摘要
目的探究心内电生理检查及射频消融术前后患者心理状况及生活质量的变化。方法选取2014年2月至2015年12月于海口市人民医院进行诊治的阵发性室上性心动过速患者120例,首次进行心内电生理检查及射频消融术治疗,分别在术前24 h和术后第3天对患者进行症状自评量表(the self-report symptom inven-tory,symptom check list 90,SCL-90)及健康调查简易量表(36-item short form health survey,SF-36)评估,并进行比较分析。结果治疗前SCL-90评分强迫症状、人际关系敏感、敌对、偏执等评分均低于常模,焦虑、恐惧评分高于常模,差异具有统计学意义(P<0.05);治疗后,除躯体化和恐惧评分外,其他评分均低于常模,差异具有统计学意义(P<0.05);治疗前与治疗后比较,除躯体化评分外,其他评分均具差异有明显统计学意义(P<0.05)。治疗后,入组患者精神健康、情感职能、社会功能、活力、总体健康、身体疼痛、生理职能、生理机能等评分均较前升高,生活质量改善,与治疗前比较,差异有统计学意义(P<0.05)。结论心内电生理检查及射频消融术可明显改善患者心理状况及生活质量。
Objectives To explore the change of psychological status and quality of life in patients before and after in?tracardiac electrophysiology examination and radiofrequency ablation.Methods Totally120patients with paroxysmal supraventricular tachycardia were selected in Haikou people′s Hospital for diagnosis and treatment between February2014and December2015.The patients were at the first time to receive intracardiac electrophysiology inspection and ra?diofrequency ablation treatment.Patients were evaluated by the self-report symptom inventory,symptom check list90(SCL-90)and36-item short form health survey(SF-36)24h before operation and3d after operation,and the scores were analyzed and compared.Results Before treatment,in these patients,scores of forced symptoms,interper?sonal sensitivity,hostility and paranoid in SCL-90were lower than those of normal model;scores of anxiety,fear were higher than those of normal model,and the differences were statistically significant(P<0.05).After treatment,except for sores of somatization and fear,the other scores were lower than those of normal model,and the differences were sta?tistically significant(P<0.05).Scores of SCL-90and SF-36before treatment and after treatment had significant differ?ence(P<0.05)except for somatization score.After treatment,the scores of mental health,emotional function,social function,dynamic,overall health,physical pain,physiological function in the patients were higher than those before treatment(P<0.05).Quality of life of the patients was improved and the difference was statistically significant(P<0.05).Conclusions Intracardiac electrophysiological examination and radiofrequency ablation can obviously improvepatient′s psychological status and quality of life.
作者
王柳
杜子军
黄康
WANG Liu;DU Zi-jun;HUANG Kang(Department of Cardiology,Haikou People′s Hospital,Haikou 570208,China)
出处
《岭南心血管病杂志》
2017年第6期734-737,共4页
South China Journal of Cardiovascular Diseases
关键词
心内电生理检查术
射频消融术
心理状况
生活质量
intracardiac electrophysiological examination technique
radiofrequency ablation
psychological conditions
quality of life
