Study on Quality of Life and Self-management Behavior of Patients Following Mechanical Heart Valve Replacement_West China Medical Journal

Authors：

 WenYa ¹ , GongRenrong ² , BaiYangjing ³ ,  JiangXiaolian ⁴

1. Department of Cardiovascular Medicine, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
2. Operation Room, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
3. Department of Major Vascular Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China;
4. West China Nursing School, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding?author：

JiangXiaolian, Email: jiang_xiaolian@126.com

Keywords：

Mechanical heart valve replacement; Quality of life; Self-Management Behavior

DOI：

10.7507/1002-0179.201600512

Video：

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Objective To describe the status of quality of life (QOL) and self-management behavior in patients following mechanical heart valve replacement, and explore the relationship between QOL and self-management behavior. Methods Convenient sampling was used to recruit 352 patients following mechanical heart valve replacement in a high-level hospital in Chengdu between January 2011 and June 2012. General information questionnaire, MOS SF-36 scales, and self-management behavior questionnaire were used to collect data. T-test was used to analyze the difference between patients and normal people. And correlation analysis was used to see the correlation between QOL and self-management. Results For MOS SF-36 scale results in patients within one year after surgery, physical functioning (PF) score was 73.44±15.11, role-physical (RP) was 49.52±39.17, body pain (BP) was 63.13±17.93, general health (GH) was 58.85±14.88, vitality (VT) was 63.54±18.10, social functioning (SF) was 76.67±17.40, role-emotional (RE) was 64.96±41.37, and mental health (MH) was 72.76±17.40. All these scores of the patients were significantly lower than the norm of Sichuan Province (P<0.05) except the dimension of mental health. For patients one year or more after surgery, PF score was 76.53±14.41, RP 58.44±39.21, BP 68.16±18.26, GH 61.39±13.57, VT 68.47±16.37, SF 79.79±19.34, RE 72.94±37.29, and MH 75.87±14.70, among which PF, RE, BP and GH scores were lower than the norm (P<0.05). The average total score of self-management behavior was 143.21±20.63. QOL and self-management behavior were positively correlated. Conclusion There is still a gap between patients following mechanical heart valve replacement and normal people in terms of quality of life. Patients' self-management behavior is positively correlated with the quality of life. Good self-management behavior contributes to the improvement of QOL.

Citation： WenYa, GongRenrong, BaiYangjing, JiangXiaolian. Study on Quality of Life and Self-management Behavior of Patients Following Mechanical Heart Valve Replacement. West China Medical Journal, 2016, 31(11): 1864-1868. doi: 10.7507/1002-0179.201600512 Copy

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1. 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.
2. Rimington H, Weinman J, Chambers JB. Predicting outcome after valve replacement[J].Heart, 2010, 96(2):118-123.
3. 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.
4. K?rtke H, K?rfer R. International normalized ratio self-management after mechanical heart valve replacement:is an early start advantageous?[J].Ann Thorac Surg, 2001, 72(1):44-48.
5. Heneghan C, Alonso-Coello P, Garcia-Alamino JM, et al. Self-monitoring of oral anticoagulation:a systematic review and meta-analysis[J].Lancet, 2006, 367(958):404-411.
6. 李寧秀, 劉朝杰, 李俊,等. 四川省城鄉居民SF-36評價參考值[J].華西醫科大學學報, 2001, 32(1):43-47.
7. 王麗萍. 心臟瓣膜置換術后自我健康管理干預研究[D].成都:四川大學, 2012.
8. 沈蓓, 金毅, 劉紅軍, 等. 冠狀動脈旁路移植術后慢性疼痛發生率及其相關因素[J].臨床麻醉學雜志, 2010, 26(7):573-575.
9. Reuben SS. Chronic pain after surgery:what can we do to prevent it?[J].Curr Pain Headache Rep, 2007, 11(1):5-13.
10. 劉偉, 蘇躍, 耿萬明. 胸科手術后慢性疼痛研究進展[J].中華臨床醫師雜志, 2010, 4(7):1042-1044.
11. 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.
12. Carstens V, Behrenbeck DW, Hilger HH, et al. Exercise capacity before and after cardiac valve surgery[J].Cardiology, 1983, 70(1):41-49.
13. 羅伍春. 人工心臟瓣膜置換術后患者服藥遵醫行為的調查[J].護理學雜志, 2010, 25(10):29-30.
14. Sawicki PT. A structured teaching and self-management program for patients receiving oral anticoagulation:a randomized controlled trial. Working Group for the Study of Patient Self-Management of Oral Anticoagulation[J].JAMA, 1999, 281(2):145-150.

West China Medical Journal

Study on Quality of Life and Self-management Behavior of Patients Following Mechanical Heart Valve Replacement

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