慢性心力衰竭患者生命意义感现状及影响因素分析

Current status and influencing factors of life meaning in patients with chronic heart failure

目的调查慢性心力衰竭(CHF)患者生命意义感现状并分析其影响因素。方法采用便利抽样法选取在心血管内科住院的150例CHF患者作为研究对象,采用一般资料调查表、生命意义感量表、家庭功能指数评分问卷、疾病感知问卷简化版、医院焦虑抑郁量表对患者进行调查。采用多元逐步回归法分析CHF患者生命意义感的影响因素。结果本研究共发放问卷150份,回收有效问卷144份。144例CHF患者的生命意义感总分为(38.35±10.20)分,家庭功能指数总分为(8.16±2.52)分,疾病感知总分为(47.00±9.22)分,焦虑量表评分为(8.32±4.17)分,抑郁量表评分为(8.03±4.85)分。多元逐步回归分析结果显示,疾病感知、家庭功能、焦虑、年龄和家庭月收入是CHF患者生命意义感的影响因素(P<0.05)。结论CHF患者的生命意义感处于较低水平,医务人员需综合评估患者对疾病的感知度、心理状况、家庭照护能力,并制订针对性干预措施,鼓励患者积极参与自我管理,从而改善预后,提升生命意义感。

Objective To investigate the current status of life meaning in patients with chronic heart failure,and analyze its influencing factors.Methods Using the convenient sampling method,150 chronic heart failure patients who were hospitalized in the cardiovascular department were selected as research objects.The patients were investigated by General information questionnaire,Meaning in Life Questionnaire,Family Functioning Index Scoring Questionnaire,Brief Illness Perception Questionnaire,Hospital Anxiety and Depression Scale.Multiple stepwise regression analysis was used to analyze the influencing factors of meaning in life in CHF patients.Results A total of 150 questionnaires were distributed in this study,and a total of 144 valid questionnaires were returned.The total score of meaning of life in CHF patients was(38.35±10.2),the total score of family function index was(8.16±2.52),the total score of disease perception was(47.00±9.22),the score of anxiety scale was(8.32±4.17),and the score of depression scale was(8.03±4.85).Multiple stepwise regression analysis showed that illness perception,family function,anxiety,age and monthly income were influencing factors of life meaning in CHF patients(P<0.05).Conclusion The meaning of life in CHF patients is at a low level.It is necessary to comprehensively evaluate the patient’s perception of the disease,psychological status,family care ability,formulate targeted intervention measures,and encourage patients to actively participate in self-management,thereby improving prognosis and the meaning of life.