The status somatization symptoms and its influencing factors of in patients with heart failure
Objective To study the current situation of somatization symptoms in patients with heart failure and its influencing factors.Methods Using the convenience sampling method,the heart failure hospitalized patients who visited the cardiology ward of the Affiliated Hospital of Jining Medical University from August to October 2023 were se-lected as the study subjects.All patients were assessed with the somatic symptom self-rating scale(SSS).＜36 points indicated no somatic symptoms,and ≥ 36 points indicated somatic symptoms.Patients with somatic symptoms were included in the group with somatic symptoms,and patients without somatic symptoms were included in the group with-out somatic symptoms.The baseline data of patients were collected,and the influencing factors of somatization symp-toms in patients with heart failure were analyzed by binary Logistic regression.Results There were 117(53.42％)patients with somatization symptoms in 219 patients with heart failure.The scores of PHQ-9 and GAD-7 were(7.83±5.07)and(5.58±4.124)respectively.There were significant differences in education level,per capita income,fam-ily relationship,EF value,cardiac function classification,self-care ability classification,application of anti-anxiety drugs,PHQ-9 and GAD-7 between patients with and without somatization symptoms in patients with heart failure(P＜0.05).The results of binary logistics regression analysis showed.Per capita income ≥ 5000 yuan(OR=0.156,95％CI=0.034-0.703,P=0.016),self-care ability without dependence(OR=0.240,95％CI=0.068-0.847,P=0.027)and mild dependence(OR=0.265,95％CI=0.082-0.859,P=0.027),high school education or above(OR=0.280,95％CI=0.127-0.62,P=0.002)were protective factors for somatization symptoms in patients with heart failure(OR＜1,P＜0.05).General family relationship(OR=3.069,95％CI=1.081-8.717,P=0.035),anxi-ety(OR=2.599,95％CI=1.108-6.094,P=0.028)and depression(OR=2.518,95％CI=1.01-6.278,P=0.047)were risk factors for somatization symptoms in patients with heart failure(OR＞1,P＜0.05).Conclusion The inci-dence of somatization symptoms in patients with heart failure is high.Per capita income,self-care ability,education level,family relationship,anxiety and depression are independent influencing factors of somatization symptoms in pa-tients with heart failure.
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