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：
纸质出版日期： 2023-08-28 ，

收稿日期： 2022-10-27 ，

田梅香, 康静, 郇轩, 尹江燕, 张正义. 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, YIN Jiangyan, ZHANG Zhengyi. 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, 尹江燕, 张正义. 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, YIN Jiangyan, ZHANG Zhengyi. 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

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

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

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

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

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

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

0.01)。

结论

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

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

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

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

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

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

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

0.01).

Conclusion

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

references

Andrade JG, Aguilar M, Atzema C, et al. The 2020 Canadian cardiovascular society/canadian heart rhythm society comprehensive guidelines for the management of atrial fibrillation[J]. Can J Cardiol, 2020, 36(12): 1847-1948. https://doi.org/10.1016/j.cjca.2020.09.001https://doi.org/10.1016/j.cjca.2020.09.001.

Staerk L, Sherer JA, Ko D, et al. Atrial fibrillation[J]. Circ Res, 2017, 120(9): 1501-1517. https://doi.org/10.1161/circresaha. 117.309732https://doi.org/10.1161/circresaha.117.309732.

Polikandrioti M, Koutelekos I, Vasilopoulos G, et al. Anxiety and depression in patients with permanent atrial fibrillation: prevalence and associated factors[J]. Cardiol Res Pract, 2018, 2018: 7408129. https://doi.org/10.1155/2018/7408129https://doi.org/10.1155/2018/7408129.

Abu HO, Saczynski JS, Mehawej J, et al. Clinically meaningful change in quality of life and associated factors among older patients with atrial fibrillation[J/OL]. J Am Heart Assoc, 2020, 9(18): e016651 [2022-07-13]. https://doi.org/10.1161/JAHA.120. 016651https://doi.org/10.1161/JAHA.120.016651.

Hindricks G, Potpara T, Dagres N, et al. 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): the Task Force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC[J]. Eur Heart J, 2021, 42(5): 373-498. https://doi.org/10.1093/eurheartj/ehaa612https://doi.org/10.1093/eurheartj/ehaa612.

January CT, Wann LS, Calkins H, et al. 2019 AHA/ACC/HRS focused update of the 2014 AHA/ACC/HRS guideline for the management of patients with atrial fibrillation: a Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society[J/OL]. Heart Rhythm, 2019, 16(8): e66-e93[2022-08-21]. https://doi.org/10.1016/j.hrthm.2019.01.024https://doi.org/10.1016/j.hrthm.2019.01.024.

尚芳芳. 脑卒中失能老年患者健康促进与家庭功能相关性研究[J]. 中国疗养医学, 2020, 29(6): 600-602. https://doi.org/10.13517/j.cnki.ccm.2020.06.013https://doi.org/10.13517/j.cnki.ccm.2020.06.013.

SHANG Fangfang. Correlation between health promotion and family function in elderly patients with stroke disability[J]. Chinese Journal of Convalescent Medicine, 2020, 29(6): 600-602. https://doi.org/10.13517/j.cnki.ccm.2020.06.013https://doi.org/10.13517/j.cnki.ccm.2020.06.013.

周梦, 梁靖, 贾会英, 等. 家庭功能测评工具的研究现状[J]. 解放军护理杂志, 2017, 34(15): 22-26, 46. https://doi.org/10.3969/j.issn.1008-9993.2017.15.006https://doi.org/10.3969/j.issn.1008-9993.2017.15.006.

ZHOU Meng, LIANG Jing, JIA Huiying, et al. Research status of family function assessment tools[J]. Nursing Journal of Chinese People’s Liberation Army, 2017, 34(15): 22-26, 46. https://doi.org/10.3969/j.issn.1008-9993.2017.15.006https://doi.org/10.3969/j.issn.1008-9993.2017.15.006.

王方方. 复发脑卒中康复期患者认知融合与家庭功能相关性研究[J]. 中国疗养医学, 2022, 31(3): 281-284. https://doi.org/10.13517/j.cnki.ccm.2022.03.015https://doi.org/10.13517/j.cnki.ccm.2022.03.015.

WANG Fangfang. Correlation between cognitive integration and family function in patients with recurrent stroke in rehabilitation period[J]. Chinese Journal of Convalescent Medicine, 2022, 31(3): 281-284. https://doi.org/10.13517/j.cnki.ccm.2022.03.015https://doi.org/10.13517/j.cnki.ccm.2022.03.015.

Zhang YZ. Family functioning in the context of an adult family member with illness: a concept analysis[J]. J Clin Nurs, 2018, 27(15/16): 3205-3224. https://doi.org/10.1111/jocn.14500https://doi.org/10.1111/jocn.14500.

李荣风, 徐夫真, 纪林芹, 等. 家庭功能评定量表的初步修订[J]. 中国健康心理学杂志, 2013, 21(7): 996-1000. https://doi.org/10.13342/j.cnki.cjhp.2013.07.003https://doi.org/10.13342/j.cnki.cjhp.2013.07.003.

LI Rongfeng, XU Fuzhen, JI Linqin, et al. Revision of Family Assessment Device (FAD)[J]. China Journal of Health Psychology, 2013, 21(7): 996-1000. https://doi.org/10.13342/j.cnki.cjhp.2013. 07.003https://doi.org/10.13342/j.cnki.cjhp.2013.07.003.

Wang JK, He M, Zhao XD. Depressive symptoms, family functioning and quality of life in Chinese patients with type 2 diabetes[J]. Can J Diabetes, 2015, 39(6): 507-512. https://doi.org/10.1016/j.jcjd.2015.06.001https://doi.org/10.1016/j.jcjd.2015.06.001.

Boterhoven de Haan KL, Hafekost J, Lawrence D, et al. Reliability and validity of a short version of the general functioning subscale of the McMaster Family Assessment Device[J]. Fam Process, 2015, 54(1): 116-123. https://doi.org/10.1111/famp.12113https://doi.org/10.1111/famp.12113.

Kotecha D, Ahmed A, Calvert M, et al. Patient-reported outcomes for quality of life assessment in atrial fibrillation: a systematic review of measurement properties[J/OL]. PLoS One, 2016, 11(11): e0165790 [2022-08-11]. https://doi.org/10.1371/journal.pone.0165790https://doi.org/10.1371/journal.pone.0165790.

Spertus J, Dorian P, Bubien R, et al. Development and validation of the Atrial Fibrillation Effect on QualiTy-of-Life (AFEQT) Questionnaire in patients with atrial fibrillation[J]. Circ Arrhythm Electrophysiol, 2011, 4(1): 15-25. https://doi.org/10.1161/CIRCEP.110.958033https://doi.org/10.1161/CIRCEP.110.958033.

Holmes DN, Piccini JP, Allen LA, et al. Defining clinically important difference in the atrial fibrillation effect on quality-of-life score[J/OL]. Circ Cardiovasc Qual Outcomes, 2019, 12(5): e005358 [2022-07-23]. https://doi.org/10.1161/CIRCOUTCOMES.118.005358https://doi.org/10.1161/CIRCOUTCOMES.118.005358.

Güneş F, Boyraz S. Effect of atrial fibrillation on quality of life (AFEQT) questionnaire: a Turkish validity and reliability study[J]. Turk Kardiyol Dern Ars, 2021, 49(3): 223-232. https://doi.org/10.5543/tkda.2021.41347https://doi.org/10.5543/tkda.2021.41347.

李秀梅, 郑燕. 家庭功能评估工具研究进展[J]. 全科护理, 2022, 20(20): 2765-2768. https://doi.org/10.12104/j.issn.1674-4748.2022.20.007https://doi.org/10.12104/j.issn.1674-4748.2022.20.007.

LI Xiumei, ZHENG Yan. Research progress of family function assessment tools[J]. Chinese General Practice Nursing, 2022, 20(20): 2765-2768. https://doi.org/10.12104/j.issn.1674-4748.2022.20.007https://doi.org/10.12104/j.issn.1674-4748.2022.20.007.

程良莹, 张艳, 张振香, 等. 老年人家庭功能评估工具研究进展[J]. 护理研究, 2020, 34(4): 680-682. https://doi.org/10.12102/j.issn.1009-6493.2020.04.024https://doi.org/10.12102/j.issn.1009-6493.2020.04.024.

CHENG Liangying, ZHANG Yan, ZHANG Zhenxiang, et al. Research advances on family function assessment tools for the elderly[J]. Chinese Nursing Research, 2020, 34(4): 680-682. https://doi.org/10.12102/j.issn.1009-6493.2020.04.024https://doi.org/10.12102/j.issn.1009-6493.2020.04.024.

Li PWC, Yu DSF, Yan BP. Psychometric validation of the Chinese version of atrial fibrillation effect on quality-of-life questionnaire among Chinese patients[J]. J Cardiovasc Nurs, 2021, 36(2): 136-142. https://doi.org/10.1097/jcn. 0000000000000769https://doi.org/10.1097/jcn.0000000000000769.

Souza Júnior EV, Viana ER, Cruz DP, et al. Relationship between family functionality and the quality of life of the elderly[J/OL]. Rev Bras Enferm, 2021, 75(2): e20210106[2022-08-23]. https://doi.org/10.1590/0034-7167-2021-0106https://doi.org/10.1590/0034-7167-2021-0106.

Sadlonova M, Senges J, Nagel J, et al. Symptom severity and health-related quality of life in patients with atrial fibrillation: findings from the observational ARENA study[J]. J Clin Med, 2022, 11(4): 1140. https://doi.org/10.3390/jcm11041140https://doi.org/10.3390/jcm11041140.

Son YJ, Baek KH, Lee SJ, et al. Health-related quality of life and associated factors in patients with atrial fibrillation: an integrative literature review[J]. Int J Environ Res Public Health, 2019, 16(17): 3042. https://doi.org/10.3390/ijerph16173042https://doi.org/10.3390/ijerph16173042.

Moqeem K, Beeharry MW, Fang T, et al. Factors influencing sex-related differences in the quality of life of patients with atrial fibrillation: a systematic review[J/OL]. Cureus, 2020, 12(12): e12341 [2022-09-11]. https://doi.org/10.7759/cureus. 12341https://doi.org/10.7759/cureus.12341.

Santos Volgman A, Benjamin EJ, Curtis AB, et al. Women and atrial fibrillation[J]. J Cardiovasc Electrophysiol, 2021, 32(10): 2793-2807. https://doi.org/10.1111/jce.14838https://doi.org/10.1111/jce.14838.

Freeman JV, Simon DN, Go AS, et al. Association between atrial fibrillation symptoms, quality of life, and patient outcomes: results from the outcomes registry for better informed treatment of atrial fibrillation (ORBIT-AF)[J]. Circ Cardiovasc Qual Outcomes, 2015, 8(4): 393-402. https://doi.org/10.1161/CIRCOUTCOMES.114.001303https://doi.org/10.1161/CIRCOUTCOMES.114.001303.

Allan KS, Henry S, Aves T, et al. Comparison of health-related quality of life in patients with atrial fibrillation treated with catheter ablation or antiarrhythmic drug therapy: a systematic review and meta-analysis protocol[J/OL]. BMJ Open, 2017, 7(8): e017577 [2022-08-30]. https://doi.org/10.1136/bmjopen-2017-017577https://doi.org/10.1136/bmjopen-2017-017577.

Farwati M, Wazni OM, Tarakji KG, et al. Super and nonresponders to catheter ablation for atrial fibrillation: a quality-of-life assessment using patient reported outcomes[J/OL]. Circ Arrhythm Electrophysiol, 2021, 14(8): e009938 [2022-08-15]. https://doi.org/10.1161/CIRCEP.121.009938https://doi.org/10.1161/CIRCEP.121.009938.

Wazni O, Dandamudi G, Sood N, et al. Quality of life after the initial treatment of atrial fibrillation with cryoablation versus drug therapy[J]. Heart Rhythm, 2022, 19(2): 197-205. https://doi.org/10.1016/j.hrthm.2021.10.009https://doi.org/10.1016/j.hrthm.2021.10.009.

Vandenberk B, Lauwers L, Robyns T, et al. Quality of life outcomes in cryoablation of atrial fibrillation-a literature review[J]. Pacing Clin Electrophysiol, 2021, 44(10): 1756-1768. https:// doi.org/10.1111/pace.14341https://doi.org/10.1111/pace.14341.

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