摘要
目的探讨老年窦性心动过缓患者生活质量影响因素及护理干预对策。方法选取2017年1月至2018年3月190例老年窦性心动过缓患者为研究对象,采用WHOQOL-BREF量表对其进行生活质量评估,比较不同年龄、性别、文化程度、社会支持程度、疾病认知度、严重程度、伴有器质性心脏疾病及伴发其他基础疾病者评估结果,并以多因素logistic回归分析处理上述因素与老年窦性心动过缓患者生活质量的关系,同时对患者进行针对性的护理干预。结果 190例老年窦性心动过缓患者中生活质量较差者135例,占71. 05%,其中不同性别患者的生活质量比较差异无统计学意义(P> 0. 05),不同年龄、文化程度、社会支持程度、疾病认知度、严重程度、伴有器质性心脏疾病及伴发其他基础疾病患者的生活质量比较差异有统计学意义(P <0. 05)。多因素logistic回归分析显示,年龄、文化程度、社会支持程度、疾病认知度、严重程度、伴有器质性心脏疾病及伴发其他基础疾病均是老年窦性心动过缓患者生活质量的影响因素。结论老年窦性心动过缓患者生活质量较差,影响因素较多,给予针对性的护理干预有助于改善预后。
Objective To explore the factors influencing quality of life in elderly patients with sinus bradycardia and the nursing interventions. Methods To select 190 cases of elderly patients with sinus bradycardia from January 2017 to March 2018 as the study subjects. The WHOQOL-BREF scale was used to assess the quality of life of these patients. The assessment results of patients with different ages, genders, educational levels, social support levels, diseases cognition levels, disease severity, organic heart disease and other underlying diseases were compared. Multivariate logistic regression analysis was used to deal with the relationship between these factors and quality of life in elderly patients with sinus bradycardia. Meanwhile, these patients were treated with targeted nursing interventions. Results Among the 190 cases of elderly patients with sinus bradycardia, a total of 135 patients had poor quality of life, accounting for 71.05%. There was no significant statistical difference in quality of life among patients with different genders( P >0.05). There was significant statistical difference in the quality of life of patients with different ages, educational levels, social support levels, diseases cognition levels, disease severity, organic heart disease and other underlying diseases( P <0.05). Multivariate logistic regression analysis showed that age, educational levels, social support levels, diseases cognition levels, disease severity, organic heart disease and other underlying diseases were the influencing factors of quality of life in elderly patients with sinus bradycardia. Conclusion The quality of life of elderly patients with sinus bradycardia is poor, and there are many influencing factors. For that reason, targeted nursing intervention can help improve the prognosis of the patients.
作者
郭改平
朱小芳
刘彦铭
GUO Gai-ping;ZHU Xiao-fang;LIU Yan-ming
出处
《护理实践与研究》
2019年第5期6-8,共3页
Nursing Practice and Research
关键词
老年窦性心动过缓
生活质量
影响因素
护理干预
Elderly sinus bradycardia
Quality of life
Influencing factors
Nursing intervention
