Hsieh Fong-Tzu, Huang Guey-Shiun, Ko Wen-Je, Lou Meei-Fang
Department of Nursing, National Taiwan University Hospital, Taipei, Taiwan.
School of Nursing, College of Medicine, National Taiwan University, Taipei, Taiwan.
J Adv Nurs. 2016 Jul;72(7):1626-37. doi: 10.1111/jan.12943. Epub 2016 Feb 23.
To understand the influential factors related to quality of life for adult patients who have undergone extra corporeal membrane oxygenation.
Extracorporeal membrane oxygenation is an invasive treatment for critically ill patients requiring temporary cardiac or respiratory support. Most studies have focused on survival outcomes for patients; few have evaluated health-related quality of life.
A cross-sectional design.
Data were collected in 2013 from a convenience sample of adult patients who had survived treatment with extracorporeal membrane oxygenation between 2009-2011. Structured questionnaires collected data about health status. The Short Form 36-item questionnaire measured quality of life.
The 100 participants averaged 48·95 years of age. Pearson's correlation showed two measures of health status had significant correlations with quality of life: the Barthel Index and the Instrumental Activities of Daily Living; two measures had significant negative correlations: Charlson's Comorbidity Index and the Nottingham Health Profile-part II. Mean scores for the physical and mental component summaries of the Short Form-36 questionnaire were 49·25 and 48·13 respectively. These component scores had significant negative correlations with the Nottingham health profile-part II. Stepwise multiple linear regression analysis indicated the number of life areas affected on the Nottingham health profile-part II was a common factor influencing both the mental and physical component summaries scores for quality of life.
Social participation was a common factor influencing quality of life. Examining health status and quality of life of extracorporeal membrane oxygenation survivors can help nurses determine interventions for effectively improving health-related quality of life.
了解接受体外膜肺氧合治疗的成年患者生活质量的相关影响因素。
体外膜肺氧合是一种用于需要临时心脏或呼吸支持的危重症患者的侵入性治疗方法。大多数研究都集中在患者的生存结果上；很少有研究评估与健康相关的生活质量。
横断面设计。
2013年从2009年至2011年间接受体外膜肺氧合治疗后存活的成年患者便利样本中收集数据。通过结构化问卷收集健康状况数据。采用简短36项问卷测量生活质量。
100名参与者的平均年龄为48.95岁。Pearson相关性分析显示，两项健康状况指标与生活质量有显著相关性：巴氏指数和日常生活活动能力量表；两项指标有显著负相关性：查尔森合并症指数和诺丁汉健康量表第二部分。简短36项问卷的身体和心理成分总结平均得分分别为49.25和48.13。这些成分得分与诺丁汉健康量表第二部分有显著负相关性。逐步多元线性回归分析表明，诺丁汉健康量表第二部分中受影响的生活领域数量是影响生活质量的心理和身体成分总结得分的共同因素。
社会参与是影响生活质量的共同因素。检查体外膜肺氧合幸存者的健康状况和生活质量有助于护士确定有效改善与健康相关生活质量的干预措施。
