探究限钠饮食执行情况与慢性心力衰竭患者心脏康复的相关性及影响因素  

The correlation and influencing factors between the implementation of dietary sodium restriction questionnaire and cardiac rehabilitation in patients with chronic heart failure

作　　者：崔京爱 马金玲 韩晓丹 张晓岩 CUI Jing-ai;MA Jin-ling;HAN Xiao-dan(Department of Cardiovascular Medicine,Jinqiu Hospital of Liaoning Province,Shenyang 110016,China)

机构地区：[1]辽宁省金秋医院心血管内科五病房,110016 [2]辽宁省金秋医院导管室,110016

出　　处：《中国现代药物应用》2025年第7期36-39,共4页Chinese Journal of Modern Drug Application

摘　　要：目的探究限钠饮食执行情况(DSRQ)与慢性心力衰竭(CHF)患者心脏康复的相关性及影响因素。方法回顾性分析105例慢性心力衰竭患者的临床资料,按照心脏康复情况分为良好组(n=62)以及不良组(n=43)。对比两组患者的DSRQ评分;探讨慢性心力衰竭患者心脏康复情况与DSRQ评分的相关性;对慢性心力衰竭患者DSRQ的影响因素进行单因素及多因素Logistic回归分析。结果良好组的认知、态度和主观规范、知觉行为控制评分以及总分分别为(21.36±3.99)、(10.36±1.33)、(26.58±3.26)、(58.30±4.58)分,均高于不良组的(15.33±2.14)、(8.14±1.25)、(20.14±3.65)、(43.61±4.23)分,差异有统计学意义(P<0.05)。Pearson相关分析显示,慢性心力衰竭患者的心脏康复情况与认知、态度和主观规范、知觉行为控制评分以及总分均呈正相关(r=0.221、0.724、0.854、0.621,P<0.05)。女性患者的DSRQ总分(59.22±4.12)分高于男性的(45.98±3.99)分,受教育程度大专及以上患者的DSRQ总分(56.01±4.64)分高于小学及以下患者的(47.98±4.25)分、初中及高中患者的(53.39±5.01)分,病程≥5年患者的DSRQ总分(54.63±3.77)分高于<5年患者的(50.72±4.62)分,左心室射血分数≥40%患者的DSRQ总分(56.31±3.65)分高于<40%患者的(49.71±4.58)分,有合并症患者的DSRQ总分(55.58±5.01)分高于无合并症患者的(51.03±4.66)分,差异有统计学意义(P<0.05)。Logistic回归分析可见,女性、受教育程度大专及以上、病程≥5年、左心室射血分数≥40%、有合并症是慢性心力衰竭患者DSRQ的保护因素(P<0.05)。结论慢性心力衰竭患者的DSRQ比正常人低;DSRQ评分更高的慢性心力衰竭患者具有相对较高的心脏康复效果;女性、受教育程度大专及以上、病程≥5年、左心室射血分数≥40%、有合并症是慢性心力衰竭患者DSRQ的保护因素。Objective To explore the correlation and influencing factors between the implementation of dietary sodium restriction questionnaire(DSRQ)and cardiac rehabilitation in patients with chronic heart failure(CHF).Methods The clinical data of 105 patients with chronic heart failure were retrospectively analyzed,and the patients were divided into a good group(n=62)and a bad group(n=43)according to their cardiac rehabilitation.The DSRQ scores of the two groups were compared;the correlation between cardiac rehabilitation and DSRQ scores of patients with chronic heart failure was explored;and the influencing factors of DSRQ in patients with chronic heart failure were analyzed by univariate and multivariate Logistic regression.Results The scores of cognition,attitude and subjective norm,perceived behavioral control and total score of the good group were(21.36±3.99),(10.36±1.33),(26.58±3.26)and(58.30±4.58)points,which were higher than(15.33±2.14),(8.14±1.25),(20.14±3.65)and(43.61±4.23)points of the bad group,and the difference was statistically significant(P<0.05).Pearson correlation analysis showed that the cardiac rehabilitation of patients with chronic heart failure was positively correlated with cognition,attitude and subjective norms,perceived behavioral control scores and total scores(r=0.221,0.724,0.854,0.621;P<0.05).The total DSRQ score of female patients was(59.22±4.12)points,which was higher than(45.98±3.99)points of male patients;the total DSRQ score of patients with college education and above was(56.01±4.64)points,which was higher than(47.98±4.25)points of patients with primary school education or below,and(53.39±5.01)points of patients with middle school and high school education;the total DSRQ score of patients with a disease duration of≥5 years was(54.63±3.77)points,which was higher than(50.72±4.62)points of patients with a disease duration of<5 years;the total DSRQ score of patients with left ventricular ejection fraction≥40%was(56.31±3.65)points,which was higher than(49.71±4.58)points o

关 键 词：限制钠饮食执行情况 慢性心力衰竭 心脏康复 相关性 影响因素 

分 类 号：R541.6[医药卫生—心血管疾病]