房颤患者参与健康照护的意愿、现状及影响因素

Willingness,current situation and influencing factors of patients with atrial fibrillation participating in health care

目的:探讨房颤患者参与健康照护的意愿、现状及影响因素。方法:选择2017年4月~2019年3月华中科技大学同济医学院附属协和医院收治的220例房颤患者,根据是否愿意接受健康照护分为研究组(愿意接受,153例)和对照组(不愿意接受,67例),收集所有患者一般资料,对患者参与健康照护的意愿和现状进行分析,并采用单因素和多因素Logistic回归分析房颤患者接受健康照护的影响因素。结果:与对照组比较,研究组患者健康照护需求评分、合并慢性病比例、自理能力差(需依赖他人)比例均显著增加,月收入<3000元比例显著减少(P均<0.01)。多因素Logistic回归分析发现,自理能力差(需依赖他人)及合并慢性疾病对房颤患者参与健康照护有正向影响(OR=2.431、2.558,P均<0.05),月收入<3000元对房颤患者参与健康照护有负向影响(OR=0.246,P=0.033)。结论:房颤患者参与健康照护的意愿较高,对健康照护的需求多样化,需结合本地区情况实施多方位和多途径的健康照护,以便提高房颤患者预后生活质量。

Objective:To investigate willingness,current situation and influencing factors of patients with atrial fibrillation(AF)participating in health care.Methods:A total of 220 AF patients treated in Union Hospital Tongji Medical College Huazhong University of Science and Technology between April 2017 and March 2019 were selected.According to willing to accept health care or not,they were divided into study group(willing to accept,n=153)and control group(not willing to accept,n=67).General data of all patients were collected,then the willingness and current situation of patients participating in health care were analyzed.Univariate and multivariate Logistic regression were used to analyze influencing factors of accepting health care in AF patients.Results:Compared with control group,patients in study group had significant higher health care request scores,proportions of complicated chronic diseases and poor self-care ability(depend on others),and significant lower proportion of monthly income<3000 RMB(P<0.01 all).Multivariate Logistic regression analysis indicated that poor self-care ability(depend on others)and complicated chronic diseases possessed positive impact on AF patients participating health care(OR=2.431,2.558,P<0.05 both),while monthly income<3000 RMB had negative impact on it(OR=0.246,P=0.033).Conclusion:The patients with atrial fibrillation have a high willingness to participate in health care,and they have diversified demands for health care.Multi-directional and multi-channel health care should be performed in combination with the local conditions in order to improve the prognosis and quality of life of these patients.