心脏瓣膜置换术后自我管理能力对生活质量的影响

Effect of Self-management of the Patients with Cardiac Valve Replacement on Their Quality of Life

目的:观察心脏瓣膜置换术后患者自我管理能力对生活质量的影响。方法:采用自制自我管理行为问卷和SF-36生存质量量表对53例心脏瓣膜置换术后患者进行调查。根据自我管理问卷得分分为两组:自我管理好组和自我管理差组,比较两组生活质量的得分情况。结果:①31例心脏瓣膜置换手术后患者自我管理好,22例心脏瓣膜置换手术后患者自我管理差。②自我管理良好的心脏瓣膜置换术后患者生活质量在生理职能、情感职能、社会功能、精神状态、活力、健康总评价方面得分均高于自我管理差的心脏瓣膜置换术后患者,具有统计学意义。结论:进一步加强心脏瓣膜置换术后患者自我管理模式的训练,提高其术后生活质量是目前我们需要关注和探索的问题。

Objective:To investigate the effect of self-management of the patients with cardiac valve replacement on their quality of life.Methods:A self-designed questionnaire on self-management and SF-36 were applied to investigate 53 patients with cardiac valve replacement According to their score of self-management questionnaire,they were divided into two groups.Then their scores on quality of life were compared.Results:①31 patients with cardiac valve replacement had excellent self-management,22 patients with cardiac valve replacement had bad self-management.②Patients with excellent self-management had higher score on role-limitation due to physical problems,role-limitation due to emotional problems,social function,mental health,vitality and general conception of health than those with bad self-management.Conclusion:We should pay more attention to those who have cardiac valve replacement and help them to develop their self-management so as to improve their quality of life.