慢性心力衰竭患者及主要照顾者的照护能力现状及影响因素

The Current Status and Influencing Factors of the Care Abilities of Patients with Chronic Heart Failure and Their Primary Caregivers

目的:评价慢性心力衰竭患者的自护能力及主要照顾者自护贡献能力,并分析其各自影响因素。方法:以某医院61对住院慢性心力衰竭患者及其主要照顾者为研究对象,通过访谈和问卷调查收集资料。结果:慢性心力衰竭患者自护能力得分为(43.5±10.7)分,主要照顾者自护贡献能力得分为(42.9±10.2)分,二者呈显著正相关。慢性心力衰竭患者的心衰知识水平、住院次数、文化程度、民族是其自护能力的主要影响因素;主要照顾者的心衰知识水平、每天照顾时间、自觉健康状况和患者的住院次数是自护贡献能力的主要影响因素。结论:慢性心力衰竭患者及主要照顾者的自护能力/自护贡献能力普遍低下,其影响因素涉及人口学及临床特征。

Objective:To evaluate the self-care abilities of patients with chronic heart failure(CHF)and their primary caregivers,and analyze their respective influencing factors.Methods:A total of 61 inpatients with CHF and their primary caregivers in a hospital were investigated by interviews and questionnaires.Results:The average score of Self-Care of Heart Failure Index for CHF patients and their primary caregivers were(43.5±10.7)and(42.9±10.2),respectively,and there was a significant positive correlation between their scores.The patient′s levels of heart failure knowledge,admission times,education background and nationality were the primary factors influencing his self-care ability.The primary caregiver′s level of heart failure knowledge,daily care time and self-awareness of health condition,and the patient′s admission times were the major factors influencing his contribution to the patient′self-care ability.Conclusion:The self-care abilities of CHF patients and their primary caregivers′contribution to patients′self-care ability are generally low,and the influencing factors are related to demographic and clinical characteristics.