心臟瓣膜置換術后患者生存質量研究現狀_West China Medical Journal

Authors：

 溫雅 ¹ , 蔣曉蓮 ² , 白陽靜 ³ ,  龔仁蓉 ⁴

1. ;
2. ;
3. ;
4. ;

Corresponding?author：

溫雅, Email: wenya223@126.com; 龔仁蓉, Email: gongrenrong@163.com

Keywords：

心臟瓣膜置換; 生存質量; 影響因素

DOI：

10.7507/1002-0179.201600308

Video：

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Abstract Full text Figures/Tables Video References Cited by

心臟瓣膜置換術是心臟瓣膜病一種主要治療手段，其根本目的在于提高患者的生存質量。患者術后生存質量不僅能反映手術療效，同時也可反映其康復效果。雖然瓣膜置換術后患者生存質量較術前得以提高，但多重威脅均可能降低其生活質量，心臟瓣膜置換術后患者生存質量較常人仍有一定的差距。因此，了解患者生存質量及影響因素，針對可控性因素進行干預，提高患者的生存質量，幫助患者減輕疾病對自身的影響，更好地回歸家庭及社會，對患者本人、家庭、社會均有著重要作用。現從生存質量研究工具、術后患者生存質量國內外研究進展及國內術后患者生存質量研究存在的問題及展望等方面對心臟瓣膜置換術后患者生存質量研究的進展作一綜述。

Citation： 溫雅, 蔣曉蓮, 白陽靜, 龔仁蓉. 心臟瓣膜置換術后患者生存質量研究現狀. West China Medical Journal, 2016, 31(6): 1137-1141. doi: 10.7507/1002-0179.201600308 Copy

1.	張寶仁, 朱家麟. 人造心臟瓣膜與瓣膜置換術[M]. 2版. 北京:人民衛生出版社, 1999:29-31.
2.	Pflederer T, Flachskampf FA. Echocardiographic follow-up after heart valve replacement[J]. Heart, 2010, 96(1) :75-85.
3.	"中國人心臟瓣膜置換術后低強度抗凝治療多中心臨床研究"協作組. 關于中國人心臟瓣膜置換術后低強度抗凝治療多中心臨床研究的倡議[J]. 中國胸心血管外科臨床雜志, 2010, 17(5) :扉5.
4.	趙玉明. 心臟機械瓣膜置換患者生存質量研究[D]. 衡陽:南華大學, 2008.
5.	Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J]. J Am Coll Cardiol, 2006, 48(3) :e1-e148.
6.	王家良.臨床流行病學[M]. 3版. 上海:上海科學技術出版社, 2009:361-364.
7.	Ferrell BR, Dow KH, Grant M. Measurement of the quality of Life in cancer survivors[J]. Qual Life Res, 1995, 4(6) :523-531.
8.	常曉曉. 社區老年冠心病患者生活質量及影響因素研究[D]. 太原:山西醫科大學, 2008.
9.	Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients[J]. J Cardiovasc Nurs, 2009, 24(6) :454-464.
10.	Koertke H, Minami K, Boethig D, et al. INR self-management permits lower anticoagulation levels after mechanical heart valve replacement[J]. Circulation, 2003, 108(Suppl 1) :II75-II78.
11.	Edmunds LH. Thrombotic and bleeding complications of prosthetic heart valves[J]. Ann Thorac Surg, 1987, 44(4) :430-445.
12.	李永紅, 郭蘭, 張鏡芳, 等. 機械瓣替換術后的抗凝治療[J]. 中華胸心血管外科雜志, 1994, 10(4) :304-307.
13.	方積乾. 生存質量測定方法及應用[M]. 北京:北京醫科大學出版社, 2000.
14.	Pupello DF, Bessone LN, Lopez E, et al. Long-term results of the bioprosthesis in elderly patients:impact on quality of life[J]. Ann Thorac Surg, 2001, 71(5 Suppl):S244-S248.
15.	Williams MA, Ades PA, Hamm LF, et al. Clinical evidence for a health benefit from cardiac rehabilitation:an update[J]. Am Heart J, 2006, 152(5) :835-841.
16.	Moser DK, Dracup K. Psychosocial recovery from a cardiac event: the influence of perceived control[J]. Heart Lung, 1995, 24(4) : 273-280.
17.	Davoodi S, Karimi A, Ahmadi SH, et al. Short-and mid-term results of triple-valve surgery with an evaluation of postoperative quality of Life[J]. Tex Heart Inst J, 2009, 36(2) :125-130.
18.	Rimington H, Weinman J, Chambers JB. Predicting outcome after valve replacement[J]. Heart, 2010, 96(2) :118-123.
19.	Almeida Gde Q, Noblat Lde A, Passos LC, et al. Quality of life analysis of patients in chronic use of oral anticoagulant:an observational study[J]. Health Qual Life Outcomes, 2011, 9:91.
20.	Siebenhofer A, Berghold A, Sawicki PT. Systematic review of studies of self-management of oral anticoagulation[J]. Thromb Haemost, 2004, 91(2) :225-232.
21.	K?rtke H, K?rfer R. International normalized ratio selfmanagement after mechanical heart valve replacement:is an early start advantageous?[J]. Ann Thorac Surg, 2001, 72(1) :44-48.
22.	Heneghan C, Alonso-Coello P, Garcia-Alamino JM, et al. Selfmonitoring of oral anticoagulation:a systematic review and metaanalysis[J]. Lancet, 2006, 367(958) :404-411.
23.	Holahan CJ, Moos RH, Holahan CK, et al. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness[J]. Health Psychol, 1995, 14(2) :152-163.
24.	Janz NK, Janevic MR, Dodge JA, et al. Factors influencing quality of Life in older women with heart disease[J]. Med Care, 2001, 39(6) : 588-598.
25.	Jenkins CD, Stanton BA, Jono RT. Quantifying and predicting recovery after heart surgery[J]. Psychosom Med, 1994, 56(3) : 203-212.
26.	Goyal TM, Idler EL, Krause TJ, et al. Quality of life following cardiac surgery:impact of the severity and course of depressive symptoms[J]. Psychosom Med, 2005, 67(5) :759-765.
27.	N?tzold A, Hüppe M, Schmidtke C, et al. Quality of life in aortic valve replacement:pulmonary autografts versus mechanical prostheses[J]. J Am Coll Cardiol, 2001, 37(7) :1963-1966.
28.	Baberg HT, Dirlich M, Laczkovics A, et al. Determinants of healthrelated quality of Life after aortic valve replacement in six-month survivors of intervention[J]. J Heart Valve Dis, 2004, 13(6) :914-920.
29.	Nishi K, Eishi K, Shibata Y, et al. Influence of prosthetic heart valve sound on a patient's quality of life[J]. Ann Thorac Cardiovasc Surg,2010, 16(6) :410-416.
30.	Koertke H, Hoffmann-Koch A, Boethig D, et al. Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36 questionnaire?[J]. Eur J Cardiothorac Surg, 2003, 24(1) : 52-57; discussion 57-58.
31.	Corbi IS, Dantas RA, Pelegrino FM, et al. Health related quality of Life of patients undergoing oral anticoagulation therapy[J]. Rev Lat Am Enfermagem, 2011, 19(4) :865-873.
32.	Sedrakyan A, Vaccarino V, Paltiel D, et al. Age does not limit quality of life improvement in cardiac valve surgery[J]. J Am Coll Cardiol, 2003, 42(7) :1208-1214.
33.	呂民, 張旭, 趙瑞, 等. 70例重癥心臟瓣膜病的瓣置換效果及生存質量[J]. 吉林醫學院學報, 1998, 18(2) :47-48.
34.	祁國奇, 朱曉東, 胡盛壽, 等. 心臟機械瓣膜置換手術前后生活質量的對比研究[J]. 中國胸心血管外科雜志, 2004, 20(1) :18-20.
35.	馬增山, 董銘峰, 尹綱, 等. 心臟瓣膜置換術后生存質量的多因素分析[J]. 心血管康復醫學雜志, 2001, 10(2) :109-111.
36.	吳先球, 王奇, 陳衛國, 等. 風濕性心臟病瓣膜置換術后早期生存質量[J]. 中國臨床研究, 2012, 25(11) :1041-1043.
37.	范利芳, 王婭麗, 黃國平. 淺談瓣膜置換術患者生存質量與社會支持的關系[J]. 基層醫學論壇, 2011, 15:485-487.
38.	張巍, 張月娥, 基紅云. 心臟瓣膜置換術后自我管理能力對生活質量的影響[J]. 長江大學學報:自然版, 2011, 8(4) :194-195.
39.	王晨, 周敏, 司在霞. 機械瓣膜置換術后患者生活質量及影響因素的調查分析[J]. 解放軍護理雜志, 2014, 31(17) :37-39.
40.	華錦嫦, 鄭小華, 李偉玲. 家庭護理干預對提高風濕性心臟瓣膜置換術患者生存質量的影響[J]. 護理管理雜志, 2009, 9(2) :18-19.
41.	李敏, 馬梁紅, 王奇, 等. 家庭護理干預對心臟瓣膜置換術后抗凝治療影響的研究[J]. 內科, 2007, 2(2) :179-181.
42.	喻曉黎. 家庭訪視對心臟瓣膜置換術患者生活質量的影響[J]. 齊齊哈爾醫學院學報, 2012, 33(24) :3455-3456.
43.	林明環, 石菊香. 心臟瓣膜置換術后健康教育對病人生存質量影響[J]. 右江醫學, 2004, 32(6) :631-632.
44.	曹民娟, 彭美娟, 龐彩蘭, 等. 心理干預對心臟瓣膜置換術后患者生命質量的影響[J]. 中國心血管病研究, 2012, 10(7) :518-520.
45.	梅贛紅, 黃燕, 余嬌, 等.延續護理對提高心臟瓣膜置換術后患者生存質量的研究[J]. 護士進修雜志, 2011, 26(18) :1684-1686.

1. 張寶仁, 朱家麟. 人造心臟瓣膜與瓣膜置換術[M]. 2版. 北京:人民衛生出版社, 1999:29-31.
2. Pflederer T, Flachskampf FA. Echocardiographic follow-up after heart valve replacement[J]. Heart, 2010, 96(1) :75-85.
3. "中國人心臟瓣膜置換術后低強度抗凝治療多中心臨床研究"協作組. 關于中國人心臟瓣膜置換術后低強度抗凝治療多中心臨床研究的倡議[J]. 中國胸心血管外科臨床雜志, 2010, 17(5) :扉5.
4. 趙玉明. 心臟機械瓣膜置換患者生存質量研究[D]. 衡陽:南華大學, 2008.
5. Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J]. J Am Coll Cardiol, 2006, 48(3) :e1-e148.
6. 王家良.臨床流行病學[M]. 3版. 上海:上海科學技術出版社, 2009:361-364.
7. Ferrell BR, Dow KH, Grant M. Measurement of the quality of Life in cancer survivors[J]. Qual Life Res, 1995, 4(6) :523-531.
8. 常曉曉. 社區老年冠心病患者生活質量及影響因素研究[D]. 太原:山西醫科大學, 2008.
9. Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients[J]. J Cardiovasc Nurs, 2009, 24(6) :454-464.
10. Koertke H, Minami K, Boethig D, et al. INR self-management permits lower anticoagulation levels after mechanical heart valve replacement[J]. Circulation, 2003, 108(Suppl 1) :II75-II78.
11. Edmunds LH. Thrombotic and bleeding complications of prosthetic heart valves[J]. Ann Thorac Surg, 1987, 44(4) :430-445.
12. 李永紅, 郭蘭, 張鏡芳, 等. 機械瓣替換術后的抗凝治療[J]. 中華胸心血管外科雜志, 1994, 10(4) :304-307.
13. 方積乾. 生存質量測定方法及應用[M]. 北京:北京醫科大學出版社, 2000.
14. Pupello DF, Bessone LN, Lopez E, et al. Long-term results of the bioprosthesis in elderly patients:impact on quality of life[J]. Ann Thorac Surg, 2001, 71(5 Suppl):S244-S248.
15. Williams MA, Ades PA, Hamm LF, et al. Clinical evidence for a health benefit from cardiac rehabilitation:an update[J]. Am Heart J, 2006, 152(5) :835-841.
16. Moser DK, Dracup K. Psychosocial recovery from a cardiac event: the influence of perceived control[J]. Heart Lung, 1995, 24(4) : 273-280.
17. Davoodi S, Karimi A, Ahmadi SH, et al. Short-and mid-term results of triple-valve surgery with an evaluation of postoperative quality of Life[J]. Tex Heart Inst J, 2009, 36(2) :125-130.
18. Rimington H, Weinman J, Chambers JB. Predicting outcome after valve replacement[J]. Heart, 2010, 96(2) :118-123.
19. Almeida Gde Q, Noblat Lde A, Passos LC, et al. Quality of life analysis of patients in chronic use of oral anticoagulant:an observational study[J]. Health Qual Life Outcomes, 2011, 9:91.
20. Siebenhofer A, Berghold A, Sawicki PT. Systematic review of studies of self-management of oral anticoagulation[J]. Thromb Haemost, 2004, 91(2) :225-232.
21. K?rtke H, K?rfer R. International normalized ratio selfmanagement after mechanical heart valve replacement:is an early start advantageous?[J]. Ann Thorac Surg, 2001, 72(1) :44-48.
22. Heneghan C, Alonso-Coello P, Garcia-Alamino JM, et al. Selfmonitoring of oral anticoagulation:a systematic review and metaanalysis[J]. Lancet, 2006, 367(958) :404-411.
23. Holahan CJ, Moos RH, Holahan CK, et al. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness[J]. Health Psychol, 1995, 14(2) :152-163.
24. Janz NK, Janevic MR, Dodge JA, et al. Factors influencing quality of Life in older women with heart disease[J]. Med Care, 2001, 39(6) : 588-598.
25. Jenkins CD, Stanton BA, Jono RT. Quantifying and predicting recovery after heart surgery[J]. Psychosom Med, 1994, 56(3) : 203-212.
26. Goyal TM, Idler EL, Krause TJ, et al. Quality of life following cardiac surgery:impact of the severity and course of depressive symptoms[J]. Psychosom Med, 2005, 67(5) :759-765.
27. N?tzold A, Hüppe M, Schmidtke C, et al. Quality of life in aortic valve replacement:pulmonary autografts versus mechanical prostheses[J]. J Am Coll Cardiol, 2001, 37(7) :1963-1966.
28. Baberg HT, Dirlich M, Laczkovics A, et al. Determinants of healthrelated quality of Life after aortic valve replacement in six-month survivors of intervention[J]. J Heart Valve Dis, 2004, 13(6) :914-920.
29. Nishi K, Eishi K, Shibata Y, et al. Influence of prosthetic heart valve sound on a patient's quality of life[J]. Ann Thorac Cardiovasc Surg,2010, 16(6) :410-416.
30. Koertke H, Hoffmann-Koch A, Boethig D, et al. Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36 questionnaire?[J]. Eur J Cardiothorac Surg, 2003, 24(1) : 52-57; discussion 57-58.
31. Corbi IS, Dantas RA, Pelegrino FM, et al. Health related quality of Life of patients undergoing oral anticoagulation therapy[J]. Rev Lat Am Enfermagem, 2011, 19(4) :865-873.
32. Sedrakyan A, Vaccarino V, Paltiel D, et al. Age does not limit quality of life improvement in cardiac valve surgery[J]. J Am Coll Cardiol, 2003, 42(7) :1208-1214.
33. 呂民, 張旭, 趙瑞, 等. 70例重癥心臟瓣膜病的瓣置換效果及生存質量[J]. 吉林醫學院學報, 1998, 18(2) :47-48.
34. 祁國奇, 朱曉東, 胡盛壽, 等. 心臟機械瓣膜置換手術前后生活質量的對比研究[J]. 中國胸心血管外科雜志, 2004, 20(1) :18-20.
35. 馬增山, 董銘峰, 尹綱, 等. 心臟瓣膜置換術后生存質量的多因素分析[J]. 心血管康復醫學雜志, 2001, 10(2) :109-111.
36. 吳先球, 王奇, 陳衛國, 等. 風濕性心臟病瓣膜置換術后早期生存質量[J]. 中國臨床研究, 2012, 25(11) :1041-1043.
37. 范利芳, 王婭麗, 黃國平. 淺談瓣膜置換術患者生存質量與社會支持的關系[J]. 基層醫學論壇, 2011, 15:485-487.
38. 張巍, 張月娥, 基紅云. 心臟瓣膜置換術后自我管理能力對生活質量的影響[J]. 長江大學學報:自然版, 2011, 8(4) :194-195.
39. 王晨, 周敏, 司在霞. 機械瓣膜置換術后患者生活質量及影響因素的調查分析[J]. 解放軍護理雜志, 2014, 31(17) :37-39.
40. 華錦嫦, 鄭小華, 李偉玲. 家庭護理干預對提高風濕性心臟瓣膜置換術患者生存質量的影響[J]. 護理管理雜志, 2009, 9(2) :18-19.
41. 李敏, 馬梁紅, 王奇, 等. 家庭護理干預對心臟瓣膜置換術后抗凝治療影響的研究[J]. 內科, 2007, 2(2) :179-181.
42. 喻曉黎. 家庭訪視對心臟瓣膜置換術患者生活質量的影響[J]. 齊齊哈爾醫學院學報, 2012, 33(24) :3455-3456.
43. 林明環, 石菊香. 心臟瓣膜置換術后健康教育對病人生存質量影響[J]. 右江醫學, 2004, 32(6) :631-632.
44. 曹民娟, 彭美娟, 龐彩蘭, 等. 心理干預對心臟瓣膜置換術后患者生命質量的影響[J]. 中國心血管病研究, 2012, 10(7) :518-520.
45. 梅贛紅, 黃燕, 余嬌, 等.延續護理對提高心臟瓣膜置換術后患者生存質量的研究[J]. 護士進修雜志, 2011, 26(18) :1684-1686.

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心臟瓣膜置換術后患者生存質量研究現狀

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