心力衰竭病人疾病认知水平的调查

A survey of cognition of diseases in heart failure patients

[目的 ]了解心力衰竭病人疾病认知水平 ,探讨影响病人对疾病认知水平的因素 ,为深入开展临床护理提供理论依据。 [方法 ]用自行设计的问卷调查表对 82例心力衰竭病人进行疾病诱发因素、临床表现、治疗知识和预防保健知识的问卷调查。 [结果 ]心力衰竭病人对疾病诱发因素、临床表现、治疗知识和预防保健知识正确率分别为 43 .6%、10 .7%、2 5 .0 %和48.5 %。不同文化程度心力衰竭病人在疾病诱发因素、临床表现和治疗知识方面的认知上存在统计学差异(P <0 .0 1) ,不同病程心力衰竭病人在对疾病诱发因素方面的认知上存在统计学差异 (P <0 .0 1)。文化程度高的病人有关疾病知识主要来源于有关书籍 ,文化程度低的病人知识主要来源于医生和护士 ,来源于护士的占3 4.15 % ,排在各种知识来源的首位。[结论 ]对文化程度较高的病人提供有关书籍 ,对文化程度较低的病人以口头交流为主 ,把文化程度低和病程较短的心力衰竭病人作为健康教育的重点对象。

Objective: to know about illness cognition level of p atients with hear t failure, to probe into factors influencing patients' illness cognition level, so as to provide a theoretical foundation for deeply carrying out clinical nursi ng care. Method: a total of 82 patients with cardiac failure were investigated o n remote cause factors, clinical manifestations, knowledge about treatment and p revention of the disease by filling out self-designed questionnaires. Results: e xactitude rate of understanding of remote cause factors, clinical manifestation, knowledge about therapy and prevention of the disease in heart failure patients accounted for 43.6%, 10.7%, 25.0% and 48.5% respectively. There was a significa nt difference in the cognition of remote cause factors, clinical manifestations, and treatment between patients with different levels of education (P <0.01).There was a difference in remote cause factors between patients in different period of cardiac failure(P<0.01). Heart failure patie nts with higher education gained knowledge about the disease mainly from books. While patients with lower education got the knowledge via introduction of doctor s and nurses. 34.15% of knowledge of lower education level patients accepted fro m the explanation of nurses, which ranked the first place of their various infor mation sources. Conclusion: it showed that patients with higher education should be provided relevant books, while patients with lower education could get infor mation of illness by oral communication. One should pay more attention to those with lower education level and with shorter illness courses of heart failure pat ients.