老年心力衰竭病人症状感知现状及影响因素分析

Status and influencing factors of symptom perception in elderly patients with heart failure

目的了解老年心力衰竭(心衰)病人症状感知现状,并分析症状感知的影响因素。方法通过便利抽样选取2021年6月至2022年6月我院心血管内科就诊的468例老年心衰病人为研究对象。病人入院72 h内于心血管内科病房收集相关资料,采用多元线性回归分析老年心衰病人症状感知的独立影响因素。结果468例老年心衰病人平均年龄为(73.70±8.04)岁,症状感知总分为(43.11±8.69)分。文化程度、配偶、NYHA心功能分级、心脏起搏器、合并疾病个数、社会支持、健康素养、抑郁是老年心衰病人症状感知的独立影响因素。结论老年心衰病人症状感知水平处于中等水平,影响因素较多。医务人员要重视病人的症状感知情况,可以从人口学因素、疾病因素、环境因素等方面为病人制定个性化的干预措施。

Objective To investigate the status of symptom perception in the elderly patients with heart failure,and to analyze the influencing factors of symptom perception.Methods A total of 468 elderly patients with heart failure were selected by convenience sampling from June 2021 to June 2022 in the cardiovascular department of our hospital.The clinical data within 72 hours of admission were collected.Multiple linear regression was used to analyze the independent influencing factors of symptom perception in the elderly patients with heart failure.Results The average age of 468 elderly patients with heart failure was 73.70±8.04 years,and the total symptom perception score was 43.11±8.69.Educational level,spouse,NYHA cardiac function grade,pacemaker,number of concurrent diseases,social support,health literacy and depression were the independent influencing factors of symptom perception in the elderly patients with heart failure.Conclusions The symptom perception level of the elderly patients with heart failure is at a moderate level,and it will be influenced by many factors.Medical staff should pay more attention to the symptom perception of the patients,and formulate personalized intervention measures from the aspects of demographic factors,disease factors and environmental factors.