NGHIÊN CỨU THAY ĐỔI CHẤT LƯỢNG SỐNG Ở BỆNH NHÂN ĐẶT MÁY TÁI ĐỒNG BỘ TIM

Abstract

Background: many studies agree that, using appropriate selection criteria, patients are placed on cardiac resynchronization therapy (CRTs) with heart failure to correct cardiac electro-synchronization and cardiac dyssynchrony. Cardiac mechanics will improve cardiac function, prognosis, and quality of life. However, 30% of patients remain unresponsive to CRT as demonstrated by quality of life. Evaluation of the improvement in the quality of life of patients after CRT is an issue that has not received enough attention. Objective: evaluation of the improvement in quality of life in patients with cardiac resynchronization. Methods: all heart failure patients with indications for CRT placement at Cho Ray hospital from 2015 to the end of 2018, were followed up for at least 3 months after implantation. Research design: A prospective, descriptive, comparative, and interventional study Sample size and sample selection Sample size Convenience sampling, at the end of the study, we selected 38 patients. Result: 38 patients with heart failure have indications for cardiac resynchronization with 50% male gender and 36.8% of patients diagnosed with ischemic cardiomyopathy and 63.2% of patients diagnosed dilated cardiomyopathy. The quality of life scale changed after 1, 2, 3 months was 42.5 ± 12.9, respectively; 67.5 ± 2.9; 81.2 ± 7.8 with p < 0.0001. The physical, mental and overall quality of life scores increased gradually after 1 month and 3 months compared to the time after 7 days. Statistically significant relationship. Conclusion: after 3 months of cardiac resynchronization, recorded: 81.6% of patients responded to CRT; the patient's quality of life increased by 38.6 points (according to the SF36 quality of life scale); walking distance in 6 minutes increases by 30 meters.