心力衰竭患者口渴困扰现状及影响因素研究  

Thirst in patients with heart failure and its influencing factors

作　　者：孙冠群 朱莎[1] 刘国杰[1] Sun Guanqun;Zhu Sha;Liu Guojie(Department of Cardiology,The Second Affiliated Hospital of Harbin Medical University,Harbin 150086,China)

机构地区：[1]哈尔滨医科大学附属第二医院心内科,黑龙江哈尔滨150086

出　　处：《护理学杂志》2020年第16期25-28,共4页Journal of Nursing Science

基　　金：黑龙江省卫生计生委科研项目(2018436)。

摘　　要：目的调查心力衰竭患者口渴困扰现状,分析其影响因素。方法对289例心力衰竭住院患者应用一般资料问卷、口渴困扰量表、限钠饮食态度行为问卷进行调查分析。结果心力衰竭患者口渴困扰得分为(29.49±5.60)分;限钠饮食态度行为得分为(56.34±11.83)分;患者限钠饮食态度行为总分及各维度评分与口渴困扰评分呈负相关(均P<0.01);心功能分级、卧床与否及限钠饮食态度行为是口渴困扰的主要影响因素(均P<0.01)。结论心力衰竭患者口渴困扰状况较严重,心功能差、卧床及限钠饮食态度行为不佳可加重患者口渴困扰程度,应实施针对性护理干预,改善患者口渴困扰状况。Objective To investigate the status of thirst in patients with heart failure and analyze its influencing factors.Methods A convenient sampling method was used to select 289 patients hospitalized for heart failure to fill out the general information questionnaire,the Thirst Distress Scale,and the Sodium-restricted Diet Questionnaire.Results The score of thirst distress in patients with heart failure was(29.49±5.60);the score of sodium-restricted diet attitude and behavior was(56.34±11.83).The total score of sodium-restricted diet attitude and behavior and the scores of all dimensions were negatively correlated with the score of thirst distress(P<0.01 for all).Multiple linear regression results showed that cardiac function classification,bed confinement and sodium-restricted diet attitude and behavior were the main influencing factors of thirst distress in patients with heart failure(P<0.01 for all).Conclusion The overall condition of thirst distress in patients with heart failure is serious.Patients with a poorer cardiac function,confined to bed rest,and having poor sodium-restricted diet attitude and behavior report heavier thirst distress levels.Nursing staff should provide patients with targeted nursing measures,in a bid to alleviate thirst distress levels.

关 键 词：心力衰竭 口渴 口渴困扰 限盐饮食 心功能 液体潴留 护理 

分 类 号：R473.5[医药卫生—护理学]