摘要
目的:分析慢性心力衰竭患者自我护理行为的相关影响因素,并提出护理对策.方法:选取2021年4月—2023年3月新乡市中心医院收治的166例慢性心力衰竭患者作为研究对象,使用心力衰竭自我护理指数量表(SCHFI)评估患者的自我护理行为,并根据量表得分情况将其分为自我护理行为不足组51例和自我护理行为充足组115例,收集并比较两组患者的临床资料,分析慢性心力衰竭患者自我护理行为的相关影响因素.结果:自我护理行为不足组患者的文化程度低、美国纽约心脏病学会心功能(NYHA)分级Ⅲ级、住院次数少、焦虑抑郁的占比均高于自我护理行为充足组患者,差异均有统计学意义(x2=7.338、2.895、5.287、8.366,P＜0.05).文化程度低、NYHA分级高、住院次数少、焦虑抑郁是慢性心力衰竭患者自我护理行为的相关影响因素(OR＞1,P＜0.05).结论:文化程度低、NYHA分级高、住院次数少、焦虑抑郁是慢性心力衰竭患者自我护理行为的相关影响因素.
Abstract
Objective:To analyze the relevant influencing factors and nursing strategies of self-care behavior in patients with chronic heart failure,and propose nursing countermeasures.Methods:166 patients with chronic heart failure were selected from the hospital from April 2021 to March 2023,and their self-care behavior was evaluated with Heart Failure Self Care Index(SCHFI).They were divided into two groups based on their scores:51 patients in insufficient self-care behavior group and 115 patients in sufficient self-care behavior group.Data were collected and compared between the two groups to analyze the relevant influencing factors and nursing strategies of self-care behavior in patients with chronic heart failure.Results:The proportion of patients with insufficient self-care behavior in low education level,NYHA grade Ⅲ,less hospitalization times and anxiety and depression were higher than those in sufficient self-care behavior group,with statistically significant difference(x2=7.338,2.895,5.287,8.366;P＜0.05).Low education level,high NYHA grade,less hospitalization times,anxiety and depression were the relevant influencing factors of self-care behavior in patients with chronic heart failure(OR＞1,P＜0.05).Conclusion:Low educational level,high NYHA grading,fewer hospitalizations,anxiety and depression are related influencing factors for self-care behavior in patients with chronic heart failure.
维普
万方数据