心律植入装置感染移除后再植入患者复发恐惧的影响因素调查

Analysis of the status quo and influencing factors of fear of recurrence in patients who were re-implanted after the removal of the cardiac rhythm implantation device infection

目的调查心律植入装置感染移除后再植入患者复发恐惧的现状,并分析其相关因素。方法选取2020年1月—2022年12月在南京鼓楼医院心血管内科行心律植入装置感染移除后再植入装置患者为研究对象,采用一般资料调查表、恐惧疾病进展简化量表(FoP-Q-SF)、简易版疾病感知问卷(BIPQ)及社会支持评定量表(SSRS)对患者进行调查。发放问卷105份,回收有效问卷103份,回收有效率98.09%。通过单因素分析、多元线性回归分析心律植入装置感染移除后再植入装置患者复发恐惧的影响因素。结果心律植入装置感染移除后再植入装置患者FoP-Q-SF总分为23.77±8.36分,总分≥34分者有23例(22.33%),生理健康维度得分为11.95±3.49分,社会家庭维度得分为11.13±4.81分;BIPQ总分为44.66±11.87分,SSRS总分为39.31±9.68分。心律植入装置感染移除后再植入起搏器患者FoP-Q-SF总分与BIPQ总分呈正相关(r=0.595,P<0.001),与SSRS总分呈负相关(r=-0.421,P<0.001)。多元线性回归分析显示,再植入装置类型、BIPQ总分和SSRS总分是心律植入装置感染移除后再植入起搏器患者复发恐惧的影响因素(P<0.05)。结论心律植入装置感染移除后再植入装置患者的感染复发恐惧发生率较高,总体处于中等水平,护理人员应重视此类患者的心理状况,根据其影响因素制订相应的干预措施,帮助患者树立正确的疾病感知,提高患者的社会支持水平,指导患者有效避免感染因素,提高切口自我护理技能,有效管理情绪,以降低其感染复发恐惧水平。

Objective To investigate the current status of recurrence fear in patients with cardiac rhythm implantation device infection removed and analyze the related factors.Methods From January 2020 to December 2022,patients with reimplantation devices after cardiovascular implantation in the Department of Cardiovascular Medicine of Nanjing Gulou Hospital were selected as the study subjects.Patients were surveyed using the general information questionnaire,the Fear of Progressive Disease Simplifi ed Scale(FoP-Q-SF),the Simplifi ed Disease Perception Questionnaire(BIPQ),and the Social Support Rating Scale(SSRS).105 questionnaires were distributed,and 103 valid questionnaires were recovered,with a recovery efficiency of 98.09%.Through univariate factor analysis and multiple linear regression analysis,the influencing factors of recurrence fear of patients with re-implanted devices after cardiac rhythm implantation device infection removal were analyzed.Results The total score of FoP-Q-SF in patients with reimplantation device after cardiac rhythm implantation device infection removal was 23.77±8.36 points,and the total score≥34 was 23 cases(22.33%).The physiological health dimension score was 11.95±3.49 points,and the social family dimension score was 11.13±4.81 points.The total score of BIPQ was 44.66±11.87 points,and the total score of SSRS was 39.31±9.68 points.The total FoP-Q-SF score was positively correlated with the BIPQ score(r=0.595,P<0.001)and negatively correlated with the SSRS score(r=-0.421,P<0.001)in patients with pacemaker re-implantation after cardiac implantation device infection removal.Multiple linear regression analysis showed that reimplantation device type,BIPQ total score,and SSRS total score were the influencing factors for fear of recurrence in patients with reimplanted pacemakers after cardiac rhythm implantation device infection removal(P<0.05).Conclusion Patients with recurrent fear of infection after the removal of the cardiac rhythm implantation device have a high incidence of infection,and the overall level is moderate.Nurses should pay attention to the psychological condition of such patients and formulate corresponding interventions according to their influencing factors to help patients establish correct disease perception,improve the level of social support for patients,guide patients to effectively avoid infection factors,improve incision self-care skills,and effectively manage emotions to reduce their recurrent fear of infection.