摘要
目的探讨影响心力衰竭（心衰）患者自理行为的因素及其意义。方法以修订的心衰自理行为量表为研究工具对102例心衰患者进行调查分析，采用多元线性回归模型分析影响心衰患者自理行为的因素。结果经济收入、文化程度和病程对心衰自理行为总分均有显著影响，标准化偏回归系数分别为0．353、-0．298和0．278，P〈0．01。对心衰患者自理行为影响最大的因素是经济收入，其次为文化程度，影响最小的是病程。结论对心衰患者应实施针对性健康教育以提高其自理行为能力。应将经济收入低、文化程度低以及病程较短的心衰患者作为健康教育的重点。
Objective In order to know the related factors about self-control ability of patients with heart falilure and the meaning of effective control. Methods Investigated 102 patients with heart failure by revised scale, and then analyzed the data obtained from it by regression analysis. Results Annual income, illiterate education level and course of heart failure had a significant impact on patients＇ self-care behaviour score. Beta was 0.353, -0.298 and 0.278, respectively, t value was 4.004, -3.359 and 3.329 respectively. P 〈 0.01. Conclusion Annual income has the greatest effect on self-care behaviour, the second one is illiterate education level and the minimum is the time since being diagnosed heart failure. Targeted health education should be performed to improve the abilities of self-care behaviours in patients with heart failure. When performing health education, patients with lower annual income, illiterate education level and shorter course of heart failure should be the emphasis.
基金
蚌埠医学院2005年度院级科研基金资助项目（BY0531）
关键词
心力衰竭
自理
健康教育
影响因素
Heart failure
Self-control
Health education
Related factors
