Al-Betar Mohammad Tayseer, Masa'deh Rami, Hamaideh Shaher H, Ahmed Fatma Refaat, Bakkali Hajar, AbuRuz Mohannad Eid
Faculty of Nursing, Applied Science Private University, Amman, Jordan.
Department of Community and Mental Health Nursing, Faculty of Nursing, The Hashemite University, Zarqa, Jordan.
Acute Crit Care. 2023 Aug;38(3):333-342. doi: 10.4266/acc.2023.00052. Epub 2023 Aug 30.
Supraventricular tachycardia (SVT) is a common arrhythmia with associated symptoms such as palpitation, dizziness, and fatigue. It significantly affects patients' quality of life (QoL). Radiofrequency cardiac ablation (RFCA) is a highly effective treatment to eliminate arrhythmia and improve patients' QoL. The purpose of this study was to assess the level of QoL among patients with SVT and examine the difference in QoL before and after RFCA.
One group pre-posttest design with a convenience sample of 112 patients was used. QoL was assessed by 36-Item Short Form (SF-36). Data were collected at admission through face-to-face interviews and 1-month post-discharge through phone interviews.
There was a significant difference between QoL before (33.7±17.0) and 1 month after (62.5±18.5) the RFCA. Post-RFCA patients diagnosed with atrioventricular nodal reentrant tachycardia had higher QoL than other types of SVT. Moreover, there were significant negative relationships between QoL and the number and duration of episodes pre- and post-RFCA. There were no significant differences in QoL based on: age, sex, working status, marital status, smoking, coronary artery disease, diabetes mellitus, and hypertension.
After RFCA, the QoL of patients with ST improved for both physical and mental component subscales.
室上性心动过速（SVT）是一种常见的心律失常，伴有心悸、头晕和疲劳等相关症状。它会显著影响患者的生活质量（QoL）。射频心脏消融术（RFCA）是一种消除心律失常和改善患者生活质量的高效治疗方法。本研究的目的是评估室上性心动过速患者的生活质量水平，并检查射频消融术前和术后生活质量的差异。
采用一组前后测设计，便利抽样选取112例患者。生活质量通过36项简短健康调查问卷（SF-36）进行评估。数据在入院时通过面对面访谈收集，出院后1个月通过电话访谈收集。
射频消融术前（33.7±17.0）和术后1个月（62.5±18.5）的生活质量存在显著差异。射频消融术后被诊断为房室结折返性心动过速的患者生活质量高于其他类型的室上性心动过速。此外，射频消融术前和术后生活质量与发作次数和发作持续时间之间存在显著的负相关关系。基于年龄、性别、工作状态、婚姻状况、吸烟、冠状动脉疾病、糖尿病和高血压，生活质量没有显著差异。
射频消融术后，室上性心动过速患者的生活质量在身体和心理成分量表上均有所改善。
