心房颤动患者家庭功能与生活质量的相关性

田梅香; 康静; 郇轩; 尹江燕; 张正义

doi:10.11817/j.issn.1672-7347.2023.220551

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论著 | 更新时间：2023-10-24

心房颤动患者家庭功能与生活质量的相关性
Correlation between family function and quality of life in patients with atrial fibrillation
中南大学学报(医学版) 中南大学学报(医学版) 2023年48卷第8期页码：1234-1242
作者机构：

1.兰州大学第二医院全科医学科，兰州 730030
2.甘肃省临夏回族自治州康乐县医养结合中心医院，甘肃康乐 731500
作者简介：

田梅香，Email: 482153560@qq.com, ORCID: 0000-0002-3384-845X
张正义，Email: zhangzhengyi11@lzu.edu.cn, ORCID: 0000-0002-2168-4515
基金信息：

甘肃省自然科学基金(20JR10RA716);兰州大学教育发展基金
DOI：10.11817/j.issn.1672-7347.2023.220551
中图分类号：
CSTR：

田梅香, 康静, 郇轩, 等. 心房颤动患者家庭功能与生活质量的相关性[J]. 中南大学学报(医学版), 2023,48(8):1234-1242.

TIAN Meixiang, KANG Jing, HUAN Xuan, et al. Correlation between family function and quality of life in patients with atrial fibrillation[J]. Journal of Central South University. Medical Science, 2023,48(8):1234-1242.
田梅香, 康静, 郇轩, 等. 心房颤动患者家庭功能与生活质量的相关性[J]. 中南大学学报(医学版), 2023,48(8):1234-1242. DOI： 10.11817/j.issn.1672-7347.2023.220551.

TIAN Meixiang, KANG Jing, HUAN Xuan, et al. Correlation between family function and quality of life in patients with atrial fibrillation[J]. Journal of Central South University. Medical Science, 2023,48(8):1234-1242. DOI： 10.11817/j.issn.1672-7347.2023.220551.

摘要

目的,2,研究发现心房颤动(以下简称“房颤”)患者的生活质量明显受损，但对家庭功能的影响尚不清楚。本研究采用量表评估房颤患者的家庭功能和生活质量，分析家庭功能与生活质量的相关性，并预测生活质量的影响因素。,方法,2,选取兰州大学第二医院心内科和全科医学科2021年1月1日至2022年5月1日收治的223例房颤患者为研究对象，通过调查问卷收集房颤患者的一般资料，并采用家庭功能评定量表(Family Assessment Device，FAD)和房颤特异生活质量量表(Atrial Fibrillation Effect on Quality-of-life，AFEQT)对患者的家庭功能和生活质量进行评估，根据FAD评分将患者分为家庭功能良好组和家庭功能障碍组，采用SPSS 26.0统计学软件对上述资料进行分析。,结果,2,223例患者中家庭功能良好组64例(28.70%)，家庭功能障碍组159例(71.30%)，家庭功能障碍组在FAD总分及各维度得分方面均高于家庭功能良好组(均,P,<,0.01)；家庭功能良好组在AFEQT总分及症状、治疗担心和日常生活维度得分方面显著高于家庭功能障碍组(均,P,<,0.01)；Pearson线性相关分析显示FAD总分及各维度与AFEQT总分及各维度得分呈线性负相关(均,P,<,0.01)；将单因素分析中具有统计学意义的变量纳入多元线性回归分析，结果显示女性及FAD的问题解决、角色、情感介入和总的功能维度对生活质量有影响(均,P,<,0.01)。,结论,2,房颤患者多数存在不同程度的家庭功能障碍，家庭功能障碍患者的生活质量普遍较低，女性及家庭功能的问题解决、角色、情感介入和总的功能对房颤患者的生活质量产生显著影响。临床治疗房颤时应注重患者的家庭功能状况，可通过让患者家庭成员参与临床干预来改善家庭功能，从而提高其生活质量。

Abstract

Objective,2,Many studies have shown that the quality of life for patients with atrial fibrillation (AF) is significantly impaired, but the impact on family function is still unclear. This study aims to evaluate the family function and quality of life in patients with AF using scales, to analyze the correlation between family function and quality of life, and to predict the influencing factors of quality of life.,Methods,2,A total of 223 patients with AF who were admitted to the Department of Cardiology and General Medicine of the Lanzhou University Second Hospital from January 1, 2021 to May 1, 2022, were selected as research subjects, the general information of patients with AF were collected via a questionnaire, the family function and quality of life were assessed by the Family Assessment Device (FAD) and Atrial Fibrillation Effect on Quality-of-Life (AFEQT) scale. The patients were divided into a non-family functional disorder group and a family functional disorder group on the basis of their FAD scores. The above data were analyzed using SPSS 26.0 statistical software.,Results,2,Among the 223 patients, 64 (28.70%) were in the non-family functional disorder group, and 159 (71.30%) were in the family functional disorder group. The total score of FAD and scores of all dimensions in the family functional disorder group were higher than those in the non-family functional disorder group (all ,P,<,0.01). AFEQT total score and symptoms, treatment concerns and daily activities in the non-family functional disorder group were significantly higher than those in the family functional disorder group (all ,P,<,0.01). The Pearson linear analysis showed that there was a linear negative correlation between the total score and each dimension of FAD with the total score and each dimension of AFEQT (all ,P,<,0.01). The variables with statistical significance in the univariate analysis were included in the multiple linear regression analysis, and the result showed that female, and the problem solving, role, affective involvement, and general functioning dimensions of family function had an impact on the quality of life (all, P,<,0.01).,Conclusion,2,Most patients with AF have different degrees of family dysfunction. The quality of life in patients with family functional disorder group is generally low. Female, and the problem solving, role, affective involvement, and general functioning of family function have a significant impact on the quality of life in patients with AF. In clinical treatment of AF, attention should be paid to the family function of patients, and family members can be involved in clinical intervention to improve family function and improve the quality of life.

关键词

心房颤动家庭功能生活质量相关性

Keywords

atrial fibrillationfamily functionquality of lifecorrelation

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