality of life.

关 键 词：心力衰竭 心脏再同步治疗 生活质量 心理行为因素 

分 类 号：R47[医药卫生—护理学]