目的 了解慢性心力衰竭（CHF）患者失志状况并分析其影响因素，为护理人员开展针对性心理干预提供依据。 方法 采用横断面调查方法，于2022年8月至2023年1月，采用便利抽样法，选取郑州大学第一附属医院心血管内科282例CHF患者作为调查对象，使用一般资料调查表、修订版中文失志量表、中文版简易疾病感知问卷（BIPQ）、简易恐惧疾病进展量表（FoP-Q-SF），采用单因素分析及多元线性回归分析CHF患者失志状况与影响因素。 结果 282例CHF患者中男172例，女110例，年龄（62.29 ± 10.05）岁。CHF患者修订版中文失志量表得分为（30.30 ± 10.37）分，处于高水平；BIPQ得分为（42.18 ± 13.94）分；FoP-Q-SF得分为（35.41 ± 7.29）分。多元线性回归分析结果显示，病程、纽约心脏病协会心功能分级、BIPQ得分、FoP-Q-SF得分是CHF患者失志状况的影响因素（t值为3.08~12.50，均P<0.05）。 结论 亟需关注CHF患者的失志现状，结合其病程、疾病分期、疾病感知、疾病进展恐惧状况，制订系统、科学有效的失志干预策略。 Objective To understand the current status and analyze the factors of demoralization of patients with chronic heart failure (CHF), providing references for targeted psychological interventions of nursing staff. Methods Using the cross-sectional survey method, from August 2022 to January 2023, 282 CHF patients who were followed up in the Cardiovascular Department of the First Affiliated Hospital of Zhengzhou University were selected as the study subjects. They were investigated using the General Information Questionnaire, Demoralization Scale Revised Mandarin Version, Brief Illness Perception Questionnaire (BIPQ), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the factors influencing the demoralization of CHF patients were analyzed using univariate analysis and multiple linear regression. Results Among 282 cases, male 172 cases, female 110 cases, aged (62.29±10.05) years old. The Demoralization Scale Revised Mandarin Version′s score of CHF patients was (30.30 ± 10.37) points the score of BIPQ was (42.18 ± 13.94) points the score of FoP-Q-SF was (35.41 ± 7.29)points, which were at high level. The results of multiple linear regression analysis showed that patient disease duration, disease stages, New York heart association cardiac function classification, the score of BIPQ, and the score of FoP-Q-SF were factors influencing the demoralization of CHF patients (t values were 3.08 to 12.50, all P<0.05). Conclusions There is an urgent need to focus on the current status of the demoralization of CHF patients. It is necessary to develop a systematic and effective intervention strategy for demoralization, to take into account patient disease duration, disease stages, illness perception, and fear of progression in a comprehensive manner.
Analysis of the current situation and influencing factors of demoralization of patients with chronic heart failure
Objective To understand the current status and analyze the factors of demoralization of patients with chronic heart failure (CHF), providing references for targeted psychological interventions of nursing staff. Methods Using the cross-sectional survey method, from August 2022 to January 2023, 282 CHF patients who were followed up in the Cardiovascular Department of the First Affiliated Hospital of Zhengzhou University were selected as the study subjects. They were investigated using the General Information Questionnaire, Demoralization Scale Revised Mandarin Version, Brief Illness Perception Questionnaire (BIPQ), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), and the factors influencing the demoralization of CHF patients were analyzed using univariate analysis and multiple linear regression. Results Among 282 cases, male 172 cases, female 110 cases, aged (62.29±10.05) years old. The Demoralization Scale Revised Mandarin Version′s score of CHF patients was (30.30 ± 10.37) points the score of BIPQ was (42.18 ± 13.94) points the score of FoP-Q-SF was (35.41 ± 7.29)points, which were at high level. The results of multiple linear regression analysis showed that patient disease duration, disease stages, New York heart association cardiac function classification, the score of BIPQ, and the score of FoP-Q-SF were factors influencing the demoralization of CHF patients (t values were 3.08 to 12.50, all P<0.05). Conclusions There is an urgent need to focus on the current status of the demoralization of CHF patients. It is necessary to develop a systematic and effective intervention strategy for demoralization, to take into account patient disease duration, disease stages, illness perception, and fear of progression in a comprehensive manner.
Heart failureCross-sectional studiesDemoralizationRoot cause analysisPsychological care
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