下肢深静脉血栓导管接触性溶栓术后患者生活质量的影响因素

Influencing factors of quality of life after catheter directed thrombolysis in patients with lower extremity deep venous thrombosis

  • 摘要:
      目的  分析下肢深静脉血栓(DVT)导管接触性溶栓术后患者不同时点生活质量的相关因素。
      方法  对80例下肢DVT行导管接触性溶栓治疗术后患者进行横断面调查,采用一般资料调查表、简明生活质量调查问卷(SF-36)、舒适状况(GCQ)评分量表、社会支持量表、DVT后综合征(PTS)评估量表分别对患者一般资料、舒适状况、社会支持情况、PTS严重程度进行评估,并对患者生活质量情况进行单因素方差分析和多元逐步线性回归分析。
      结果  下肢DVT导管接触性溶栓治疗术后患者出院时、术后1个月、术后3个月生活质量评分逐渐上升,差异有统计学意义(P < 0.05)。多元逐步线性回归分析显示,溶栓时间、尿激酶用量、拔管后GCQ评分是DVT导管接触性溶栓术后患者出院时生活质量的影响因素;溶栓时间、尿激酶用量是下肢DVT导管接触性溶栓术后1个月患者生活质量的影响因素;PTS评分是下肢DVT导管接触性溶栓术后3个月生活质量的影响因素。
      结论  下肢DVT导管接触性溶栓治疗术后患者不同时期的生活质量状况有所不同,医护人员应重视影响患者生活质量的相关因素。

     

    Abstract:
      Objective  To investigate the related factors of patients' quality of life after catheter-directed thrombolysis with deep venous thrombosis catheter in different periods.
      Methods  A total of 80 deep vein thrombosis of the lower extremity (DVT) after catheter contact thrombolysis were selected for cross-sectional survey. Patients' general information questionnaire, 36-item Short-form Health Survey (SF-36), General Comfort Questionnaire (GCQ), Social Support Scale, post-thrombotic syndrome(PTS) were used to analyze the general information, life quality, comfort degree, social support conditions, and severity of PTS. One-way ANOVA and multivariate stepwise linear regression were used to analyze the quality of life.
      Results  The scores of quality of life in patients with lower extremity DVT after catheter directed thrombolysis showed a gradual upward trend at discharge, 1 month and 3 months after discharge(P < 0.05). Multiple stepwise linear regression analysis showed that thrombolytic days, urokinase dosage and GCQ score after extubation were the influencing factors of quality of life of patients at discharge after DVT catheter contact thrombolysis; thrombolytic days and urokinase dosage were influencing factors of quality of life at 1 month after DVT catheter contact thrombolysis, and PTS score was the influencing factor of quality of life at 3 months after DVT catheter contact thrombolysis.
      Conclusion  The quality of life of patients with DVT after contact thrombolytic therapy in lower extremities is different in varied periods. Medical staff should pay attention to the related factors that affect their quality of life.

     

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