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中文摘要: 目的 调查2015年1—12月在郑州市三级甲等医院收治的188名心脏瓣膜置换术患者生存质量状况并分析影响因素。方法 采用生存质量量表(SF－36)对患者生存质量状况进行评分，与国内常模SF-36进行对比，分析心脏瓣膜置换术后患者生存质量单因素评分。结果郑州地区188例心脏瓣膜置换术患者的生存质量指标明显低于正常人群健康指标。年龄小、病程短、抗凝治疗遵医嘱和文化程度高的患者PCS评分高。年龄小、病程长、文化程度高、工作稳定、抗凝治疗遵医嘱和经济状况好的患者MCS评分越高。结论 郑州地区心脏瓣膜置换术患者术后生活质量较低，应采取健康教育、心理护理、延续性护理干预和家庭护理干预等方式提高患者自我预防和自我管理能力，保持积极心态，提高治疗依从性。
Abstract:Objective To investigate the quality of life (QOL) of 188 heart valve replacement patients admitted to Zhengzhou Third Class A Hospital from January 2015 to December 2015 and analyze the influencing factors.Methods Quality of life (SF-36) was used to evaluate the quality of life in patients with heart valve replacement and compared with the domestic norm SF-36.Results The quality of life of 188 patients with heart valve replacement in Zhengzhou was significantly lower than that of the normal population. Patients with younger age, shorter course of disease, anticoagulant therapy, higher level of education and higher PCS score were higher. The patients with younger age, longer course of disease, higher educational level, stable work, anticoagulant treatment compliance, and better economic status had higher MCS score.Conclusion The quality of life of patients with heart valve replacement in Zhengzhou area is low. Health education, psychological nursing, continuing nursing intervention and family nursing intervention should be strengthened to improve the ability of self-prevention and self-management, maintain a positive attitude and improve treatment compliance.
文章编号：3201903036 中图分类号：R541 文献标志码：
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| 作者 | 单位 |
| 张菲菲① |
| Author Name | Affiliation |
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