急性心力衰竭患者希望水平现状及抑郁影响因素的调查分析

Investigation of the current status of hope level in patients with acute heart failure and analysis the influencing factors of depression

目的调查急性心力衰竭患者希望水平现状,并分析抑郁的影响因素。方法选取2018年9月—2019年11月医院收治的急性心力衰竭患者78例为研究对象,采用医院门诊患者基础资料调查表收集急性心力衰竭患者的一般资料;应用Herth希望量表(HHI)、汉密尔顿抑郁量表(HAMD)分别调查急性心力衰竭患者的希望水平、抑郁状态;采用多元线性回归方程分析急性心力衰竭患者抑郁的影响因素。结果急性心力衰竭患者HAMD评分19.62±3.01分,希望水平总分31.50±4.11分,78例急性心力衰竭患者中,HHI评分处于低等水平患者2例,处于中等水平患者59例,处于高等水平患者17例;单因素分析结果显示,影响急性心力衰竭患者抑郁的因素为年龄、病程、文化程度、家庭总经济收入、医疗费用结算方式、应对方式、社会支持水平及睡眠质量(P<0.05);多元线性回归分析结果显示,文化程度低、自费、应对方式为回避或屈服、社会支持水平低、匹兹堡睡眠质量指数评分≥10分是导致急性心力衰竭患者抑郁的影响因素(P<0.05)。结论急性心力衰竭患者希望水平处于中等水平,且部分伴有抑郁障碍。文化程度、医疗费用结算方式、应对方式、社会支持水平及睡眠质量为导致患者抑郁的独立影响因素,据此给予针对性护理干预,可改善患者抑郁状态,提升其希望水平。

Objective To investigate the current status of hope level in patients with acute heart failure and analysis the influencing factors of depression.Methods To select 78 patients with acute heart failure admitted in the hospital from September 2018 to November 2019 as the study objects.The general data of outpatients in our hospital with acute heart failure were collected by the basic data questionnaire.Taking the herth hope index(HHI)and Hamilton depression scale(HAMD)to investigate the hope level and depression status of acute heart failure patients.Taking the multiple regression format to analyze the influencing factors of acute heart failure patients'depression.Results AHF patients HAMD score was 19.62±3.01 point and a total hope level score was 31.50±4.11 point.Of the 78 acute heart failure patients,2 cases had a low HHI score,and 59 cases had a moderate level(75.64%),high-level was 17 cases;Univariate analysis showed that,education level,medical expense settlement method,coping style,social support level and sleep quality were the infwencing factors depression of patients with acute heart failure(P<0.05).Conclusion The hope level of patients with acute heart failure was in the middle level,and some were accompanied with depressive disorders.The survey found that education level,medical cost settlement method,coping style,social support level and sleep quality are the influencing factors of patients'depression.Therefore,according to the survey results,the targeted nursing plan can signifi cantly improve the patient's depression and increase their hope level.