慢性心衰患者家庭功能现状及相关影响因素分析  

Analysis of Family Function Status and Related Influencing Factors in Chronic Heart Failure Patients

作　　者：石爽 刘腊梅[1] 孟犁南 黄杰 秦燕[2] SHI Shuang;LIU La-mei;MENG Li-nan;HUANG Jie;QIN Yan(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,Henan Province,China;Heart Failure Area of Cardiovascular Disease Department,Nanyang Central Hospital,Zhengzhou 473005,Henan Province,China)

机构地区：[1]郑州大学护理与健康学院,河南郑州450001 [2]南阳市中心医院心血管内科心衰病区,河南郑州473005

出　　处：《罕少疾病杂志》2024年第9期153-155,共3页Journal of Rare and Uncommon Diseases

基　　金：河南省医学科技攻关计划联合共建项目(LHGJ20191195)。

摘　　要：目的 探究慢性心衰患者家庭功能现状及相关影响因素。方法 选取我院2023年6月-2024年2月收治的符合纳入排除标准的204例慢性心衰患者进行研究。以问卷调查法获取204组家庭一般情况及家庭功能现状,Logistic回归分析慢性心衰患者家庭功能的相关影响因素。结果 204例慢性心衰患者家庭功能评分为(148.56±45.32)分,其中≥180分的患者共计67例,纳入障碍组,<180分的患者共计137例,纳入良好组。家庭功能障碍组与良好组年龄、学历、病程、婚姻情况、退休、NYHA分级、因心衰住院次数、合并症、心理弹性评分、家庭负担评分、社会支持评分比较差异有统计学意义(P<0.05),两组其他指标比较差异不显著(P>0.05)。将慢性心衰患者家庭功能障碍组=1,良好组=0作为因变量,将上述差异显著指标作为自变量,进行Logistic回归分析,结果显示,学历、婚姻情况、退休、因心衰住院次数、合并症、心理弹性评分、家庭负担评分、社会支持评分均是慢性心衰患者家庭功能的影响因素。结论 慢性心衰患者家庭功能较差,学历、婚姻情况、退休、因心衰住院次数、合并症、心理弹性评分、家庭负担评分、社会支持评分是慢性心衰患者家庭功能的影响因素,与家庭功能较差有关,可为临床上该疾病的护理提供方向。Objective To explore the status quo and related influencing factors of family function in patients with chronic heart failure.Methods 204 patients with chronic heart failure who met the inclusion and exclusion criteria in our hospital from June 2023 to February 2024 were selected for study.The general condition and family function status of 204 groups of families were obtained by questionnaire survey,and the related influencing factors of family function in patients with chronic heart failure were analyzed by Logistic regression.Results The family function score of 204 patients with chronic heart failure was(148.56±45.32),of which 67 patients with≥180 scores were included in the disorder group,and 137 patients with<180 scores were included in the good group.There were significant differences in age,education,course of disease,marital status,retirement,NYHA classification,hospitalization times due to heart failure,comorbidities,psychological resilience score,family burden score and social support score between the family dysfunction group and the good group(P<0.05),while there were no significant differences in other indicators between the two groups(P>0.05).Family dysfunction group=1 and good group=0 of patients with chronic heart failure were taken as dependent variables,and the above significant difference indicators were taken as independent variables for Logistic regression analysis.The results showed that,Educational background,marital status,retirement,hospitalization times due to heart failure,comorbidities,mental resilience score,family burden score and social support score were all influencing factors of family function in patients with chronic heart failure.Conclusion The family function of patients with chronic heart failure is poor.Education,marital status,retirement,hospitalization times due to heart failure,comorbidities,mental resilience score,family burden score and social support score are the influencing factors of family function of patients with chronic heart failure,and are related to poor

关 键 词：慢性心衰 家庭功能 影响因素 

分 类 号：R541[医药卫生—心血管疾病]