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Influencing factors of patients’ self-perceived burden after heart valve replacement#br# |
TANG Zhongfeng GUAN Yuzhen LU Zhen |
Department of Cardiovascular Surgery, Jiangsu Provincial People’s Hospital, Jiangsu Province, Nanjing 210029, China |
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Abstract Objective To analyze the influencing factors of self perceived burden in patients after heart valve replacement. Methods A total of 100 patients after heart valve replacement (valvular heart disease) treated in Jiangsu Provincial Hospital from January 2018 to January 2021 were selected as the research subjects, the self perceived burden (self perceived burden scale [SPBS] score) of all patients on the 7th day after operation was evaluated, the statistical table of baseline data was designed, the baseline data of patients in the two groups were counted in detail, the SPBS scores of patients with different data characteristics after heart valve replacement were compared, the influencing factors of self perceived burden of patients after heart valve replacement were analyzed. Results On the 7th day after operation, the SPBS score of 100 patients after heart valve replacement was (29.25±5.16) points. There were statistically significant differences in family’s per capita monthly income, New York Heart Association classification, SPBS scores of main caregivers and social support patients in different families (P < 0.05). Multivariate linear regression analysis showed that the family’s per capita monthly income was less than 5000 yuan, NYHA Ⅲ-Ⅳ, the main caregivers were children or others, and low social support were all influential factors for the mild to moderate self-experience burden of patients after heart valve replacement (P < 0.05). The regression equation was as follows: Y = 40.338+2.742X1+6.586X2+6.022X3+2.470X4, where the regression model F = 63.410, R2 = 0.728, after adjustment, R2 = 0.716, P < 0.001. Conclusion Most patients after heart valve replacement have mild to moderate self perceived burden, which may be related to the family’s per capita monthly income, NYHA classification, main caregivers and social support.
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