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

Abstract

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

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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The current status and influencing factors of the self-management activation among patients with permanent pacemaker implantation

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