慢性心力衰竭患者死亡焦虑现状及影响因素分析  

Current status and factors associated with death anxiety in patients with chronic heart failure

作　　者：帕孜来提·赛登 张旋 李慧[2] 刘爽 张译友 Pazilaiti Saideng;Zhang Xuan;Li Hui;Liu Shuang;Zhang Yiyou(ICU of Cardiovascular Surgery Center,The First People′s Hospital of Kashgar,Kashgar 844000,China)

机构地区：[1]喀什地区第一人民医院心血管外科中心ICU,新疆喀什844000 [2]喀什地区第一人民医院护理部,新疆喀什844000

出　　处：《护理学杂志》2025年第6期86-90,共5页Journal of Nursing Science

基　　金：新疆维吾尔自治区自然科学基金地州科学基金项目(2022D01F111)。

摘　　要：目的 探讨慢性心力衰竭患者死亡焦虑现状,并分析其影响因素。方法 采用一般资料调查表、死亡焦虑量表、自尊量表、Herth希望指数量表和领悟社会支持量表对301例慢性心力衰竭患者进行调查。结果 慢性心力衰竭患者死亡焦虑总分(7.20±1.87)分,其中高死亡焦虑者62.79%;多元线性回归分析显示:性别、年龄、心功能分级、自尊、希望和领悟社会支持是死亡焦虑的主要影响因素,可预测55.3%的死亡焦虑总变异。结论 慢性心力衰竭患者死亡焦虑水平较高;医护人员应特别关注女性、年轻和心功能分级高的慢性心力衰竭患者,提高患者自尊、希望和领悟社会支持水平,从而降低其死亡焦虑水平。Objective To explore the current status of death anxiety in patients with chronic heart failure(CHF) and to analyze its influencing factors.Methods A total of 301 patients with CHF were investigated using a general information questionnaire,the Death Anxiety Scale,the Self-Esteem Scale,the Herth Hope Index,and the Perceived Social Support Scale.Results The total death anxiety score in patients with CHF was(7.20±1.87) points,and 62.79% of the participants had high level of death anxiety.Multiple linear regression analysis showed that gender,age,heart function classification,self-esteem,hope,and perceived social support were factors influencing death anxiety,which could explain 55.3% of the total variance.Conclusion Patients with CHF report a high level of death anxiety.Medical staff should pay special attention to female,young,and those with poor heart function,and improve patients′ self-esteem,hope,and perceived social support levels,to reduce their death anxiety.

关 键 词：慢性心力衰竭 死亡焦虑 自尊 希望 社会支持 心理护理 生活质量 

分 类 号：R473.5[医药卫生—护理学]