Long-term quality of life in adult extracorporeal membrane oxygenation survivors: A single-center, cross-sectional study

Author:

Zeng Xiaoting1,Yang Fuxun1,Luo Xiaoxiu1,Li Jiajia1,Lan Yunping1,Zeng Fan1,Lei Yu1,Pan Chun1,Liu Rongan1,Huang Xiaobo1

Affiliation:

1. University of Electronic Science and Technology of China

Abstract

Abstract Background: To understand the present situation of long-term quality of life of adult extracorporeal membrane oxygenation (ECMO) survivors, this study aimed to analyze and discuss the influencing factors and provide a reference for standardizing continuous nursing schemes for such patients. Methods: A cross-sectional survey was conducted by objective sampling using the General Information Questionnaire, 36-item short form health survey (SF-36), Barthel Index (BI), post-traumatic self-stress disorder rating scale (PTSD-SS), and Nottingham Health Profile part II (NHP-part II). A total of 106 adult ECMO survivors were included in the study. The quality of life, self-care ability, psychological state, and social adaptability of the patients were evaluated using investigative tools. A two-sample rank sum test or multi-sample Kruskal–Wallis test, Spearman correlation analysis, and multiple linear regression were used for statistical analysis. Results: This study’s results showed that the score of long-term quality of life in adult ECMO survivors was (63.72±20.87) and that of their mental health was (72.69±23.67). Physical health was positively correlated with the BI score (r=0.560, P < 0.01) and negatively correlated with the PTSD-SS (r=-0.58, P < 0.01) and NHP-part II score (r=-0.757, P < 0.01). Mental health was positively correlated with the BI score (r=0.589, P < 0.01) and negatively correlated with the post-traumatic stress disorder self-rating score (r=-0.741, P < 0.01) and NHP-part II score (r=-0.647, P < 0.01). Physical health content, caregiver type, on-the-job status, BI evaluation score, PTSD-SS, and NHP-part II score were independent influencing factors of quality of life (P < 0.05), which explained 82.6 % of the variability. The content dimensions of mental health, working status, residence, BI evaluation score, PTSD-SS, and the NHP-part-II score were independent influencing factors (P < 0.05), which explained 73.9 % of the variation. Conclusion: Surviving adult patients on ECMO have poor long-term quality of life and varying degrees of physical, psychological, and social dysfunction, with especially social functions that are in urgent need of restoration. Long-term quality of life is affected by many factors, including caregiver type, employment status, BI level, PTSD-SS level, NHP-part II level, and place of residence. A professional medical team is needed to establish ECMO professional clinics to provide more comprehensive and accurate care and improve the overall quality of life.

Publisher

Research Square Platform LLC

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