Đánh giá chất lượng cuộc sống của người bệnh rối loạn nhịp chậm sau cấy máy tạo nhịp vĩnh viễn bằng bộ câu hỏi AQUAREl và SF12=Summary to evaluate patient’s quality of life aspects after pacemaker implantation, using AQUAREl and SF-12 questionnaires

0 Người đánh giá. Xếp hạng trung bình 0

Tác giả: Thị Hoa Bạch, Thị Phương Thảo Nguyễn, Như Hùng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2024

Mô tả vật lý: tr.360-369

Bộ sưu tập: Metadata

ID: 242147

Thêm vào giỏ

Đánh giá chất lượng cuộc sống (CLCS) liên quan đến sức khỏe là cần thiết để có được cái nhìn tổng quan về CLCS của người bệnh, từ đó có chiến lược phù hợp để nâng cao sức khỏe về tinh thần, thể chất cho người bệnh. Đối tượng và phương pháp: Nghiên cứu mô tả cắt ngang người bệnh đặt máy tạo nhịp vĩnh viễn tại Bệnh viện Tim Hà Nội trong thời gian từ tháng 6/2020 đến 4/2021. Xử lý số liệu theo phần mềm STATA 14. Kết quả: có 105 người bệnh, tuổi trung bình là 65,35 ± 13,71, nữ giới chiếm 62,86%, theo thang điểm AQUAREL điểm CLCS tốt nhất sau cấy máy là chức năng rối loạn nhịp chậm (72,52±16,83
91,19±9,03
96,19±5,70), thấp nhất là khó chịu ở ngực (60,24±12,07
86,46±10,52
95,36±6,14), theo SF- 12 điểm CLCS sức khỏe tinh thần (55,62 ±8,14
56,71 ± 4,58
56,86 ± 2,47) cao hơn điểm CLCS sức khỏe thể chất (38,93 ± 8,07
43,26 ± 7,89
51,75 ± 5,54).CLCS của người bệnh sau cấy máy tạo nhịp cao hơn CLCS của người bệnh trước cấy máy tạo nhịp. Tuy nhiên sau 3 tháng đặt máy tạo nhịp CLCS của người bệnh trên 60 tuổi cao hơn nhóm dưới 60 tuổi. Người bệnh trí thức và nghỉ hưu có điểm CLCS cao hơn nhóm người làm việc tự do, công nhân và nông dânvà những người bệnh không có bệnh suy tim có CLCS cao hơn nhóm có bệnh suy tim kèm theo với (p<
0,05). Kết luận: CLCS của người bệnhsau đặt máy tạo nhịp vĩnh viễn cải thiện hơn so với trước can thiệp và cao nhất ở tháng thứ 6. Chất lượng cuộc sống của người bệnh sau cấy máy tạo nhịp bị ảnh hưởng bởi các yếu tố: tuổi, nghề nghiệp và bệnh suy tim kèm theo.Health-related quality of life evaluationis necessary to have an overview of the patient's quality of life, in order to have appropriate strategies to improve both mental and physical health of the patients. Subjects and methods: We conducted a prospective crosssectional study of patients with permanent pacemaker implantation at Hanoi Heart Hospital from June 2020 to april 2021, using STATA 14 software for data analysis. Results: A total of 105 patients were included in the study with mean age 65,35 ± 13.71 years and 62,86% female, The highest AQUAREL scores after implantation, is bradyarrhythmia function (72,52 ± 16.83
91.19 ± 9.03
96.19 ± 5.70), while the lowest scores is chest discomfort (60.24 ± 12.07, 86.46 ± 10.52
95, 36 ± 6.14). The SF-12 scores in mental health aspect (55.62 ± 8.14
56.71 ± 4.58
56.86 ± 2.47) are higher than that scores in physical health aspect (38.93 ± 8.07
43.26 ± 7.89
51.75 ± 5.54.The quality of life (QoL) of patients after pacemaker implantation in all aspects was higher compared to that of patients before implantation. However, three months after the pacemaker implantation, the QoL of patients over 60 years old was higher than that of patients under 60 years old.The QoL scores of educated and retired patients is higher than that of freelancers, workers. and farmers and patients without heart failure had a higher QoL than those with heart failure (p<
0.05). Conclusion:The quality of life of patients improves after permanent pacemaker implantation and reaching its peak at the 6th month follow-up. Age, occupation, and concomitant heart failure are related factors to the QoL of patients.

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