老年慢性心力衰竭患者体质量管理能力现状及影响因素分析  

Current status of weight management ability in elderly patients with chronic heart failure and its influencing factors

作　　者：鄂丽丽[1] 廖萍 王丹[1] 解娟[1] 曹培霞[1] 汪静[1] 卞菊亚 E Li-li;LIAO Ping;WANG Dan;XIE Juan;CAO Pei-xia;WANG Jing;BIAN Ju-ya(Department of Cardiology,Maanshan People's Hospital,Maanshan 243000,Anhui,CHINA)

机构地区：[1]马鞍山市人民医院心血管内科,安徽马鞍山243000

出　　处：《海南医学》2024年第16期2371-2375,共5页Hainan Medical Journal

基　　金：安徽省马鞍山市医疗卫生领域科技计划项目(编号:2019-73-4);皖南医学院教学医院科研专项课题(编号:JXYY202127)。

摘　　要：目的调查老年慢性心力衰竭患者体质量管理能力水平,并分析其影响因素。方法采用方便抽样方法,于2021年4月至2022年8月采用一般资料问卷、慢性病自我效能量表、慢性心力衰竭体质量管理量表对马鞍山市人民医院收治的140例老年慢性心力衰竭患者进行问卷调查,采用Spearman相关性分析体质量管理能力与慢性病自我效能的相关性,采用单因素分析和多元线性回归分析体质量管理能力的影响因素。结果老年慢性心力衰竭患者体质量管理能力得分为14(10,27)分,慢性病自我效能得分为33(26,37)分;Spearman相关性分析结果显示体质量管理能力与慢性病自我效能呈正相关(r=0.691,P<0.01);多元线性回归分析结果显示,家庭对患者健康重视度(β=0.521,P=0.000)、慢性病自我效能(β=0.293,P=0.000)、慢性心力衰竭类型(β=0.169,P=0.005)、病程(β=0.198,P=0.001)是体质量管理能力的独立影响因子,共解释老年慢性心力衰竭患者体质量管理能力总变异的53.8%。结论老年慢性心力衰竭患者的体质量管理水平较低,家庭对患者健康重视度、慢性病自我效能、慢性心力衰竭类型、病程是体质量管理能力的独立影响因子;医护人员应结合影响因素特点针对性地实施体质量管理干预策略,提升患者的生命质量。Objective To investigate the current status of the weight management ability in elderly patients with chronic heart failure(CHF),and to analyze the main factors affecting their ability.Methods A total of 140 elderly CHF patients admitted to Maanshan People's Hospital were selected by convenience sampling method from April 2021 to August 2022 to conduct questionnaire survey,which included general information,chronic disease self-efficacy,weight management ability.Spearman correlation analysis was used to analyze the correlation between weight management ability and chronic disease self-efficacy.Univariate analysis and multiple linear regression were performed to analyze the influencing factors of weight management ability.Results The score of CHF weight management scale was 14(10,27).The score of chronic disease self-efficacy scale was 33(26,37).Spearman correlation analysis showed that the score of chronic disease self-efficacy scale was positively correlated with the score of CHF weight management scale(r=0.691,P<0.01).Multiple linear regression analysis showed that family's attention to elderly patients'health(β=0.521,P=0.000),chronic disease self-efficacy(β=0.293,P=0.000),CHF type(β=0.169,P=0.005),and disease duration(β=0.198,P=0.001)were independent risk factors for the weight management ability,which explained 53.8%of total variation.Conclusion The level of weight management in elderly patients with CHF is low,and family’s attention to elderly patients’health,chronic disease self-efficacy,CHF type,and disease duration are the independent risk factors for the weight management ability.Medical staff should implement targeted weight management intervention strategies based on the characteristics of factors,so as to improve the quality of patient’s life.

关 键 词：老年 慢性心力衰竭 体质量管理 影响因素 

分 类 号：R541.6[医药卫生—心血管疾病]