终末期心力衰竭患者姑息照护需求现状及影响因素分析

Status and influencing factors of palliative care needs in patients with end-stage heart failure

目的探讨终末期心力衰竭患者姑息照护需求现状,并分析其影响因素。方法本研究为横断面研究。采用便利抽样法,选取2019年12月—2020年12月在青岛市某三甲医院心力衰竭治疗中心就诊的83例终末期心力衰竭患者为研究对象。采用一般资料调查表、终末期心力衰竭患者姑息照护需求量表对其进行调查。采用多重线性回归分析进行影响因素分析。本研究共发放问卷83份,回收有效问卷76份,有效回收率为91.57%。结果76例终末期心力衰竭患者姑息照护需求量表总分为(110.87±20.77)分,其中信息需求维度得分最高为(29.61±6.69)分。多重线性回归分析结果显示,血钠浓度、合并症数量、学历是终末期心力衰竭患者姑息照护需求的影响因素(P<0.05),共解释姑息照护需求总变异的30.6%。结论终末期心力衰竭患者对姑息照护需求较高,护理人员应根据患者自身特点为终末期心力衰竭患者提供个性化姑息照护。

Objective To explore the status quo of palliative care needs of patients with end-stage heart failure,and analyze its influencing factors.Methods This study was a cross-sectional study.From December 2019 to December 2020,convenience sampling was used to select 83 patients with end-stage heart failure in a Heart Failure Treatment Center of a ClassⅢGrade A hospital in Qingdao as the research object.The General Information Questionnaire and the Palliative Care Needs Scale for Patients with End-stage Heart Failure were used to investigate the patients.Multiple linear regression was used to analyze the influencing factors.A total of 83 questionnaires were distributed and 76 valid questionnaires were returned with the valid response rate of 91.57%.Results Among 76 patients with end-stage heart failure,the total score of the Palliative Care Needs Scale for Patients with End-stage Heart Failure was(110.87±20.77),of which the information needs dimension score(29.61±6.69)was the highest.The results of multiple linear regression analysis showed that the serum sodium concentration,the number of comorbidities,and the educational background were the influencing factors of the palliative care needs of patients with end-stage heart failure(P<0.05),which explained 30.6%of the total variation of the palliative care needs.Conclusions Patients with end-stage heart failure have a high demand for palliative care.Nursing staff should provide personalized palliative care for patients with end-stage heart failure according to their own characteristics.