天津护理 ›› 2022, Vol. 30 ›› Issue (1): 10-13.DOI: 10.3969/j.issn.1006-9143.2022.01.003

• 论著 • 上一篇    下一篇

起搏器植入术后患者心脏康复信息需求现状及影响因素分析

童丽娇   周晓娟   徐健   张理想   詹玲   

  1. (安徽省立医院,安徽  合肥   230036)

  • 出版日期:2022-02-28 发布日期:2022-03-07
  • 基金资助:

    安徽省公益性技术应用研究联动计划项目

Status and influencing factors of information needs for cardiac rehabilitation in patients after pacemaker implantation

TONG Lijiao, ZHOU Xiaojuan, XU Jian, ZHANG Lixiang, ZHAN Ling   

  1. (The First Affiliated Hospital of China University of Science and Technology, Hefei Anhui 230036)

  • Online:2022-02-28 Published:2022-03-07

摘要: 目的:探讨永久起搏器植入术后患者心脏康复信息需求现状及影响因素。方法:选取安徽省合肥市某三级甲等综合医院2020年6月至12月心血管内科住院且首次接受永久起搏器植入术的患者189例作为研究对象。通过问卷调查评估起搏器植入术后患者心脏康复信息需求现状,分析起搏器术后患者心脏康复信息需求的影响因素。结果:起搏器植入术后患者对心脏康复信息需求总分为(157.16±18.45)分,需求内容以紧急与安全、药物知识、运动/锻炼等为主;需求方式以“可以带回家的电影、视频”及“就诊时与医务人员交流讨论”为主。多元线性回归分析结果表明,病程较长、文化程度较低、心功能分级较高、合并症个数较多及未接受过心脏康复相关知识宣教的患者有较高的心脏康复信息需求水平(P<0.05)。结论:起搏器植入术后患者心脏康复信息需求处于中等水平且受多种因素影响,医护人员在为患者进行心脏康复健康宣教时应综合考虑患者的个体情况、设计个性化的心脏康复健康教育方案并以患者更愿意接受的方式进行。

关键词:

起搏器植入术, 心脏康复, 信息需求, 影响因素

Abstract:

Objective: To explore the status and influencing factors of information needs for cardiac rehabilitation in patients after permanent pacemaker implantation. Methods: A total of 189 patients with permanent pacemaker implantation who were hospitalized in a grade 3 general hospital in Hefei city of Anhui Province from June to December 2020 were selected as the research objects.The status of patients’ needs was evaluated by questionnaire survey, and the influencing factors were analyzed. Results: The total score of patients’ needs for cardiac rehabilitation information after pacemaker implantation was 157.16±18.45, and the main needs were emergency and safety, drug knowledge, exercise etc.The needs mode was mainly "movies and videos that can be taken home" and "communication and discussion with medical staff during treatment". The multiple linear regression analysis showed that patients with longer course of disease, lower education level, higher cardiac function grade, more complications and not receiving cardiac rehabilitation related knowledge education had higher demand for cardiac rehabilitation information (P<0.05).Conclusion: The demand of cardiac rehabilitation information of patients after pacemaker implantation is at a medium level, and affected by many factors.When carrying out cardiac rehabilitation health education for patients, medical staff should consider the individual situation of patients, design personalized education program and in the way that patients are more willing to accept.

Key words: Pacemaker implantation; Cardiac rehabilitation, Information needs, Influence factor