慢性心力衰竭患者生活质量影响因素分析及干预措施

Influencing Factors and Interventions of Quality of Life in Patients with Chronic Heart Failure

目的:调查慢性心力衰竭(CHF)住院患者生活质量影响因素,并探讨干预措施。方法:采用横断面调查方法对195例CHF患者进行问卷调查,采用健康调查简表(SF-36)评估患者生活质量,采用Zung焦虑自评量表(SAS)和抑郁自评量表(SDS)评价患者心理状态,并记录患者心功能状态指标,统计分析生活质量影响因素。结果:CHF患者生活质量与心功能状态无统计学相关性,与SAS、SDS评分成负相关(P<0.01);多元逐步回归分析显示,焦虑、抑郁是影响CHF患者生活质量的危险因素。结论:焦虑、抑郁是CHF患者生活质量的重要影响因素,通过非药物干预措施改善心理状态可以提高患者生活质量。

Objective:To investigate the factors affecting the quality of life of inpatients with chronic heart failure(CHF)and explore the intervention measures.Methods:A cross-sectional survey was conducted among 195 patients with CHF.SF-36 was used to evaluate the quality of life of the patients,and Zung SAS and SDS were used to evaluate the psychological state of patients.The cardiac function status indicators of the patients were recorded to statistically analyze the factors affecting the quality of life.Results:There was no statistical correlation between the quality of life and cardiac function in CHF patients,and there was a negative correlation between the quality of life and SAS and SDS scores(P<0.01).Multiple stepwise regression analysis showed that anxiety and depression were risk factors affecting the quality of life of patients with CHF.Conclusion:Anxiety and depression are important factors affecting the quality of life of patients with CHF.The quality of life of patients can be improved by improving their mental state through non-drug intervensions.