心房颤动射频消融术后空白期患者疾病感知现状及影响因素
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女,硕士在读,护师

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Illness perception and associated factors in the blanking period after radiofrequency ablation for atrial fibrillation
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    目的 了解心房颤动射频消融术后空白期患者的疾病感知现状并分析其影响因素,为临床实施针对性干预提供参考。方法 便利选取四川省3所三级医院心血管内科住院的321例心房颤动射频消融术后空白期患者作为研究对象,采用一般资料调查表、简易版疾病感知问卷、疾病获益感量表及慢性病自我效能量表进行调查。结果 心房颤动射频消融术后空白期患者疾病感知总分为(46.17±10.53)分,疾病感知分别与疾病获益感和慢性病自我效能感呈负相关;多元线性回归分析显示,婚姻状况、家庭人均月收入、欧洲心律协会症状分级、心房颤动病程、疾病获益感、慢性病自我效能感为疾病感知的影响因素(均P<0.05)。结论 心房颤动射频消融术后空白期患者的疾病感知有待改善,患者对疾病的认知理解水平不理想。医护人员应了解患者的疾病感知现状,并制订个体化干预方案,以改善患者的负性疾病感知。

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    Objective To understand the current status of illness perception in patients during the blanking period after radiofrequency ablation (RFA) for atrial fibrillation and analyze its influencing factors, and to provide a reference for implementing targeted clinical interventions.Methods A convenience sample of 321 patients in the blanking period after RFA for atrial fibrillation was selected from cardiovascular departments of three tertiary hospitals in Sichuan Province.Data were collected using a demographic questionnaire, the Brief Illness Perception Questionnaire, the Benefit Finding Scale, and the Chronic Disease Self-Efficacy Scale.Results The mean total illness perception score was 46.17±10.53.Illness perception was negatively correlated with benefit finding and with chronic disease self-efficacy (P<0.05 for both).Multiple linear regression identified marital status, per capita monthly household income, European Heart Rhythm Association (EHRA) symptom class, duration of atrial fibrillation, benefit finding, and chronic disease self-efficacy as significant predictors of illness perception (all P<0.05).Conclusion Illness perception in patients during the blanking period after RFA for atrial fibrillation needs improvement, with unsatisfactory cognitive understanding of the disease.Healthcare providers should understand patients′ illness perception status and formulate individualized interventions to improve negative illness perception.

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夏良香,李子慧,罗小琴,曾永珂,郑燕,刘波,郑思琳.心房颤动射频消融术后空白期患者疾病感知现状及影响因素[J].护理学杂志,2025,(23):30-34

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  • 收稿日期:2025-07-23
  • 最后修改日期:2025-09-12
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  • 在线发布日期: 2026-01-14