Abstract:Objective To analyze the influencing factors of self perceived burden in patients after heart valve replacement. Methods A total of 100 patients after heart valve replacement (valvular heart disease) treated in Jiangsu Provincial Hospital from January 2018 to January 2021 were selected as the research subjects, the self perceived burden (self perceived burden scale [SPBS] score) of all patients on the 7th day after operation was evaluated, the statistical table of baseline data was designed, the baseline data of patients in the two groups were counted in detail, the SPBS scores of patients with different data characteristics after heart valve replacement were compared, the influencing factors of self perceived burden of patients after heart valve replacement were analyzed. Results On the 7th day after operation, the SPBS score of 100 patients after heart valve replacement was (29.25±5.16) points. There were statistically significant differences in family’s per capita monthly income, New York Heart Association classification, SPBS scores of main caregivers and social support patients in different families (P < 0.05). Multivariate linear regression analysis showed that the family’s per capita monthly income was less than 5000 yuan, NYHA Ⅲ-Ⅳ, the main caregivers were children or others, and low social support were all influential factors for the mild to moderate self-experience burden of patients after heart valve replacement (P < 0.05). The regression equation was as follows: Y = 40.338+2.742X1+6.586X2+6.022X3+2.470X4, where the regression model F = 63.410, R2 = 0.728, after adjustment, R2 = 0.716, P < 0.001. Conclusion Most patients after heart valve replacement have mild to moderate self perceived burden, which may be related to the family’s per capita monthly income, NYHA classification, main caregivers and social support.
[1] 张蒙,李颂兵,陈茜.老年常见慢性病患者自我感受负担及其影响因素研究[J].中国护理管理,2017,17(1):63-68.
[2] 王秋红,刘瑞敏,禹继敏,等.心脏瓣膜置换术后患者心理状况分析及综合护理干预的效果[J].国际精神病学杂志,2019,46(2):186-188.
[3] 景颖颖,王加红.慢性心力衰竭患者自我感受负担状况及其影响因素[J].现代临床护理,2017,16(2):9-14.
[4] 孔繁娜.糖尿病肾病透析患者自我感受负担及影响因素[J].河北医药,2019,41(5):779-781.
[5] 张庆娜,李惠萍,王德斌,中文版自我感受负担量表在癌症患者中应用的信效度评价[J].中国实用护理杂志,2003,29(2):1-4.
[6] Nagai T,Anzai T. NYHA functional classification and AHA/ACC Stages for heart failure management [M]. Japan: Nihon Rinsho,2016:340-344.
[7] 中国高血压防治指南修订委员会.中国高血压防治指南2010[J].中华心血管病杂志,2011,39(7):579-616.
[8] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(8):893-942.
[9] Lu CF,Jia CX,Zhang JY,et al. Reliability and validity of Social Support Rating Scale in rural suicides [J]. Chin Ment Health J,2011,25(3):218-222.
[10] Arendt CJ,Hong JH,Daly RC,et al. Time to achieving therapeutic international normalized ratio increases hospital length of stay after heart valve replacement surgery [J]. Am Heart J,2017,93(187):70-77.
[11] 彭云辉,张硕,王梦璇,等.失能老人主要照顾者心理弹性及其与照顾负担和生存质量的相关性研究[J].护士进修杂志,2019,34(10):909-912.
[12] Dill R,Olson DM,Session-Augustine N,et al. The impact of motivational interviewing on self-perceived burden in patients receiving therapeutic plasma exchange [J]. J Clin Apher,2018,33(5):586-590.
[13] 倪雪萍,李贤华,忻笑,等.非霍奇金淋巴瘤患者自我感受负担现状及相关因素分析[J].上海交通大学学报:医学版,2020,40(6):856-862.
[14] 宋雅玲,杨君.高血压心力衰竭病人住院期间自我感受负担现状及其影响因素[J].护理研究,2017,31(21):2610-2613.
[15] 张惠,蒋红宇,陈媛媛,等.经皮冠状动脉介入治疗术后患者自我感受负担及其影响因素分析[J].中国护理管理,2017,17(3):392-396.
[16] Shang X,Xiao S,Dong N,et al. Assessing right ventricular function in pulmonary hypertension patients and the correlation with the New York Heart Association (NYHA) classification [J]. Oncotarget,2017,8(52):90421-90429.
[17] 王竹馨,毕清泉,陈秀云,等.老年冠心病患者自我感受负担现状分析及影响因素研究[J].中国医药导报,2019, 16(19):173-176.
[18] Geng D,Ou RW,Miao XH,et al. Patients’ self-perceived burden,caregivers’ burden and quality of life for amyotrophic lateral sclerosis patients:a cross-sectional study [J]. J Clin Nurs,2017,26(19):3188-3199.
[19] 朱义如,刘延锦,郭丽娜,等.心理一致感在脑卒中患者主要照顾者照顾负担与抑郁间的中介效应研究[J].现代预防医学,2020,47(7):113-116.
[20] Kristiina J,Anna-Liisa S,Timo T,et al. Perceived Burden among Spouse,Adult Child and Parent Caregivers [J]. J Adv Nurs,2018,74(10):2340-2350.
[21] 刘潇,蔡春凤,余立平.老年慢性病病人自我感受负担影响因素及干预策略研究进展[J].实用老年医学,2019, 33(6):607-610.
[22] 胡春兰,毛莉颖,牟勇.择期手术患者围手术期死亡原因及影响因素分析[J].现代医院,2020,20(5):675-678.
[23] 陈胜男,张迎红,黎茂琴,等.老年患者冠脉搭桥术后自我感受负担及影响因素研究[J].现代预防医学,2020, 47(3):88-92.
[24] 周家梅,刘达兴,龚启华,等.心脏瓣膜置换术后患者生存质量影响因素的路径分析[J].广东医学,2018,39(11):1719-1722.
[25] 李文通,余俊键,熊健宪,等.心脏瓣膜置换术后华法林抗凝INR达标情况及其相关影响因素分析[J].中国医学创新,2021,18(20):37-40.
[26] 陈慧贞,蔡晓东,张栩峥,等.地氟烷不同预处理方式对心脏瓣膜置换术患者应激反应及心肌保护作用的影响[J].中国医药科学,2021,11(15):19-22.
[27] 陈伟,李小波.心脏机械瓣膜置换术后病人早期华法林抗凝治疗的依从性、并发症及其影响因素研究[J].中西医结合心脑血管病杂志,2018,16(23):3479-3482.