女性心脏病患者的家庭功能及个体因素的调查分析

Investigation of the Family Functioning and Individual Factors of the Female Patients with Heart Disease

目的:通过了解女性心脏病患者的家庭功能状况,找出影响患者健康的家庭及相关因素,为这一特殊群体制定促进健康措施提供依据。方法:采用便利抽样方法,对2014年4月至10月在我院心内科门诊、住院的女性心脏病患者118例,采用Smilkstein家庭功能评定量表进行问卷调查。结果:女性心脏病患者中家庭功能良好者42例(35.60%),中度障碍者58例(49.15%),重度障碍者18例(15.25%);家庭功能各维度得分排序前3位为:成长度、适应度、合作度;不同个体因素如年龄、文化程度、家庭经济状况、居住地域、患病年限、婚姻状况等因素对家庭功能影响差异均有统计学意义(P<0.01)。结论:女性心脏病患者的家庭功能总体不够健全,与家人感情亲密度较差。年龄小、文化程度高、家庭经济好、居住城镇、病程短、有配偶者家庭功能占优势。

Objective： To study the family functioning in the female patients with heart disease, and to identify the family factors that affect the health of patients, to provide the basis for the development of health promotion measures of this special group. Meth- ods： Convenience sampling method was used. From Apr 2014 to Oct 2014, 118 female patients with heart disease treated in our clin- ic or hospital were assessed by Smilkstein Family Assessment Scale questionnaire. Results： A total of 42 female patients with heart disease （35.60%） with well family functioning, 58 patients （49. 15% ） with moderately impaired family functioning, and 18 patients （15.25%） with severe disabilities. The score of the family functioning were growing degree, fitness degree, degree of cooperation. There were significant differences among the following individual factors of the family functioning, such as age, education level, household economy and living area, sick age, marital status and other factors （P〈0.01）. Conclusion： Overall, the family functio- ning of the female patients with heart disease is not perfect and poor feelings of intimacy with family. The patients with younger age, higher education level, high family economic income, living in town, short course of disease and getting married have better family functioning.