心脏瓣膜置换术后患者生存质量研究现状_West China Medical Journal

Authors：

 温雅 ¹ , 蒋晓莲 ² , 白阳静 ³ ,  龚仁蓉 ⁴

1. ;
2. ;
3. ;
4. ;

Corresponding author：

温雅, Email: wenya223@126.com; 龚仁蓉, Email: gongrenrong@163.com

Keywords：

心脏瓣膜置换; 生存质量; 影响因素

DOI：

10.7507/1002-0179.201600308

Video：

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Abstract Full text Figures/Tables Video References Cited by

心脏瓣膜置换术是心脏瓣膜病一种主要治疗手段，其根本目的在于提高患者的生存质量。患者术后生存质量不仅能反映手术疗效，同时也可反映其康复效果。虽然瓣膜置换术后患者生存质量较术前得以提高，但多重威胁均可能降低其生活质量，心脏瓣膜置换术后患者生存质量较常人仍有一定的差距。因此，了解患者生存质量及影响因素，针对可控性因素进行干预，提高患者的生存质量，帮助患者减轻疾病对自身的影响，更好地回归家庭及社会，对患者本人、家庭、社会均有着重要作用。现从生存质量研究工具、术后患者生存质量国内外研究进展及国内术后患者生存质量研究存在的问题及展望等方面对心脏瓣膜置换术后患者生存质量研究的进展作一综述。

Citation： 温雅, 蒋晓莲, 白阳静, 龚仁蓉. 心脏瓣膜置换术后患者生存质量研究现状. West China Medical Journal, 2016, 31(6): 1137-1141. doi: 10.7507/1002-0179.201600308 Copy

1.	张宝仁, 朱家麟. 人造心脏瓣膜与瓣膜置换术[M]. 2版. 北京:人民卫生出版社, 1999:29-31.
2.	Pflederer T, Flachskampf FA. Echocardiographic follow-up after heart valve replacement[J]. Heart, 2010, 96(1) :75-85.
3.	"中国人心脏瓣膜置换术后低强度抗凝治疗多中心临床研究"协作组. 关于中国人心脏瓣膜置换术后低强度抗凝治疗多中心临床研究的倡议[J]. 中国胸心血管外科临床杂志, 2010, 17(5) :扉5.
4.	赵玉明. 心脏机械瓣膜置换患者生存质量研究[D]. 衡阳:南华大学, 2008.
5.	Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J]. J Am Coll Cardiol, 2006, 48(3) :e1-e148.
6.	王家良.临床流行病学[M]. 3版. 上海:上海科学技术出版社, 2009:361-364.
7.	Ferrell BR, Dow KH, Grant M. Measurement of the quality of Life in cancer survivors[J]. Qual Life Res, 1995, 4(6) :523-531.
8.	常晓晓. 社区老年冠心病患者生活质量及影响因素研究[D]. 太原:山西医科大学, 2008.
9.	Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients[J]. J Cardiovasc Nurs, 2009, 24(6) :454-464.
10.	Koertke H, Minami K, Boethig D, et al. INR self-management permits lower anticoagulation levels after mechanical heart valve replacement[J]. Circulation, 2003, 108(Suppl 1) :II75-II78.
11.	Edmunds LH. Thrombotic and bleeding complications of prosthetic heart valves[J]. Ann Thorac Surg, 1987, 44(4) :430-445.
12.	李永红, 郭兰, 张镜芳, 等. 机械瓣替换术后的抗凝治疗[J]. 中华胸心血管外科杂志, 1994, 10(4) :304-307.
13.	方积乾. 生存质量测定方法及应用[M]. 北京:北京医科大学出版社, 2000.
14.	Pupello DF, Bessone LN, Lopez E, et al. Long-term results of the bioprosthesis in elderly patients:impact on quality of life[J]. Ann Thorac Surg, 2001, 71(5 Suppl):S244-S248.
15.	Williams MA, Ades PA, Hamm LF, et al. Clinical evidence for a health benefit from cardiac rehabilitation:an update[J]. Am Heart J, 2006, 152(5) :835-841.
16.	Moser DK, Dracup K. Psychosocial recovery from a cardiac event: the influence of perceived control[J]. Heart Lung, 1995, 24(4) : 273-280.
17.	Davoodi S, Karimi A, Ahmadi SH, et al. Short-and mid-term results of triple-valve surgery with an evaluation of postoperative quality of Life[J]. Tex Heart Inst J, 2009, 36(2) :125-130.
18.	Rimington H, Weinman J, Chambers JB. Predicting outcome after valve replacement[J]. Heart, 2010, 96(2) :118-123.
19.	Almeida Gde Q, Noblat Lde A, Passos LC, et al. Quality of life analysis of patients in chronic use of oral anticoagulant:an observational study[J]. Health Qual Life Outcomes, 2011, 9:91.
20.	Siebenhofer A, Berghold A, Sawicki PT. Systematic review of studies of self-management of oral anticoagulation[J]. Thromb Haemost, 2004, 91(2) :225-232.
21.	Körtke H, Körfer R. International normalized ratio selfmanagement after mechanical heart valve replacement:is an early start advantageous?[J]. Ann Thorac Surg, 2001, 72(1) :44-48.
22.	Heneghan C, Alonso-Coello P, Garcia-Alamino JM, et al. Selfmonitoring of oral anticoagulation:a systematic review and metaanalysis[J]. Lancet, 2006, 367(958) :404-411.
23.	Holahan CJ, Moos RH, Holahan CK, et al. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness[J]. Health Psychol, 1995, 14(2) :152-163.
24.	Janz NK, Janevic MR, Dodge JA, et al. Factors influencing quality of Life in older women with heart disease[J]. Med Care, 2001, 39(6) : 588-598.
25.	Jenkins CD, Stanton BA, Jono RT. Quantifying and predicting recovery after heart surgery[J]. Psychosom Med, 1994, 56(3) : 203-212.
26.	Goyal TM, Idler EL, Krause TJ, et al. Quality of life following cardiac surgery:impact of the severity and course of depressive symptoms[J]. Psychosom Med, 2005, 67(5) :759-765.
27.	Nötzold A, Hüppe M, Schmidtke C, et al. Quality of life in aortic valve replacement:pulmonary autografts versus mechanical prostheses[J]. J Am Coll Cardiol, 2001, 37(7) :1963-1966.
28.	Baberg HT, Dirlich M, Laczkovics A, et al. Determinants of healthrelated quality of Life after aortic valve replacement in six-month survivors of intervention[J]. J Heart Valve Dis, 2004, 13(6) :914-920.
29.	Nishi K, Eishi K, Shibata Y, et al. Influence of prosthetic heart valve sound on a patient's quality of life[J]. Ann Thorac Cardiovasc Surg,2010, 16(6) :410-416.
30.	Koertke H, Hoffmann-Koch A, Boethig D, et al. Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36 questionnaire?[J]. Eur J Cardiothorac Surg, 2003, 24(1) : 52-57; discussion 57-58.
31.	Corbi IS, Dantas RA, Pelegrino FM, et al. Health related quality of Life of patients undergoing oral anticoagulation therapy[J]. Rev Lat Am Enfermagem, 2011, 19(4) :865-873.
32.	Sedrakyan A, Vaccarino V, Paltiel D, et al. Age does not limit quality of life improvement in cardiac valve surgery[J]. J Am Coll Cardiol, 2003, 42(7) :1208-1214.
33.	吕民, 张旭, 赵瑞, 等. 70例重症心脏瓣膜病的瓣置换效果及生存质量[J]. 吉林医学院学报, 1998, 18(2) :47-48.
34.	祁国奇, 朱晓东, 胡盛寿, 等. 心脏机械瓣膜置换手术前后生活质量的对比研究[J]. 中国胸心血管外科杂志, 2004, 20(1) :18-20.
35.	马增山, 董铭峰, 尹纲, 等. 心脏瓣膜置换术后生存质量的多因素分析[J]. 心血管康复医学杂志, 2001, 10(2) :109-111.
36.	吴先球, 王奇, 陈卫国, 等. 风湿性心脏病瓣膜置换术后早期生存质量[J]. 中国临床研究, 2012, 25(11) :1041-1043.
37.	范利芳, 王娅丽, 黄国平. 浅谈瓣膜置换术患者生存质量与社会支持的关系[J]. 基层医学论坛, 2011, 15:485-487.
38.	张巍, 张月娥, 基红云. 心脏瓣膜置换术后自我管理能力对生活质量的影响[J]. 长江大学学报:自然版, 2011, 8(4) :194-195.
39.	王晨, 周敏, 司在霞. 机械瓣膜置换术后患者生活质量及影响因素的调查分析[J]. 解放军护理杂志, 2014, 31(17) :37-39.
40.	华锦嫦, 郑小华, 李伟玲. 家庭护理干预对提高风湿性心脏瓣膜置换术患者生存质量的影响[J]. 护理管理杂志, 2009, 9(2) :18-19.
41.	李敏, 马梁红, 王奇, 等. 家庭护理干预对心脏瓣膜置换术后抗凝治疗影响的研究[J]. 内科, 2007, 2(2) :179-181.
42.	喻晓黎. 家庭访视对心脏瓣膜置换术患者生活质量的影响[J]. 齐齐哈尔医学院学报, 2012, 33(24) :3455-3456.
43.	林明环, 石菊香. 心脏瓣膜置换术后健康教育对病人生存质量影响[J]. 右江医学, 2004, 32(6) :631-632.
44.	曹民娟, 彭美娟, 庞彩兰, 等. 心理干预对心脏瓣膜置换术后患者生命质量的影响[J]. 中国心血管病研究, 2012, 10(7) :518-520.
45.	梅赣红, 黄燕, 余娇, 等.延续护理对提高心脏瓣膜置换术后患者生存质量的研究[J]. 护士进修杂志, 2011, 26(18) :1684-1686.

1. 张宝仁, 朱家麟. 人造心脏瓣膜与瓣膜置换术[M]. 2版. 北京:人民卫生出版社, 1999:29-31.
2. Pflederer T, Flachskampf FA. Echocardiographic follow-up after heart valve replacement[J]. Heart, 2010, 96(1) :75-85.
3. "中国人心脏瓣膜置换术后低强度抗凝治疗多中心临床研究"协作组. 关于中国人心脏瓣膜置换术后低强度抗凝治疗多中心临床研究的倡议[J]. 中国胸心血管外科临床杂志, 2010, 17(5) :扉5.
4. 赵玉明. 心脏机械瓣膜置换患者生存质量研究[D]. 衡阳:南华大学, 2008.
5. Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease:a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines[J]. J Am Coll Cardiol, 2006, 48(3) :e1-e148.
6. 王家良.临床流行病学[M]. 3版. 上海:上海科学技术出版社, 2009:361-364.
7. Ferrell BR, Dow KH, Grant M. Measurement of the quality of Life in cancer survivors[J]. Qual Life Res, 1995, 4(6) :523-531.
8. 常晓晓. 社区老年冠心病患者生活质量及影响因素研究[D]. 太原:山西医科大学, 2008.
9. Chunta KS. Expectations, anxiety, depression, and physical health status as predictors of recovery in open-heart surgery patients[J]. J Cardiovasc Nurs, 2009, 24(6) :454-464.
10. Koertke H, Minami K, Boethig D, et al. INR self-management permits lower anticoagulation levels after mechanical heart valve replacement[J]. Circulation, 2003, 108(Suppl 1) :II75-II78.
11. Edmunds LH. Thrombotic and bleeding complications of prosthetic heart valves[J]. Ann Thorac Surg, 1987, 44(4) :430-445.
12. 李永红, 郭兰, 张镜芳, 等. 机械瓣替换术后的抗凝治疗[J]. 中华胸心血管外科杂志, 1994, 10(4) :304-307.
13. 方积乾. 生存质量测定方法及应用[M]. 北京:北京医科大学出版社, 2000.
14. Pupello DF, Bessone LN, Lopez E, et al. Long-term results of the bioprosthesis in elderly patients:impact on quality of life[J]. Ann Thorac Surg, 2001, 71(5 Suppl):S244-S248.
15. Williams MA, Ades PA, Hamm LF, et al. Clinical evidence for a health benefit from cardiac rehabilitation:an update[J]. Am Heart J, 2006, 152(5) :835-841.
16. Moser DK, Dracup K. Psychosocial recovery from a cardiac event: the influence of perceived control[J]. Heart Lung, 1995, 24(4) : 273-280.
17. Davoodi S, Karimi A, Ahmadi SH, et al. Short-and mid-term results of triple-valve surgery with an evaluation of postoperative quality of Life[J]. Tex Heart Inst J, 2009, 36(2) :125-130.
18. Rimington H, Weinman J, Chambers JB. Predicting outcome after valve replacement[J]. Heart, 2010, 96(2) :118-123.
19. Almeida Gde Q, Noblat Lde A, Passos LC, et al. Quality of life analysis of patients in chronic use of oral anticoagulant:an observational study[J]. Health Qual Life Outcomes, 2011, 9:91.
20. Siebenhofer A, Berghold A, Sawicki PT. Systematic review of studies of self-management of oral anticoagulation[J]. Thromb Haemost, 2004, 91(2) :225-232.
21. Körtke H, Körfer R. International normalized ratio selfmanagement after mechanical heart valve replacement:is an early start advantageous?[J]. Ann Thorac Surg, 2001, 72(1) :44-48.
22. Heneghan C, Alonso-Coello P, Garcia-Alamino JM, et al. Selfmonitoring of oral anticoagulation:a systematic review and metaanalysis[J]. Lancet, 2006, 367(958) :404-411.
23. Holahan CJ, Moos RH, Holahan CK, et al. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness[J]. Health Psychol, 1995, 14(2) :152-163.
24. Janz NK, Janevic MR, Dodge JA, et al. Factors influencing quality of Life in older women with heart disease[J]. Med Care, 2001, 39(6) : 588-598.
25. Jenkins CD, Stanton BA, Jono RT. Quantifying and predicting recovery after heart surgery[J]. Psychosom Med, 1994, 56(3) : 203-212.
26. Goyal TM, Idler EL, Krause TJ, et al. Quality of life following cardiac surgery:impact of the severity and course of depressive symptoms[J]. Psychosom Med, 2005, 67(5) :759-765.
27. Nötzold A, Hüppe M, Schmidtke C, et al. Quality of life in aortic valve replacement:pulmonary autografts versus mechanical prostheses[J]. J Am Coll Cardiol, 2001, 37(7) :1963-1966.
28. Baberg HT, Dirlich M, Laczkovics A, et al. Determinants of healthrelated quality of Life after aortic valve replacement in six-month survivors of intervention[J]. J Heart Valve Dis, 2004, 13(6) :914-920.
29. Nishi K, Eishi K, Shibata Y, et al. Influence of prosthetic heart valve sound on a patient's quality of life[J]. Ann Thorac Cardiovasc Surg,2010, 16(6) :410-416.
30. Koertke H, Hoffmann-Koch A, Boethig D, et al. Does the noise of mechanical heart valve prostheses affect quality of life as measured by the SF-36 questionnaire?[J]. Eur J Cardiothorac Surg, 2003, 24(1) : 52-57; discussion 57-58.
31. Corbi IS, Dantas RA, Pelegrino FM, et al. Health related quality of Life of patients undergoing oral anticoagulation therapy[J]. Rev Lat Am Enfermagem, 2011, 19(4) :865-873.
32. Sedrakyan A, Vaccarino V, Paltiel D, et al. Age does not limit quality of life improvement in cardiac valve surgery[J]. J Am Coll Cardiol, 2003, 42(7) :1208-1214.
33. 吕民, 张旭, 赵瑞, 等. 70例重症心脏瓣膜病的瓣置换效果及生存质量[J]. 吉林医学院学报, 1998, 18(2) :47-48.
34. 祁国奇, 朱晓东, 胡盛寿, 等. 心脏机械瓣膜置换手术前后生活质量的对比研究[J]. 中国胸心血管外科杂志, 2004, 20(1) :18-20.
35. 马增山, 董铭峰, 尹纲, 等. 心脏瓣膜置换术后生存质量的多因素分析[J]. 心血管康复医学杂志, 2001, 10(2) :109-111.
36. 吴先球, 王奇, 陈卫国, 等. 风湿性心脏病瓣膜置换术后早期生存质量[J]. 中国临床研究, 2012, 25(11) :1041-1043.
37. 范利芳, 王娅丽, 黄国平. 浅谈瓣膜置换术患者生存质量与社会支持的关系[J]. 基层医学论坛, 2011, 15:485-487.
38. 张巍, 张月娥, 基红云. 心脏瓣膜置换术后自我管理能力对生活质量的影响[J]. 长江大学学报:自然版, 2011, 8(4) :194-195.
39. 王晨, 周敏, 司在霞. 机械瓣膜置换术后患者生活质量及影响因素的调查分析[J]. 解放军护理杂志, 2014, 31(17) :37-39.
40. 华锦嫦, 郑小华, 李伟玲. 家庭护理干预对提高风湿性心脏瓣膜置换术患者生存质量的影响[J]. 护理管理杂志, 2009, 9(2) :18-19.
41. 李敏, 马梁红, 王奇, 等. 家庭护理干预对心脏瓣膜置换术后抗凝治疗影响的研究[J]. 内科, 2007, 2(2) :179-181.
42. 喻晓黎. 家庭访视对心脏瓣膜置换术患者生活质量的影响[J]. 齐齐哈尔医学院学报, 2012, 33(24) :3455-3456.
43. 林明环, 石菊香. 心脏瓣膜置换术后健康教育对病人生存质量影响[J]. 右江医学, 2004, 32(6) :631-632.
44. 曹民娟, 彭美娟, 庞彩兰, 等. 心理干预对心脏瓣膜置换术后患者生命质量的影响[J]. 中国心血管病研究, 2012, 10(7) :518-520.
45. 梅赣红, 黄燕, 余娇, 等.延续护理对提高心脏瓣膜置换术后患者生存质量的研究[J]. 护士进修杂志, 2011, 26(18) :1684-1686.

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West China Medical Journal

心脏瓣膜置换术后患者生存质量研究现状

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