Huang Jing, Fang Jin-Bo, Zhao Yi-Heng
BSN, RN, Graduate Student, Department of Nursing, West China School of Medicine, Sichuan University, Taiwan, ROC.
PhD, RN, Associate Professor, Department of Nursing, West China Hospital, Sichuan University, Taiwan, ROC.
Hu Li Za Zhi. 2018 Jun;65(3):58-70. doi: 10.6224/JN.201806_65(3).09.
While cardiac resynchronization therapy improves the quality of life of patients with heart failure, some psychological and behavioral factors still affect the quality of life of these patients. However, information on the factors that affect the quality of life of these patients is limited.
To describe the quality of life and investigate the relationship between quality of life and behavioral and psychological factors such as depression, smoking, drinking, water and sodium restrictions, exercise, and adherence in patients with chronic heart failure following cardiac resynchronization therapy.
This cross-sectional study was conducted using the Morisky Medication Adherence Scale, Minnesota Living With Heart Failure Questionnaire, and Cardiac Depression Scale. A convenience sample of 141 patients with heart failure following cardiac resynchronization therapy were recruited from a tertiary academic hospital in Chengdu.
The mean overall score of the Minnesota Living With Heart Failure Questionnaire was 30.89 (out of a total possible score of 105). Water restrictions, sodium restrictions, depression, and exercise were all shown to significantly predict quality of life among the participants.
CONCLUSIONS / IMPLICATIONS FOR PRACTICE: This paper describes the quality of life and defines the behavioral factors that affect the quality of life of patients with heart failure following cardiac resynchronization therapy. The findings suggest that nurses should manage and conduct health education for patients in order to improve their quality of life.
虽然心脏再同步治疗可改善心力衰竭患者的生活质量，但一些心理和行为因素仍会影响这些患者的生活质量。然而，关于影响这些患者生活质量的因素的信息有限。
描述慢性心力衰竭患者在接受心脏再同步治疗后的生活质量，并调查生活质量与行为和心理因素（如抑郁、吸烟、饮酒、水钠限制、运动和依从性）之间的关系。
本横断面研究使用了莫里isky药物依从性量表、明尼苏达心力衰竭生活问卷和心脏抑郁量表。从成都一家三级学术医院招募了141例接受心脏再同步治疗后的心力衰竭患者作为便利样本。
明尼苏达心力衰竭生活问卷的平均总分是30.89（满分105分）。水限制、钠限制、抑郁和运动均被证明可显著预测参与者的生活质量。
结论/对实践的启示：本文描述了生活质量，并确定了影响心脏再同步治疗后心力衰竭患者生活质量的行为因素。研究结果表明，护士应为患者进行管理和健康教育，以提高他们的生活质量。
