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題名 | Change in Quality of Life in Patients With Permanent Cardiac Pacemakers-- A Six-Month Follow-up Study=裝置永久性心律調節器病患生活品質改變狀況--六個月的追蹤研究 |
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作者 | 陳幸眉; 邱艷芬; | 書刊名 | The Journal of Nursing Research |
卷期 | 10:2 2002.06[民91.06] |
頁次 | 頁143-150 |
分類號 | 419.73 |
關鍵詞 | 生活品質; 裝置永久性心律調節器; 心律不整干擾程度; Quality of life; QOL; Permanent pacemaker implantation; Arrhythmia distress; |
語文 | 英文(English) |
中文摘要 | 本研究係採立意取樣法追?臺北市二所醫學中心病患在裝置永久性心律調節器前後生活品質改變狀況,病患於術前、術後二個月、四個月及六個月各接受一次結構性問卷訪談,共有42位個案參與本研究。研究結果顯示個案術前生活品質為中等(得分62.4±15.9,滿分97),術後有明顯改善(p<.05),於術後四個月得分最高,術後六個月得分下降,且與四備肙得分有著差異(p<.05)。九大層面中,「安適狀態」、「睡眠」、「食慾」、「身體活動」及「身體症狀」均有明顯改善(p<.05)但「認知功能」、「社會參與」、「工作能力」及「性功能」則未有明顯改善(p>.05)。主要照顧者為配偶者其生活品質於術後有明顯改善。不論在術前及術後,「心律不整干擾程度」為各階段生活品質最具影響力因素。本路結果建議積極改善心律不整干擾程度可改善生活品質。 |
英文摘要 | The purpose of this study was to investigate the quality of life (QOL) in patients before and after permanent pacemaker implantation. A follow-up study design was adopted and purposive sampling was applied recruit subjects from two medical centers in Taipei City. Subjects were interviewed before pacemaker implantation. Follow-up interviews were conducted at second, fourth, and sixth month after pacemaker implantation. There were 42 subjects enrolled in this study. These subjects had moderate QOL (62.4±15.9 on a scale of 97) before pacemaker implantation and the QOL improved significantly after pacemaker implantation (p<.05). The QOL improvement reached a peak at the end of the fourth month and the scores decreased at the end of the sixth month vs. the fourth month (p<0.5). They had significant improvement in “general well-being”, “sleeping”, “appetite”, “physical activity” and “physical symptoms” (p<.05). Subjects with spouses as their main caregivers had significantly better improvement in QOL after pacemaker implantation. Subjects’ perceptions of distress from arrhythmia were the most significant determinate in their QOL pre and post pacemaker implantation. The findings suggest that aggressively resolving arrhythmia distress is important for improving QOL. |
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