Abstract:

Objective To investigate the quality of life of patients after fundoplication，and to analyze the influencing factors. Methods The convenience sampling method was used to select 223 patients who were hospitalized in the gastroesophageal reflux disease surgical diagnosis and treatment center of a tertiary hospital in Beijing from March 2021 to December 2022 as the research subjects. General information questionnaire，Quality index，General Hospital Anxiety and Depression Scale，Comprehended Social Support Scale，etc. were employed for investigation. Results A total of 207 valid questionnaires were collected，and the sample loss rate was 7.2%. At 3 months after operation，the physical and psychological quality of life of the patients were significantly improved compared with those before the operation（P<0.05），but were lower than the normative level of the healthy population in China（P<0.05）. Multivariate analysis showed that age，BMI，family per capita monthly income，anxiety，depression，and the number of postoperative complications were the influencing factors of patients’ physical quality of life（P<0.05），and BMI，anxiety，and depression were the influencing factors of patients’ psychological quality of life（P<0.05）. Conclusion 3 months after fundoplication，the quality of life of the patients was significantly improved compared with that before operation，but it did not return to the normal level. Postoperative nursing staff should focus on elderly patients，as well as patients with BMI<18.5，low per capita monthly family income，many postoperative complications，anxiety，and depression. It is recommended to take early intervention measures to promote the early return of patients to society.

Key words: Fundoplication, Gastroesophageal Reflux, Quality of Life, Root Cause Analysis, Nursing Care

摘要：

目的 调查经腹腔镜胃底折叠术后患者的生活质量现状，并分析其影响因素。 方法 采用便利抽样法，选取2021年3月—2022年12月在北京市某三级甲等医院胃食管反流病外科诊疗中心住院治疗的223例患者为调查对象，利用一般资料调查表、健康状况问卷、匹兹堡睡眠质量指数、综合医院焦虑抑郁情绪测量表、领悟社会支持量表等进行调查。 结果 回收有效问卷207份，有效问卷回收率为92.8%。术后3个月时，患者的躯体方面生活质量、心理方面生活质量较术前相比均有明显提高（P<0.05），但低于我国健康人群常模水平（P<0.05）。多元线性回归分析显示，年龄、BMI、家庭人均月收入、焦虑、抑郁、术后并发症个数是患者躯体方面生活质量的影响因素（P<0.05），BMI、焦虑、抑郁是患者心理方面生活质量的影响因素（P<0.05）。 结论 经腹腔镜胃底折叠术后3个月时，患者的生活质量较术前有明显提升，但未恢复至正常水平。术后护理人员应重点关注老年、BMI<18.5、家庭人均月收入低、术后并发症多、焦虑、抑郁的患者，及早采取干预措施，促进患者早日回归社会。

关键词: 胃底折叠术, 胃食管反流, 生活质量, 影响因素分析, 护理