慢性心力衰竭患者希望水平现状及其影响因素  

Current level of hope in patients with chronic heart failure and its influencing factors

作　　者：王真[1] 董艳丽[1] Wang Zhen;Dong Yanli(No.3Department of Cardiology,the First Affiliated Hospital of Harbin Medical University,Harbin 150001,China)

机构地区：[1]哈尔滨医科大学附属第一医院心内三科,哈尔滨150001

出　　处：《中华现代护理杂志》2018年第31期3815-3817,共3页Chinese Journal of Modern Nursing

摘　　要：目的阐述慢性心力衰竭患者希望水平现状,并探讨影响患者希望水平的因素。方法采用便利抽样法,选择2015年10月-2017年9月在哈尔滨某三甲医院心血管内科住院的230例慢性心力衰竭患者作为研究对象,通过患者一般资料问卷、Herth希望量表和自我管理量表评价慢性心力衰竭患者希望水平现状及影响因素。结果慢性心力衰竭患者希望水平得分为(30.15±6.52)分,患者自我管理能力得分为(53.72±11.93)分。患者婚姻状况、心功能分级、病程时间以及患者自我管理水平是患者希望水平的影响因素(P<0.05)。结论慢性心力衰竭患者希望水平处于中等水平。医护人员应根据慢性心力衰竭患者具涔隋况,制定个体化干预措施,进一步提高患者希望水平和生活质量。Objective To illustrate the current level of hope in patients with chronic heart failure and to explore its influencing factors.Methods A total of 230 patients with chronic heart failure hospitalized in a Class Ⅲ Grade hospital in Harbin between October 2015 and September 2017 were selected by convenient sampling.The general information questionnaire,Herth Hope Index (HHI)and the Self-Management Scale were used to evaluate their current level of hope and its influencing factors.Results The patients with chronic heart failure scored (30.15±6.52)and (53.72±11.93)respectively in the level of hope and the selfmanagement ability.The results showed that the patients'marital status,heart functional grading,length of disease course and the self-management ability were the influencing factors to the patients'level of hope (P < 0.05).Conclusions The level of hope in the patients with chronic heart failure was at a medium level.Medical and nursing workers should take individualized intervention measures to further improve the patients'level of hope and quality of life according to their specific situations.

关 键 词：心力衰竭 希望水平 自我管理能力 影响因素 

分 类 号：R541.6[医药卫生—心血管疾病]