慢性心力衰竭患者自我报告的生理功能现状及影响因素分析

Status and influencing factors of the self-reported physiological function in patients with chronic heart failure

目的探讨慢性心力衰竭患者生理功能现状及影响因素。方法采用便利抽样法,选取2020年1—9月于阜外华中心血管病医院和河南省人民医院就诊的330例慢性心力衰竭患者作为研究对象,采用一般资料调查表、慢性心力衰竭患者自我报告结局量表、心力衰竭患者自我管理量表对其进行横断面调查。结果共发放问卷330份,回收有效问卷315份。慢性心力衰竭患者自我报告的生理功能标准化得分为(54.24±16.56)分。多重线性回归分析结果显示,患者年龄、职业类型、饮酒史、心功能分级、合并症个数、心力衰竭确诊时间和自我管理是慢性心力衰竭患者生理功能的影响因素(P<0.05),共解释总变异的39.6%。结论基于患者报告结局量表的慢性心力衰竭患者生理功能水平较低,临床护理人员应结合患者的人口学和疾病特征给予个性化的干预指导,从而提高患者的生理功能水平,改善患者远期预后。

Objective To explore the current status and influencing factors of the physiological function of patients with chronic heart failure.Methods From January to September 2020,convenience sampling was used to select 330 patients with chronic heart failure in Fuwai Central China Cardiovascular Hospital and Henan Provincial People's Hospital as the research object.The General Information Questionnaire,Patient-Reported Outcomes Instrument for Chronic Heart Failure(CHF-PRO),and Self-Management Scale of Heart Failure Patients were used to conduct a cross-sectional survey.Results A total of 330 questionnaires were distributed and 315 valid questionnaires were returned.The standardized score of self-reported physiological function of patients with chronic heart failure was(54.24±16.56).The results of multiple linear regression analysis showed that the patient's age,occupational type,drinking history,heart function classification,number of complications,heart failure diagnosis time and self-management were the influencing factors of the physiological function of patients with chronic heart failure with a statistical difference(P<0.05),explaining 39.6%of the total variation.Conclusions Patients with chronic heart failure based on the patient-reported outcomes have low levels of physiological function.Clinical nursing staff should give personalized intervention guidance based on the patient's demographic and disease characteristics,so as to improve the patient's physiological function and long-term prognosis.