CAJ | 학술논문

目的：植入型心律转复除颤器(implantable cardioverter defibrillator,ICD)置入术后,比较创新随访模式与传统随访模式对患者生存质量(quality of life,QOL)及心理状况的影响。方法2014年1月至2015年1月顺序纳入100例四川大学华西医院安置 ICD 术后患者,随机分为常规随访模式组(n=52)及创新随访模式组(n=48),平均随访(6.5±3.5)月,应用 MOS SF-36量表及 SCL-90症状自评量表分别对 QOL 及心理状况进行调查。结果ICD 术后,创新随访模式组 QOL 评分比常规随访模式组高,而心理状况评分低于常规随访模式组,两组差异有统计学意义(P <0.05)。创新随访模式组中,是否放电、病程长短(以3年为分界点)和学历是 QOL 及心理状况的影响因素(P <0.05)。结论ICD 术后,创新随访模式可进一步效改善患者的 QOL 和心理状况。创新随访模式患者中,病程长短、是否放电和学历是心理状况和 QOL 评分的影响因素,提示创新随访模式更适用于高学历患者。
목적：식입형심률전복제전기(implantable cardioverter defibrillator,ICD)치입술후,비교창신수방모식여전통수방모식대환자생존질량(quality of life,QOL)급심리상황적영향。방법2014년1월지2015년1월순서납입100례사천대학화서의원안치 ICD 술후환자,수궤분위상규수방모식조(n=52)급창신수방모식조(n=48),평균수방(6.5±3.5)월,응용 MOS SF-36량표급 SCL-90증상자평량표분별대 QOL 급심리상황진행조사。결과ICD 술후,창신수방모식조 QOL 평분비상규수방모식조고,이심리상황평분저우상규수방모식조,량조차이유통계학의의(P <0.05)。창신수방모식조중,시부방전、병정장단(이3년위분계점)화학력시 QOL 급심리상황적영향인소(P <0.05)。결론ICD 술후,창신수방모식가진일보효개선환자적 QOL 화심리상황。창신수방모식환자중,병정장단、시부방전화학력시심리상황화 QOL 평분적영향인소,제시창신수방모식경괄용우고학력환자。
Objective To analyze the effect of new follow-up mode on quality of life (QOL)and psychological status among patients having undergone implantable cardioverter defibrillator therapy (ICD).Methods A total of 100 patients underwent ICD in our hospital during January 2014 to January 201 5 were randomly divided into routine follow-up mode group (n=52)and new follow-up mode group (n =48).After an average of (6.5 ±3.5)months′follow-up,patients′overall QOL and psychological were studied using MOS SF-36 scale and symptom checklist-90 (SCL-90).Results The QOL of patients in routine follow-up mode group was significantly lower than that of subjects in new follow-up mode group (P < 0.05 ).The psychological status score,which was obtained by the examination of SCL-90, was significantly higher in patients in routine follow-up mode group (P < 0.05 ). Discharging,the length of the disease course(cut-off point was 3 years)and educational background are the influence factors for the QOL and psychological status among patients in new follow-up group.Conclusion Compare to the routine mode,new follow-up mode can further improve the QOL of patients after ICD.Discharging,the length of the disease course and educational background are the influence factors for the QOL and psychological status among patients in new follow-up group,therefore,new follow-up mode may be more suitable for patients with high educational background.