中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2014年
10期
1166-1168
,共3页
韩永奎%林平%李苹%陶领伟
韓永奎%林平%李蘋%陶領偉
한영규%림평%리평%도령위
经皮冠状动脉介入治疗%生存质量%远期效果
經皮冠狀動脈介入治療%生存質量%遠期效果
경피관상동맥개입치료%생존질량%원기효과
Percutaneous coronary intervention%Quality of life%Long-term effect
目的：调查经皮冠状动脉介入治疗（ PCI）术后患者远期生存质量的现状和探讨其影响因素，为临床护理和健康教育提供依据。方法采用生存质量专用量表（ CROQ-PTCA-Post ），对1028例PCI术后患者进行问卷调查，分析调查结果。结果 PCI术后患者远期生存质量总平均得分为（69．58±7．97）分，得分率为69．6％；各维度得分率由高到低依次为：不良反应97．3％、认知功能77．1％、治疗满意度68．5％、躯体功能60．3％、症状58．9％、心理社会功能55．5％；单因素方差分析显示，术后不同时间段患者生存质量总分及症状、躯体功能、心理社会功能、治疗满意程度4个维度得分差异均具有统计学意义（P＜0．01）。结论 PCI术后患者远期生存质量总体处于偏低水平，应有针对性地开展形式多样的健康教育、充分调动社会支持系统、完善术后随访制度，从而提高患者远期生存质量。
目的：調查經皮冠狀動脈介入治療（ PCI）術後患者遠期生存質量的現狀和探討其影響因素，為臨床護理和健康教育提供依據。方法採用生存質量專用量錶（ CROQ-PTCA-Post ），對1028例PCI術後患者進行問捲調查，分析調查結果。結果 PCI術後患者遠期生存質量總平均得分為（69．58±7．97）分，得分率為69．6％；各維度得分率由高到低依次為：不良反應97．3％、認知功能77．1％、治療滿意度68．5％、軀體功能60．3％、癥狀58．9％、心理社會功能55．5％；單因素方差分析顯示，術後不同時間段患者生存質量總分及癥狀、軀體功能、心理社會功能、治療滿意程度4箇維度得分差異均具有統計學意義（P＜0．01）。結論 PCI術後患者遠期生存質量總體處于偏低水平，應有針對性地開展形式多樣的健康教育、充分調動社會支持繫統、完善術後隨訪製度，從而提高患者遠期生存質量。
목적：조사경피관상동맥개입치료（ PCI）술후환자원기생존질량적현상화탐토기영향인소，위림상호리화건강교육제공의거。방법채용생존질량전용량표（ CROQ-PTCA-Post ），대1028례PCI술후환자진행문권조사，분석조사결과。결과 PCI술후환자원기생존질량총평균득분위（69．58±7．97）분，득분솔위69．6％；각유도득분솔유고도저의차위：불량반응97．3％、인지공능77．1％、치료만의도68．5％、구체공능60．3％、증상58．9％、심리사회공능55．5％；단인소방차분석현시，술후불동시간단환자생존질량총분급증상、구체공능、심리사회공능、치료만의정도4개유도득분차이균구유통계학의의（P＜0．01）。결론 PCI술후환자원기생존질량총체처우편저수평，응유침대성지개전형식다양적건강교육、충분조동사회지지계통、완선술후수방제도，종이제고환자원기생존질량。
Objective To investigate the long-term quality of life ( QOL ) in the patients after percutaneous coronary intervention (PCI) and to explore its influencing factors in order to provide the basis for clinical nursing and health education .Methods A total of 1 028 patients with PCI from June 2012 to May 2013 were surveyed by the CROQ-PTCA-Post, and the results were analyzed .Results The average score of long-term QOL in patients with PCI was (69.58 ±7.97), and the scoring rate 69.6%.The scoring rates of different dimensions from high to low were respectively 97.3% ( adverse reactions ), 77.1% ( cognitive function ), 68.5%(treatment satisfaction), 60.3%(physical function), 58.9% (symptoms), 55.5% (psychological and social function ) .The one-way ANOVA showed that the differences were found between the total score of QOL in patients at the different stages after the operation and the scores of four dimensions including symptoms , physical function, psychological and social function , treatment satisfaction (P <0.01).Conclusions The long-term QOL in the patients after PCI is generally lower , and the various types of health education should be pertinently carried out , and the social support system should be fully mobilized , and the postoperative follow-up system should be improved in order to increase the long-term QOL in the patients .
