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目的了解住院房颤(AF)患者健康相关生命质量并探索其影响因素,为临床治疗护理中采取综合性措施以提高该群体生命质量提供思路。方法于2014年1月至2016年9月,采用目的抽样方法,抽取温州医科大学附属第二医院,育英儿童医院172例住院AF患者为调查对象,问卷内容包括一般情况调查和健康相关生命质量调查,其中采用第2版36个条目简明健康调查量表(SF-36 v2)进行健康相关生命质量调查,并查阅相应病志以了解左室射血分数。分析SF-36v2量表8个维度和两大主要成分[生理健康(PCS)和心理健康评分(MCS)]的影响因素。用SPSS 19.0统计软件进行MannWhitney U检验和Krusskal-Wallis H检验。结果住院AF患者SF-36 v2量表8个维度的评分分别为:生理功能(PF)为(34.50±14.82)分、生理职能(RP)为(33.48±15.11)分、身体疼痛(BP)为(49.94±8.30)分、总体健康(GH)为(32.68±4.33)分、活力(VT)为(43.25±9.89)分、社会功能(SF)为(38.04±10.60)分、情感职能(RE)为(35.14±16.77)分、精神健康(MH)为(38.76±9.73)分,两大主要成分PCS和MCS评分分别为(36.24±13.98)和(40.62±12.05)分。不同年龄、左室射血分数、合并慢性病情况的住院AF患者PCS评分差异均有统计学意义(P<0.05,P<0.01),不同性别、家庭年收入的住院AF患者MCS评分差异均有统计学意义(P<0.05,P<0.01)。结论住院AF患者生命质量偏低,注意合并慢性病的管控,加强患者左室射血分数的管理可提高其生命质量。
Objective To understand the health-related quality of life in hospitalized patients with atrial fibrillation (AF) and to explore the influencing factors, and to provide some ideas for comprehensive measures to improve the quality of life in clinical nursing. Methods From January 2014 to September 2016, 172 hospitalized patients with AF in Wenzhou Second Affiliated Hospital of Wenzhou Medical University and Yuying Children’s Hospital were enrolled in this study. According to the sampling method of purpose, the survey included the general situation investigation and health-related quality of life survey , 36 cases of the second version of the 36 items of simple health survey scale (SF-36 v2) for health-related quality of life survey and access to the appropriate pathology to understand left ventricular ejection fraction. The influencing factors of 8 dimensions of SF-36v2 scale and two major components [physical health (PCS) and mental health score (MCS)] were analyzed. Mann Whitney U test and Krusskal-Wallis H test were performed using SPSS 19.0 statistical software. Results The score of SF-36 v2 in 8 dimensions of hospitalized AF patients was (34.50 ± 14.82) for physiological function (PF), (33.48 ± 15.11) for physical function (RP), and (49.94 ± 8.30), total health (GH) was (32.68 ± 4.33), vitality (43.25 ± 9.89), social function (SF) was (38.04 ± 10.60) (35.14 ± 16.77) and mental health (38.76 ± 9.73) respectively. The scores of PCS and MCS for the two main components were (36.24 ± 13.98) and (40.62 ± 12.05) points respectively. The PCS scores of hospitalized AF patients with different ages, left ventricular ejection fraction, and chronic diseases were significantly different (P <0.05, P <0.01). There were statistically significant differences in MCS scores among hospitalized AF patients of different gender and family income Significance (P <0.05, P <0.01). Conclusion The quality of life of hospitalized patients with AF is low. Pay attention to the management of chronic diseases and strengthen the management of left ventricular ejection fraction to improve their quality of life.