慢性心力衰竭患者生活活动能力与主要照护者照护能力的相关性分析  

Correlation analysis of activities of daily living of patients with chronic heart failure and the care ability of the main caregivers

作　　者：任新生[1] 许碧香 危椠罡[3] 陈水凤 张清花 叶树华 REN Xinsheng;XU Bixiang;WEI Qiangang;CHEN Shuifeng;ZHANG Qinghua;YE Shuhua(Department of Cardiology,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350004,China;Department of Respiratory Medicine,the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350004,China;Department of Nursing,the People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fujian Province,Fuzhou350004,China)

机构地区：[1]福建中医药大学附属人民医院心血管科,福建福州350004 [2]福建中医药大学附属人民医院呼吸科,福建福州350004 [3]福建中医药大学附属人民医院护理部,福建福州350004

出　　处：《中国当代医药》2023年第32期126-130,136,共6页China Modern Medicine

基　　金：福建中医药大学优势学科专项课题资助项目(X2022027-专项)。

摘　　要：目的调查慢性心力衰竭(CHF)患者日常生活活动能力(ADL)与主要照护者照护能力现状,并分析两者的相关性。方法选取2022年4月至2023年4月于福建中医药大学附属人民医院心血管科就诊的140例CHF患者及其主要照护者作为调查对象,采用ADL量表、照护者照护能力测量表(FCTI)调查患者ADL及其家庭照护者的照护能力。结果CHF患者ADL得分为[8.84(1.25,15.00)]分,主要照护者FCTI总分为[14.71(9.00±18.75)]分。患者ADL单因素分析:不同居住地、纽约心脏病协会(NYHA)分级、心力衰竭病程、住院次数比较,差异有统计学意义(P<0.05);主要照护者FCTI单因素分析:患者不同年龄、婚姻情况、心力衰竭病程、NYHA分级、住院次数、ADL是否受损、主要照护者年龄、主要照护者是否工作及照护时间比较,差异有统计学意义(P<0.05)。Spearman相关分析显示,CHF患者ADL与主要照护者FCTI之间呈正相关关系(r=0.238,P<0.001)。结论本研究所选CHF患者生活活动能力和主要照护者照护能力处于中等水平,应关注患者年龄较高、病情较重、ADL受损及仍有工作及照护时间较短的照护者,主动提供帮助和支持,减轻照顾者的照护负担。Objective To investigate the status quo of activities of daily living(ADL)and care ability of main caregivers in patients with chronic heart failure(CHF),and to analyze the correlation between them.Methods A total of 140 CHF patients and their main caregivers who were treated in the Department of Cardiology,People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from April 2022 to April 2023 were selected as the survey objects.The ADL scale and family caregiver task inventory(FCTI)were used to investigate the ADL of patients and the care ability of their family caregivers.Results The ADL score of CHF patients was(8.84[1.25,15.00])points,and the total FCTI score of the main caregivers was(14.71[9.00±18.75])points.Univariate analysis of ADL showed that there were statistically significant differences in different places of residence,New York Heart Association(NYHA)classification,course of heart failure,and number of hospitalizations(P<0.05).FCTI single factor analysis of the main caregivers:there were statistically significant differences in patients'ages,marital status,course of heart failure,NYHA classification,number of hospitalization,whether ADL was impaired,age of the main caregivers,whether the main caregivers worked and care time(P<0.05).Spearman correlation analysis showed that there was a positive correlation between ADL of CHF patients and FCTI of primary caregivers(r=0.238,P<0.001).Conclusion In this study,the living activity ability of CHF patients and the care ability of the main caregivers are at a medium level.Attention should be paid to caregivers who are older,more severely ill,impaired in ADL,still have work and short care time,and take the initiative to provide help and support to reduce the burden of care of caregivers.

关 键 词：慢性心力衰竭 生活活动能力 家庭照护者 照护能力 

分 类 号：R541.6[医药卫生—心血管疾病]