The Mediating Effect of Self-management on the Discharge Readiness and Quality of Life in Patients with Type B Aortic Dissection

Wenni MA; Wenjuan FENG; Zilin MA; Yongshi FAN; Yi MA; Ying HUANG

doi:10.12259/j.issn.2095-610X.S20240530

Volume 45 Issue 5

May 2024

Turn off MathJax

Article Contents

Article Navigation > Journal of Kunming Medical University > 2024 > 45(5): 195-200

Wenni MA, Wenjuan FENG, Zilin MA, Yongshi FAN, Yi MA, Ying HUANG. The Mediating Effect of Self-management on the Discharge Readiness and Quality of Life in Patients with Type B Aortic Dissection[J]. Journal of Kunming Medical University, 2024, 45(5): 195-200. doi: 10.12259/j.issn.2095-610X.S20240530

Citation:

Wenni MA, Wenjuan FENG, Zilin MA, Yongshi FAN, Yi MA, Ying HUANG. The Mediating Effect of Self-management on the Discharge Readiness and Quality of Life in Patients with Type B Aortic Dissection[J]. Journal of Kunming Medical University, 2024, 45(5): 195-200. doi: 10.12259/j.issn.2095-610X.S20240530

Citation:

Wenni MA, Wenjuan FENG, Zilin MA, Yongshi FAN, Yi MA, Ying HUANG. The Mediating Effect of Self-management on the Discharge Readiness and Quality of Life in Patients with Type B Aortic Dissection[J]. Journal of Kunming Medical University, 2024, 45(5): 195-200. doi: 10.12259/j.issn.2095-610X.S20240530

PDF( 670 KB)

The Mediating Effect of Self-management on the Discharge Readiness and Quality of Life in Patients with Type B Aortic Dissection

doi: 10.12259/j.issn.2095-610X.S20240530

1.
Nursing School of Kunming Medical University，Kunming Yunnan 650500
2.
Dept. of Cardiac Surgery，Yan’an Hospital，Kunming Yunnan 650051
3.
Nursing School of Yunnan University of Traditional Chinese Medicine，Kunming Yunnan 650500
4.
Outpatient Department of Yan’an Hospital，Kunming Yunnan 650051，China

Received Date: 2024-01-21
Available Online: 2024-04-26
Publish Date: 2024-05-31

Abstract

Abstract

Objective To explore the relationship between the self-management, hospital discharge readiness and the quality of life in patients with type B aortic dissection. Methods A total of 143 patients with type B aortic dissection in a tertiary hospital in Kunming were selected by convenient sampling method. General data questionnaire, aortic dissection self-management scale, discharge readiness scale and quality of life scale were used to investigate the patients. Results The scores of discharge readiness, self-management and quality of life of patients with type B aortic dissection were （78.55±6.6）, （117.68±7.39） and （64.53±3.02） respectively. There were correlations among the discharge readiness, self-management and quality of life in patients with type B aortic dissection （P < 0.05）. The direct effect of discharge readiness on the quality of life was 0.528, the indirect effect was 0.237, the total effect was 0.765, and the mediating effect accounted for 30.98% of the total effect. Self-management played a partial mediating role between the discharge readiness and the quality of life. Conclusion There is still room for the improvement in discharge readiness, self-management ability and quality of life in patients with type B aortic dissection. The self-management ability of patients with type B aortic dissection plays a partial mediating role between the discharge readiness and the quality of life. In order to improve the quality of life of patients, the two aspects of discharge readiness and self-management can be improved.
- Aortic dissection,
- Discharge readiness,
- Self-management,
- Quality of life,
- Mediating effect

FullText(HTML)

References(28)

References

[1]	中国医师协会心血管外科分会大血管外科专业委员会. 主动脉夹层诊断与治疗规范中国专家共识[J]. 中华胸心血管外科杂志,2017,33(11):641﹣654
[2]	Sen I,Erben Y M,Franco-Mesa C,et al. Epidemiology of aortic dissection[J]. SeminVasc Surg,2021,34(1):10-17.
[3]	杨光亮,王剑. B型主动脉夹层动脉瘤腔内修复和保守治疗的疗效分析及近中期病死率的系统评价[J]. 浙江创伤外科,2022,27(3):448-450.
[4]	张欢欢,杨玉金,杜春红,等. 主动脉夹层覆膜支架患者术后生活质量和心理韧性的相关性[J]. 中国老年学杂志,2020,40(24):5300-5302.
[5]	赵文婷. 基于健康信念模式的分阶段健康教育在主动脉夹层腔内隔绝患者术后中的应用效果[J]. 国际护理学杂志,2022,41(22):4194-4197.
[6]	王倩,刘峰,王素云. 克罗恩病患者216例生活质量影响因素及其与出院准备度、正念觉知水平的相关性[J]. 中华消化杂志,2022,42(4):259-264. doi: 10.3760/cma.j.cn311367-20210831-00472
[7]	陆信武,蒋米尔. 临床血管外科学[M]. 北京: 科学出版社,2018: 358-377.
[8]	张丽薇. 主动脉夹层患者术后自我管理测评量表的编制及初步应用研究[D]. 福州: 福建医科大学,2021.
[9]	赵浩佐,韩朵兰,高飞,等. 生命质量8条简明量表中文版在糖尿病患者生命质量测量中的应用[J]. 中国慢性病预防与控制,2018,26(5):321-324.
[10]	Lin Y H,Kao C C,Huang A M,et al. Psychometric testing of the Chinese version of the readiness for hospital discharge scale[J]. Hu Li Za Zhi,2014,61(4):56-65.
[11]	王冰花,汪晖,杨纯子,等. 冠心病患者出院准备度现状及其影响因素的研究[J]. 中华护理杂志,2017,52(2):138-143.
[12]	郭万鹏,张倩,栗林. 主动脉夹层术后患者出院准备度现状及其影响因素[J]. 解放军护理杂志,2018,35(20):18-22.
[13]	韩琳,张艳,王江东. 中青年主动脉夹层覆膜支架介入病人出院准备度现状及影响因素分析[J]. 全科护理,2022,20(9):1258-1262.
[14]	朱洁婷,刘雪梅,谢仪佳,等. 主动脉夹层患病早期真实体验的质性研究[J]. 当代护士(中旬刊),2017,25(9):6-8.
[15]	韩琳,兰云霞,刘继伟,等. 中青年主动脉夹层病人的照护需求研究[J]. 全科护理,2023,21(21):3017-3020.
[16]	薄瑾,刘晓红,贾俊婉,等. 信息化视域下炎症性肠病患者自我管理需求的质性研究[J]. 军事护理,2022,39(9):21-24.
[17]	宋亚兰,杜春月,杨丹. Stanford B型主动脉夹层腔内修复术后患者生活质量的影响因素分析[J]. 国际外科学杂志,2020,47(12):797-800.
[18]	Adam U,Habazettl H,Graefe K,et al. Health-related quality of life of patients after surgery for acute type A aortic dissection[J]. Interact Cardiovasc Thorac Surg,2018,27(1):48-53. doi: 10.1093/icvts/ivy036
[19]	马言丽,何微谊,贾千金,等. Stanford B型主动脉夹层患者单分支型主动脉覆膜支架术后生活质量与心理韧性的相关性[J]. 中国医学前沿杂志(电子版),2021,13(10):131-134.
[20]	黄秀霞,傅银珠,陈秀珠,等. 适时干预模式的出院准备服务在冠心病合并心力衰竭住院患者中的应用[J]. 齐鲁护理杂志,2023,29(15):132-135. doi: 10.3969/j.issn.1006-7256.2023.15.040
[21]	李够雄,罗伍春,冯耀光,等. 主动脉夹层患者术后生活质量调查及影响因素分析[J]. 中国当代医药,2019,26(11):171-173,185.
[22]	侯钦茂,冯家烜,张荣杰,等. Stanford B型主动脉夹层腔内介入治疗时机对预后的影响[J]. 介入放射学杂志,2018,27(4):310-313.
[23]	董红粉,秦庆祝. 主动脉夹层患者覆膜支架腔内修复术后生活质量的影响因素分析[J]. 河南外科学杂志,2023,29(5):54-57.
[24]	张玺,孙健勇,党佩佩. 食管癌患者术后生活质量与恐惧疾病进展和自我管理的相关性[J]. 实用临床医药杂志,2023,27(19):71-74,79.
[25]	韩颖,和霞,林梅,等. 对急性心肌梗死PCI术后患者自我管理能力的纵向研究[J]. 中华现代护理杂志,2020,26(9):1213-1217
[26]	赵煜华. 结直肠癌肠造口患者出院准备度干预方案构建及效果评价[D]. 郑州: 郑州大学,2021.
[27]	周宇璇,李三军,金佳俊,等. 基于循证的个性化出院准备服务在慢性心力衰竭患者中的应用[J]. 齐鲁护理杂志,2022,28(1):44-46.
[28]	樊俐君,康凤英,杨丽洁,等. 再入院心肌梗死患者自我管理现状及其影响因素分析[J]. 中华现代护理杂志,2019,25(13):1625-1630.

Relative Articles(20)

Relative Articles

[1]	Rong SU, Ling LIN, Ailing YANG, Mingguo ZHANG, Yunfei LI, Yasha LIANG. Research on Socioeconomic Impact of Self-management in Patients with Chronic Heart Failure. Journal of Kunming Medical University, 2024, 45(9): 76-82. doi: 10.12259/j.issn.2095-610X.S20240912
[2]	Zhenkun YU, Kang LIU, Hua LIN, Beibei WANG, Hongming ZHANG, Jianming XIA. Individualized Numerical Simulation of Blood Flow in Stanford Type A Aortic Dissection. Journal of Kunming Medical University, 2024, 45(6): 100-105. doi: 10.12259/j.issn.2095-610X.S20240613
[3]	Cui WANG, Lu YANG, Dongmei WU, Simin YANG, Qunsong KANG. The Mediating Effect of Hospital Unit Safety Climate between the Nursing Work Environment and Job Satisfaction. Journal of Kunming Medical University, 2024, 45(6): 175-181. doi: 10.12259/j.issn.2095-610X.S20240625
[4]	Yaoyao PEI, Zhangying XU, Wei XIAO, Xiuxian LI, Tingting HU. Mediating Effect of Hope on Self-perceived Burden and Quality of Life in Patients with Recurrent Malignant Tumor. Journal of Kunming Medical University, 2024, 46(): 1-6.
[5]	Tuan LI, Yu’e ZHOU, Wenli ZI. Investigation and Study on the Present Status and Influence Factors of Parents’ Readiness for Discharge of High-risk Neonates. Journal of Kunming Medical University, 2023, 44(9): 183-188. doi: 10.12259/j.issn.2095-610X.S20230904
[6]	Ming JIN, Mei CEN, Lijing ZHAO. Impact of Path-based Symptom Management Education Driven by Multidisciplinary Teams on The Quality of Life of Patients with Chronic Heart Failure. Journal of Kunming Medical University, 2022, 43(11): 185-192. doi: 10.12259/j.issn.2095-610X.S20221125
[7]	Yujuan DU, Huaying CHEN, Xiaofang TIAN, Yuting LI, Jingwen YAO, Mingyue ZHAO, Lifen ZHANG. Status of the Readiness for Hospital Discharge and Its Influencing Factors in Patients with Rheumatoid Arthritis. Journal of Kunming Medical University, 2022, 43(6): 132-139. doi: 10.12259/j.issn.2095-610X.S20220603
[8]	Jiang WU, Yan-yan FEI, Shui-fen DAI, Li YANG, Qian ZHOU, Ling ZHANG, Tao SHI. Effect of Standard Nutrition Intervention on Quality of Life in Patients with Rhinitis after Radiotherapy. Journal of Kunming Medical University, 2021, 42(7): 166-169. doi: 10.12259/j.issn.2095-610X.S20210728
[9]	Hua-ying CHEN, Wei WANG, Bao-ling LIU, Yan BAO, Lei HU. Effect of Standardized Management Model on Improving the Quality of Life of Patients with Ankylosing Spondylitis. Journal of Kunming Medical University, 2021, 42(6): 161-165. doi: 10.12259/j.issn.2095-610X.S20210605
[10]	Mei CEN, Ming JIN. Effect of Optimal Care + Volume Self-management on Quality of Life in Patients with Chronic Heart Failure. Journal of Kunming Medical University, 2021, 42(12): 177-182. doi: 10.12259/j.issn.2095-610X.S20211243
[11]	Zhang Zhong Wei . . Journal of Kunming Medical University, 2020, 41(01): 87-90.
[12]	Zheng Jin Hong . . Journal of Kunming Medical University,
[13]	Chi Xiu Ping . . Journal of Kunming Medical University,
[14]	Lin Zhong Ju . . Journal of Kunming Medical University,
[15]	Fu Zhong Yang . . Journal of Kunming Medical University,
[16]	Dang Yan Yan . . Journal of Kunming Medical University,
[17]	Su Zhen Fang . . Journal of Kunming Medical University,
[18]	Su Zhen Fang . . Journal of Kunming Medical University,
[19]	. . Journal of Kunming Medical University,
[20]	. . Journal of Kunming Medical University,