重庆医学2024,Vol.53Issue(8) :1248-1253.DOI:10.3969/j.issn.1671-8348.2024.08.024

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 replacement in Three Gorges Reservoir area and its influencing factors analysis

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
重庆医学2024,Vol.53Issue(8) :1248-1253.DOI:10.3969/j.issn.1671-8348.2024.08.024

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 replacement in Three Gorges Reservoir area and its influencing factors analysis

张俭荣 1张吉琴 1程丹 1张文静 1邓爱琳 1王敏 1王茂璐 1赵艳 1邓德琼 1魏盼1
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作者信息

  • 1. 重庆大学附属三峡医院心脏大血管外科,重庆 404000
  • 折叠

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.

Abstract

Objective To evaluate the postoperative survival quality in the patients with heart valve re-placement (HVR) in Three Gorges Reservoir area,and to analyze its main influencing factors.Methods A to-tal 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 Af-ter HVR,the physical components summary (PCS) score of SF-36 was 238.0±73.6,and the mental compo-nents 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 af-ter 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

Key words

cardiac valve replacement/quality of life/cross-section study/influencing factor

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基金项目

重庆市万州区科卫联合医学科研项目(wzstckw2020003)

出版年

2024
重庆医学
重庆市卫生信息中心,重庆市医学会

重庆医学

CSTPCD
影响因子:1.797
ISSN:1671-8348
参考文献量25
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