Stanford B型主动脉夹层腔内修复术后患者生活质量的影响因素分析

Influencing factors on quality of life for Stanford type B aortic dissection with thoracic endovascular aortic repair

目的调查Stanford B型主动脉夹层腔内修复术后患者生活质量并分析其影响因素。方法采用便利抽样法,选取2019年6月—2020年6月在十堰市人民医院(湖北医药学院附属人民医院)行主动脉夹层腔内修复术治疗的146例患者作为研究对象。使用一般资料调查表及普适性生活质量量表(SF-36)进行调查,通过单因素分析、多元回归分析探究Stanford B型主动脉夹层腔内修复术后患者生活质量的影响因素。结果Stanford B型主动脉夹层腔内修复术后患者生活质量的平均总分为(64.32±9.87)分,低于国内常模水平。多元回归分析发现,年龄、婚姻状况、文化程度、居住地、家庭月收入、有无合并症、术后并发症、术后不良反应是其影响因素。结论Stanford B型主动脉夹层腔内修复术后患者的生活质量较低,主要与疾病相关因素和非疾病相关因素有关,在临床工作中,应充分考虑到影响患者生活质量的各种相关因素,针对患者的个体情况,为患者提供有效的干预,改善患者的生活质量。

Objective To investigate the quality of life for Stanford type B aortic dissection with thoracic endovascular aortic repair and its influencing factors.Methods One hundred forty-six patients with thoracic endovascular aneurysm repair in the Shiyan People′s Hospital(Renmin Hospital,University of Medicine)were selected by convenience sampling method.The general data questionnaire and the universal quality of life scale(SF-36)were used to investigate the factors influencing the quality of life of patients through univariate analysis and multiple regression analysis.Results The average total score of life quality of the patients was(64.32±9.87),which was lower than the national normal level.Multiple regression analysis found that age,marital status,education,residence,family monthly income,complications,postoperative complications and postoperative adverse reactions were the influencing factors.Conclusion The quality of life for Stanford type B aortic dissection with thoracic endovascular aortic repair was lower,mainly related to disease-related factors and non-disease-related factors,in clinical work,should fully consider the related factors that affect the patients quality of life,according to the patient′s individual situation,provides the effective intervention for patients,improve the patient′s quality of life.