社区慢性心力衰竭患者自我护理维持的影响因素分析  

Influence Factors of Self-care Maintenance among Patients with Chronic Heart Failure in Community

作　　者：谢樱姿 徐翠荣[2] 陈泳[3] 汤卫红[3] 李秀云 苏小艳[3] 张东芳[1] 

机构地区：[1]东南大学医学院,江苏南京210009 [2]东南大学附属中大医院护理部,江苏南京210009 [3]东南大学附属中大医院心血管内科,江苏南京210009 [4]南京市鼓楼区模范西路社区卫生服务中心,江苏南京210009

出　　处：《护理学报》2016年第13期6-10,共5页Journal of Nursing（China）

基　　金：江苏省"六大人才高峰"课题(2014-WSN-003)

摘　　要：目的了解社区慢性心力衰竭患者自我护理维持的现状,并探讨分析其影响因素。方法采用一般资料调查表、心衰自我护理量表、综合医院焦虑抑郁量表对130例社区慢性心力衰竭患者进行调查,并采用多元逐步回归对其自我护理维持的影响因素进行分析。结果社区慢性心力衰竭患者自我护理维持得分为(41.05±12.59)分,抑郁、心力衰竭健康教育、文化程度和病程进入回归模型(均P<0.01),这4个自变量可以解释自我护理维持水平变异的33.70%。结论社区慢性心力衰竭患者自我护理维持水平偏低;影响其自我护理维持的因素主要是抑郁、心力衰竭健康教育、文化程度和病程;医护人员应特别关注存在抑郁倾向、文化水平低和患病时间短的患者;依托社区卫生服务平台,构建三级医院技术支持的、基于信息管理平台的社区慢性心衰管理干预模式,有助于提升患者的自我护理维持能力。Objective To investigate the status of self-care maintenance among patients with chronic heart failure（CHF） in commu-nity, and to explore its influence factors. Methods A total of 130 CHF patients in community were recruited and investigated by questionnaires including general information questionnaire, HF self-care scale and hospital anxiety and depression scale. The multi-variate stepwise regression was used to analyze the influence factors of CHF patients ＇ self-care maintenance. Results The score of self-care maintenance among CHF patients was 41.05 ±12.59. Depression, CHF health education, educational background of the patients and the CHF course entered in regression model（P〈0.01） and could explain 33.70% of the variation of self-care maintenance.Conclusion The self-care maintenance among CHF patients in community is relatively poor. The main factors affecting the selfcare maintenance are depression, CHF health education, educational background and the CHF course. Medical staff should pay more attention to patients with depression, lower educational level and shorter CHF course. In order to improve self-care maintenance level,it＇s important to establish a new intervention model of CHF management in community based on hospital-community cooperation and the CHF information management platform.

关 键 词：慢性心力衰竭 自我护理维持 影响因素 社区 

分 类 号：R473.2[医药卫生—护理学]