Tan Hui Ching, Koh Karen Wei Ling, Wu Vivien Xi, Lim Toon Wei, Wang Wenru
Department of Nursing, National University Hospital, Singapore.
National University Heart Centre Singapore, Singapore; National University Health System, Singapore.
Heart Lung. 2018 Jul-Aug;47(4):322-328. doi: 10.1016/j.hrtlng.2018.05.011. Epub 2018 May 22.
Atrial fibrillation (AF) is the most common arrhythmia and has debilitating effects on patients' health-related quality of life (HRQoL) and psychological statuses.
To investigate the HRQoL, psychological distress, and symptom burden, and to identify the significant influencing factors of HRQoL among outpatients with AF in Singapore.
We conducted a cross-sectional descriptive correlational study of a sample of 116 outpatients with AF. Data were collected using 12-item Short Form Health Survey, Atrial Fibrillation Effect on Quality of Life scale, Patient Health Questionnaire-9 (PHQ-9), and University of Toronto Atrial Fibrillation Symptom Severity (AFSS) scale.
Symptom burden and psychological distress significantly influenced the AF-specific HRQoL while symptom burden, unemployment and comorbidity of heart failure were significantly associated with poorer general physical health. Psychological distress was the only significant factor influencing the mental health.
Optimal symptom management is crucial for better HRQoL in patients with atrial fibrillation.
心房颤动（AF）是最常见的心律失常，对患者的健康相关生活质量（HRQoL）和心理状态有不利影响。
调查新加坡房颤门诊患者的健康相关生活质量、心理困扰和症状负担，并确定健康相关生活质量的重要影响因素。
我们对116例房颤门诊患者进行了横断面描述性相关性研究。使用12项简短健康调查问卷、房颤对生活质量量表、患者健康问卷-9（PHQ-9）和多伦多大学房颤症状严重程度（AFSS）量表收集数据。
症状负担和心理困扰显著影响房颤特异性健康相关生活质量，而症状负担、失业和心力衰竭合并症与较差的总体身体健康显著相关。心理困扰是影响心理健康的唯一重要因素。
优化症状管理对改善房颤患者的健康相关生活质量至关重要。
