慢性心力衰竭患者益处发现现状及影响因素分析  

Analysis of the Current Status and Influencing Factors of Benefit Discovery in Patients with Chronic Heart Failure

作　　者：陈颂歌[1] 韩景怡 段好丽 秦庆祝[1] CHEN Songge;HAN Jingyi;DUAN Haoli;QIN Qingzhu(Cardiovascular Syndrome Area I,Henan Provincial People’s Hospital,Zhengzhou 450000,China)

机构地区：[1]河南省人民医院心血管综合一病区,河南郑州450000

出　　处：《河南医学研究》2023年第5期834-837,共4页Henan Medical Research

摘　　要：目的观察慢性心力衰竭(CHF)患者益处发现水平状况,分析CHF患者益处发现的影响因素。方法选取2019年3—10月就诊于河南省人民医院的240例慢性心力衰竭患者,应用一般资料问卷、益处发现量表(BFS)、自我效能量表(GSES)、领悟社会支持量表(PSSS)调查患者一般资料、益处发现、自我效能及领悟社会支持,并分析CHF患者益处发现的影响因素。结果剔除13例患者,本研究最终纳入227例患者;227例CHF患者BFS得分为(50.18±6.57)分,处于中等偏低水平;不同性别、年龄、受教育程度、人均月收入、工作状况、心功能分级、合并症数量CHF患者BFS评分比较,差异有统计学意义(P<0.05);BFS评分与GSES、PSSS评分均呈正相关(P<0.05);多重线性回归分析显示,年龄、受教育程度、领悟社会支持、自我效能是CHF患者益处发现的影响因素(P<0.05)。结论CHF患者益处发现水平有待提升,CHF患者益处发现的影响因素为年龄、受教育程度、领悟社会支持、自我效能。Objective To observe the level of benefit discovery in patients with chronic heart failure(CHF)and analyze the influencing factors of benefit discovery in patients with CHF.Methods A total of 240 patients with CHF who were hospitalized in Henan Provincial People’s Hospital from March to October 2019 were selected.General information questionnaire,benefit finding scale(BFS),general self-efficacy scale(GSES)and perceived social support scale(PSSS)were used to investigate the patients’general information,benefit discovery,self-efficacy and perceived social support,and to analyze the influencing factors of benefit discovery in CHF patients.Results A total of 13 patients were excluded,and 227 patients were finally included for this study.The score of BFS in 227 patients with CHF was(50.18±6.57),which was at the middle low level.The BFS scores of CHF patients with different gender,age,education level,per capita monthly income,work status,cardiac function grade and number of comorbidities were compared,and the differences were statistically significant(P<0.05).BFS score was positively correlated with GSES and PSSS scores(P<0.05).Multiple linear regression analysis showed that age,education level,perceived social support and self-efficacy were the influencing factors of benefit discovery in CHF patients(P<0.05).Conclusion The level of benefit discovery in patients with CHF needs to be improved.The influencing factors of benefit discovery in patients with CHF are age,education level,perceived social support and self-efficacy.

关 键 词：慢性心力衰竭 益处发现 自我效能 社会支持 

分 类 号：R541.6[医药卫生—心血管疾病]