永久心脏起搏器植入患者自我管理积极度现状及影响因素分析

doi:10.3761/j.issn.2096-7446.2025.11.007

摘要/Abstract

摘要：

目的调查永久心脏起搏器植入患者的自我管理积极度现状，分析其影响因素，为有针对性地制订和实施护理措施提供一定参考。方法于2023年12月—2024年4月，采用方便抽样法选取昆明市某三级甲等医院的144例永久心脏起搏器植入患者为调查对象，采用一般资料调查表、患者积极度量表、出院准备度量表、起搏器生活质量测定量表对患者进行调查。结果永久心脏起搏器植入患者积极度量表得分为（53.01±7.86）分，整体处于第2水平；相关性分析显示，患者积极度总分和生活质量、出院准备度总分均呈正相关（P<0.01）。多元回归分析结果显示，家庭人均月收入、有无合并慢性病、出院准备度及生活质量是永久心脏起搏器植入患者自我管理积极度的主要影响因素（P<0.05）。结论永久心脏起搏器植入患者的自我管理积极度水平亟待提高，且受到诸多因素的影响，医护人员除了从患者人口学以及疾病相关变量的影响因素出发，还可通过提升其出院准备度及生活质量水平，制订针对性的护理方案，进而提高永久心脏起搏器植入患者的自我管理积极度水平。

关键词: 心脏起搏器, 积极度, 影响因素, 康复护理

Abstract:

Objective To investigate the current status of self-management activation among patients with permanent pacemaker implantation，and analyze its influencing factors to provide a reference for the targeted development and implementation of corresponding nursing interventions. Methods From December 2023 to April 2024，a convenience sampling method was used to select 144 patients with permanent pacemaker implantation from a tertiary class A hospital in Kunming as survey participants. The survey was conducted among patients using a general information questionnaire，the Patient Activation Measure，the Readiness for Hospital Discharge Scale，and the Quality of Life Instrument for Patients with Pacemaker. Results The total score for patient activation among patients with permanent pacemaker implantation was（53.01±7.86），indicating an overall level two of activation. Correlation analysis showed that the total score of patient activation was positively correlated with the total score of readiness for hospital discharge and the quality of life（P<0.01）. Multivariate regression analysis revealed that patients' family per capita monthly income，the presence or absence of comorbid chronic diseases，the readiness for hospital discharge，and quality of life were the main influencing factors of self-management activation among patients with permanent pacemaker implantation（P<0.05）. Conclusion The level of self-management activation among patients with permanent pacemaker implantation urgently needs to be improved and is influenced by numerous factors. In addition to considering demographic and disease-related variables，healthcare providers can enhance self-management activation by improving discharge readiness and quality of life，and by developing targeted nursing interventions for patients with permanent pacemaker implantation to improve their self-management activation level.

Key words: Cardiac Pacemaker, Activation, Influence Factors, Rehabilitation Nursing

马懿, 范咏诗, 穆晓燕, 李婷, 宋金杰, 黄英, 熊司琦. 永久心脏起搏器植入患者自我管理积极度现状及影响因素分析[J]. 中华急危重症护理杂志, 2025, 6(11): 1321-1327.

MA Yi, FAN Yongshi, MU Xiaoyan, LI Ting, SONG Jinjie, HUANG Ying, XIONG Siqi. The current status and influencing factors of the self-management activation among patients with permanent pacemaker implantation[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(11): 1321-1327.

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