CAJ | 학술논문

目的：通过对安装起搏器患者安装前后生活质量的调查，评估安装起搏器对患者生活质量的影响，分析影响患者生活质量的因素，为起搏器植入患者术后的整体治疗与护理提供依据。方法采用自身前后对照方法，随机抽样调查泰安市区3所三级医院行起搏器植入患者196例，使用一般情况调查表、SF -36问卷对196例病人起搏器植入术前后进行调查。采用 SPSS17.0统计软件对所得数据进行分析处理。计数资料采用构成比统计描述、计量资料采用 t 检验、多元逐步回归分析两者之间的关系。结果起搏器植入术后 SF -36各维度评分均较术前明显升高（P <0.05）。对多元线性逐步回归分析显示患者不同性别、文化程度、月收入对患者术后生活质量均无影响；而患者年龄、婚姻状况、心功能分级、植入起搏器类型对患者术后生活质量有影响，其复相关系数为0.419。结论起搏器能显著提高药物治疗效果不佳患者的生活质量；起搏器植入术后患者生活质量的主要影响因素为年龄、婚姻状况、心功能分级、植入起搏器类型；婚姻状况对患者术后生活质量有明显影响，建议注意对未婚、丧偶患者及高龄患者的心理干预及家庭支持；起搏器植入术后仍要重视病人心功能的改善；在条件允许的情况下，应尽量采用双腔起搏器。
목적：통과대안장기박기환자안장전후생활질량적조사，평고안장기박기대환자생활질량적영향，분석영향환자생활질량적인소，위기박기식입환자술후적정체치료여호리제공의거。방법채용자신전후대조방법，수궤추양조사태안시구3소삼급의원행기박기식입환자196례，사용일반정황조사표、SF -36문권대196례병인기박기식입술전후진행조사。채용 SPSS17.0통계연건대소득수거진행분석처리。계수자료채용구성비통계묘술、계량자료채용 t 검험、다원축보회귀분석량자지간적관계。결과기박기식입술후 SF -36각유도평분균교술전명현승고（P <0.05）。대다원선성축보회귀분석현시환자불동성별、문화정도、월수입대환자술후생활질량균무영향；이환자년령、혼인상황、심공능분급、식입기박기류형대환자술후생활질량유영향，기복상관계수위0.419。결론기박기능현저제고약물치료효과불가환자적생활질량；기박기식입술후환자생활질량적주요영향인소위년령、혼인상황、심공능분급、식입기박기류형；혼인상황대환자술후생활질량유명현영향，건의주의대미혼、상우환자급고령환자적심리간예급가정지지；기박기식입술후잉요중시병인심공능적개선；재조건윤허적정황하，응진량채용쌍강기박기。
Objective:Using the Medical Outcomes Study 36 - Item Short Form Survey Instrument providing the theoret-ical basis of improving the quality of life of patients after the implantation of cardiac pacemaker;Evaluate the quality of life and explore its influence factors of the patients after the implantation of cardiac pacemaker. Methods:Self - control before and after trials were conducted in this study. 196 patients were recruited from three hospitals in Taian City,Shandong prov-ince,China by random. After obtaining informed consent,Patients were required to complete a questionnaire survey by SF- 36 and a designed general information questionnaire. To analysis the data with SPSS17. 0 software. The description of the scores of quality of life using mean ± standard deviation,The comparison of the quality of life between one months after the implantation of cardiac pacemaker and before the implantation. using independent sample t - tests,the analysis of the fac-tors that affect the quality of life after the implantation of cardiac pacemaker using one - factor ANOVA and multiple regres-sion analysis. Results:All the scores of SF - 36 one month after the implantation of cardiac pacemaker are higher than the scores before,having significant statistical difference(P < 0. 05). There are no correlation that sex、education、economic conditions with the quality of life of patients after the implantation of cardiac pacemaker,there are multiple correlation that age、marital status、the NYHA functional classification and the type of cardiac pacemaker with the quality of life after the treatment,the multiple correlation coefficient is 0. 419. Conclusion:Pacemaker could significantly improve the quality of life of patients with poorlive alone and elder and give more support from family;We should still pay attention to the im-provement of the NYHA functional classification outcome of medication;age、marital status、the NYHA functional classifica-tion and the type of cardiac pacemaker are the major factors that influenced the quality of life of patients after the implanta-tion of cardiac pacemaker;We should take mental intervention on the patients who of patients after implantation of cardiac pacemaker;We should select Dual - chamber pacemaker as much as possible for patients.