起搏器植入患者生活质量及医疗费用调查

Survey of quality of life and healthcare resource utilization of patients with pacemaker implantation

目的对起搏器植入患者生活质量和医疗费用进行调查,了解其变化情况。方法入选177例患者(男103例,女74例),完成术前和术后的SF-36调查表,量表采用标准分法进行评分统计;统计患者手术前后的就医次数、医疗费用。结果 176例完成12个月的随访,起搏器植入患者SF-36调查表的8方面得分均有明显改善(P<0.05);患者的就医次数和医药费用明显减少(P<0.05)。结论心脏起搏器植入术能显著提高患者生活质量,降低医疗费用。

Objective To evaluate the quality of life, healthcare cost for the patients with pacemaker implantation. Methods Quality of life, heahhcare cost were assessed at a screening visit at 6 and 12 months after pacemaker implantation in 177 cases. Results It showed a significant improvement in quality of life （ the questionnaire measures 8 healthrelated aspects of quality of life, namely GH, PF, RP, RE, SF, BP, VT, MH ） at 6 and 12 months after the procedure（ P 〈 0. 05 ）. It also reduced heahhcare cost （ clinic visits ： 3±5 times/per year vs 0. 7 ± 0.5 times/per year; hospitalization： 1.0 ±1. 2 vs 0.1 ± 0.3, all P 〈 0.05 ）, and cost of hospitalization （ not including cost of implantation or diagnostic study required by protocol） was significantly reduced after pacemaker implantation （ pre-implantation 6 224 ± 2 539 yuan/year vs post-implantation 1 913 ± 350 yuan/year, P 〈 0.01 ）. Conclusions Pacemaker implantation can improve the quality of life and reduce healthcare cost.