慢性心力衰竭患者厌食症现状及其影响因素  

Current status and influencing factors for anorexia in patients with chronic heart failure

作　　者：李高叶[1] 杨丽[2] 廖婷婷 刘玲芳[1] 甘露[1] LI Gaoye;YANG Li;LIAO Tingting;LIU Lingfang;GAN Lu(Department of Cardiovascular Medicine,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China;Department of Nursing,the First Affiliated Hospital of Guangxi Medical University,Nanning 530021,Guangxi,China)

机构地区：[1]广西医科大学第一附属医院心血管内科,广西南宁市530021 [2]广西医科大学第一附属医院护理部,广西南宁市530021

出　　处：《广西医学》2024年第6期839-846,共8页Guangxi Medical Journal

基　　金：广西医疗卫生适宜技术研究与开发课题(S2021110)。

摘　　要：目的调查慢性心力衰竭患者厌食症现状及其影响因素。方法采用便利抽样法,选取160例慢性心力衰竭患者,使用临床资料调查问卷、中文版厌食症恶病质治疗功能性评估‑厌食恶病质分量表、匹兹堡睡眠质量指数(PSQI)量表、医院焦虑抑郁量表对其进行调查,采用多因素Logistic回归模型分析影响慢性心力衰竭患者厌食症发生的因素。结果160例慢性心力衰竭患者中,厌食症发生率为50.63%(81/160)。多因素Logistic回归分析结果显示,家庭人均月收入、美国纽约心脏病学会(NYHA)心功能分级、合并消化系统疾病情况、红细胞计数、血钾水平、PSQI量表总分是慢性心力衰竭患者发生厌食症的影响因素(P<0.05)。结论慢性心力衰竭患者厌食症发生率较高,家庭人均月收入、NYHA心功能分级、合并消化系统疾病情况、红细胞计数、血钾水平、睡眠质量是慢性心力衰竭患者发生厌食症的影响因素。Objective To investigate the current status of anorexia in patients with chronic heart failure and its influencing factors.Methods A total of 160 patients with chronic heart failure were selected by using the convenience sampling method.The clinical data inventory,Functional Assessment of Anorexia/Cachexia Therapy‑Anorexia Cachexia Subscale in Chinese version,Pittsburgh Sleep Quality Index(PSQI)scale,Hospital Anxiety and Depression Scale were used to perform investigation on them.The multivariate Logistic regression model was used to analyze the factors for affecting the occurrence of anorexia in patients with chronic heart failure.Results The incidence rate of anorexia among 160 patients with chronic heart failure was 50.63%(81/160).The results of multivariate Logistic regression analysis revealed that household per capita monthly income,cardiac function classification of New York Heart Association(NYHA),states of concomitant digestive system diseases,red blood cell counts,blood potassium level,and total score of PSQI scale were the influencing factors for the occurrence of anorexia in patients with chronic heart failure(P<0.05).Conclusion The incidence rate of anorexia is relatively high in patients with chronic heart failure,household per capita monthly income,NYHA cardiac function classification,states of concomitant digestive system diseases,red blood cell counts,blood potassium level,and sleep quality are the influencing factors for patients with chronic heart failure suffering from anorexia.

关 键 词：慢性心力衰竭 厌食症 影响因素 

分 类 号：R541[医药卫生—心血管疾病] R473.5[医药卫生—内科学]