心脏机械瓣膜置换术后患者肺康复训练自我管理能力现状及影响因素分析

doi:10.3761/j.issn.2096-7446.2025.12.005

Abstract

Abstract:

Objective To analyze the current status and influencing factors of self-management ability of pulmonary rehabilitation training in patients after mechanical heart valve replacement surgery，and provide reference for the development of effective pulmonary rehabilitation intervention plans. Methods Through convenience sampling，201 eligible patients who underwent mechanical heart valve replacement surgery at a tertiary hospital in Yunnan Province from November 2023 to March 2024 were selected as the study subjects. A comprehensive survey was conducted on patients using a general information questionnaire，a self-management scale for patients after mechanical heart valve replacement surgery，a pulmonary rehabilitation self-efficacy index scale，and a concise quality of life scale. Through multiple stepwise regression analysis，factors affecting the self-management ability of lung rehabilitation training in patients after mechanical heart valve replacement surgery were identified. Results Multiple stepwise regression analysis showed that gender，age，average monthly household income，educational level，presence of other chronic diseases，self-efficacy in pulmonary rehabilitation，and quality of life were the main influencing factors on the self-management ability of pulmonary rehabilitation training in patients after cardiac mechanical valve replacement surgery. Conclusion The self-management ability of pulmonary rehabilitation training for patients undergoing mechanical heart valve replacement surgery urgently needs to be improved，and is influenced by many factors. Medical staff should take various measures to improve the self-management ability of patients undergoing mechanical heart valve replacement surgery，thereby enhancing self-efficacy and improving quality of life，providing scientific basis for reducing the occurrence of postoperative pulmonary complications.

Key words: Mechanical Heart Valve Replacement Surgery, Self-Management Ability, Pulmonary Rehabilitation Training, Route Cause Analysis, Nursing Care

FAN Yongshi, MA Yi, SONG Jinjie, LI Ting, XIONG Siqi, XU Jiapeng, HUANG Ying. Current status and influencing factors of self-management ability of pulmonary rehabilitation training in patients after mechanical heart valve replacement surgery[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025, 6(12): 1444-1450.

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[1]	Aluru JS, Barsouk A, Saginala K, et al. Valvular heart disease epidemiology[J]. Med Sci, 2022, 10(2):32.
[2]	Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC/AHA guideline for the management of patients with valvular heart disease:a report of the American college of cardiology/American heart association joint committee on clinical practice guidelines[J]. Circulation,2021, 143(5):e72-e227.
[3]	Zhou HF, Liu FY, Liu YH, et al. Protocol for the PORT study:short-term perioperative rehabilitation to improve outcomes in cardiac valvular surgery:a randomised control trial[J]. BMJ Open, 2023, 13(12):e074837. doi: 10.1136/bmjopen-2023-074837
[4]	刘娟, 陈国琼, 许艳霞. 老年心脏瓣膜置换术后患者早期自我管理能力现况及影响因素分析[J]. 齐鲁护理杂志, 2023, 29(4):36-39.
	Liu J, Chen GQ, Xu YX. Current situation and influencing factors of early self-management ability of elderly patients after heart valve replacement[J]. J Qilu Nurs, 2023, 29(4):36-39.
[5]	尹福容, 周家梅, 涂建鑫, 等. 心脏瓣膜置换术病人出院准备服务研究进展[J]. 护理研究, 2022, 36(23):4233-4237.
	Yin FR, Zhou JM, Tu JX, et al. Research progress on discharge preparation services for patients undergoing cardiac valve replacement[J]. Chin Nurs Res, 2022, 36(23):4233-4237.
[6]	Kendall MG, Mann HB. Multivariate analysis[M]. London: Charles Griffin,1975.
[7]	陈蓉. 农村地区心脏机械瓣膜置换术后患者自我管理现状及影响因素研究[D]. 南充: 川北医学院, 2020.
	Chen R. Study on self-management status and influencing factors of patients after cardiac mechanical valve replacement in rural areas[D]. Nanchong: North Sichuan Medical College, 2020.
[8]	Vincent E, Sewell L, Wagg K, et al. Measuring a change in self-efficacy following pulmonary rehabilitation:an evaluation of the PRAISE tool[J]. Chest, 2011, 140(6):1534-1539. doi: S0012-3692(11)60650-8 pmid: 21737490
[9]	Ware JE. Improved items for estimating SF-36 profile and summary component scores:construction and validation of an 8-Item QOL General(QGEN) survey[J]. Med Care, 2025, 63(4):300-310. doi: 10.1097/MLR.0000000000002122
[10]	陈亚丹, 张玉丽, 朱海华. 心脏机械瓣膜置换术病人院外自我管理行为状况及延续性护理对策[J]. 全科护理, 2021, 19(18):2583-2585.
	Chen YD, Zhang YL, Zhu HH. Self-management behavior of patients undergoing cardiac mechanical valve replacement outside the hospital and continuous nursing countermeasures[J]. Chin Gen Pract Nurs, 2021, 19(18):2583-2585.
[11]	王婉玲. 心脏机械瓣膜置换术后患者自我管理能力干预研究[D]. 重庆: 重庆医科大学, 2018.
	Wang WL. Intervention study on self-management ability of patients after cardiac mechanical valve replacement[D]. Chong-qing: Chongqing Medical University, 2018.
[12]	金多. 老年高血压共病患者自我管理行为现状及其影响因素分析[J]. 医师在线, 2024(10):19-24.
	Jin D. Analysis of self-management behavior status and its influencing factors in elderly patients with hypertension comorbidity[J]. J Dr Online, 2024(10):19-24.
[13]	刘军军, 吴丽华, 陈艳萍, 等. 盐城市慢性病患者自我管理能力现状及其影响因素分析[J]. 江苏卫生事业管理, 2024, 35(8):1194-1198.
	Liu JJ, Wu LH, Chen YP, et al. Analysis of self-management ability of patients with chronic diseases and its influencing factors in Yancheng city[J]. Jiangsu Health Syst Manag, 2024, 35(8):1194-1198.
[14]	Perera N, Agboola S. Are formal self-care interventions for healthy people effective? A systematic review of the evidence[J]. BMJ Glob Health, 2019, 4(Suppl 10):e001415. doi: 10.1136/bmjgh-2019-001415
[15]	Ladner J, Alshurafa S, Madi F, et al. Factors impacting self-management ability in patients with chronic diseases in the United Arab Emirates,2019[J]. J Comp Eff Res, 2022, 11(3):179-192. doi: 10.2217/cer-2021-0177
[16]	武玉波. 心脏瓣膜置换患者术后自我管理能力与自我效能的关系[J]. 河南医学研究, 2021, 30(32):6061-6063.
	Wu YB. Relationship between self-management ability and self-efficacy in patients after heart valve replacement[J]. Henan Med Res, 2021, 30(32):6061-6063.
[17]	李慧芳. 基于自我效能的护理干预对瓣膜置换术后患者自我管理能力的影响[J]. 护理实践与研究, 2022, 19(3):420-423.
	Li HF. Effect of nursing intervention based on self-efficacy on self-management ability of patients after valve replacement[J]. Nurs Pract Res, 2022, 19(3):420-423.
[18]	温雅, 龚仁蓉, 白阳静, 等. 心脏机械瓣膜置换术后患者生存质量与自我管理行为研究[J]. 华西医学, 2016, 31(11):1864-1868.
	Wen Y, Gong RR, Bai YJ, et al. Study on quality of life and self-management behavior of patients following mechanical heart val-ve replacement[J]. West China Med J, 2016, 31(11):1864-1868.

Current status and influencing factors of self-management ability of pulmonary rehabilitation training in patients after mechanical heart valve replacement surgery

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