心房的患者的生活质量:一个理论指导的横截面研究
Kathy L Rush1, Cherisse L Seaton1, Lindsay Burton1
1School of Nursing, University of British Columbia, Okanagan, Kelowna, BC, Canada.
PloS one
|October 5, 2023
概括
压力和体力活动等个体特征显著影响心房患者的生活质量,而不仅仅是症状. 针对这些因素可以改善AF患者的健康相关生活质量 (HRQoL).
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 生活质量研究 研究 生命质量研究
背景情况:
- 与普通人群相比,心房 (AF) 患者的健康相关生活质量 (HRQoL) 显著降低.
- 现有的研究往往强调AF症状,忽视了个体患者特征对HRQoL的影响.
- 本研究通过检查症状和预测AF相关HRQoL的个体因素来解决这一差距.
研究的目的:
- 测试一个增量预测模型来测试AF相关的HRQoL.
- 将AF症状和个体特征纳入适应的HRQoL概念模型.
- 了解超出症状负担的单个因素的独特贡献.
主要方法:
- 来自AF专科诊所的196名患者完成了一项在线调查.
- 使用等级回归分析来评估预测模型.
- 分析了个体特征 (心理健康,压力,性别,年龄,AF知识,体力活动) 与HRQoL和治疗满意度相比,控制症状最近和整体健康.
主要成果:
- 个人特征解释了整体HRQoL的额外13.6%的差异,以及AF治疗满意度的7.6%.
- 感知到的压力和家庭的体力活动是整体HRQoL的关键预测因素.
- 年龄和AF知识对AF治疗满意度做出了重大贡献.
结论:
- 个人特征,以及AF症状和整体健康状况,是AF患者HRQoL和治疗满意度的关键预测因素.
- 感知到的压力和家庭的体力活动是旨在改善HRQoL的干预措施的潜在目标.
- 考虑临床和个人因素的综合方法对于管理AF患者的福祉至关重要.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
351
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
351
01:30Dysrhythmias V: Evaluating Dysrhythmias
41
Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...
41
01:30Acute Coronary Syndrome III: Diagnostic Studies
9
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
9
01:17Pulse amplitude and quality
1.8K
Pulse amplitude is a crucial indicator of cardiac health because it provides valuable insights into the strength of left ventricular contractions and the overall uniformity of blood circulation within the vasculature. The strength of the pulse is directly related to the force with which the heart contracts and the volume of blood being pumped.
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
A weak or absent pulse may indicate reduced cardiac output or poor left ventricular contraction, which can be signs of cardiovascular dysfunction or...
1.8K
01:25Dysrhythmias VII: Nursing Management of Dysrhythmias
14
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
14
01:25Dysrhythmias VI: Management of Dysrhythmias
19
Dysrhythmia management involves a multifaceted approach, incorporating pharmacological treatments, medical procedures, surgical interventions, lifestyle modifications, and patient education.Pharmacological ManagementAntiarrhythmic Drugs:Class I (Sodium Channel Blockers): This class includes quinidine and procainamide, which reduce the speed of impulse conduction in the heart, stabilize the cardiac membrane, and control arrhythmias. Quinidine and procainamide are Class IA agents that prolong the...
19