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社区慢性心力衰竭患者自我护理维持的影响因素分析

谢樱姿 徐翠荣 陈泳 汤卫红 李秀云 苏小艳 张东芳

护理学报2016,Vol.23Issue(13):6-10,5.
护理学报2016,Vol.23Issue(13):6-10,5.DOI:10.16460/j.issn1008-9969.2016.13.006

社区慢性心力衰竭患者自我护理维持的影响因素分析

InfIuence Factors of SeIf-care Maintenance among Patients with Chronic Heart FaiIure in Community

谢樱姿 1徐翠荣 2陈泳 3汤卫红 3李秀云 4苏小艳 3张东芳1

作者信息

  • 1. 东南大学医学院,江苏 南京 210009
  • 2. 东南大学附属中大医院 护理部,江苏 南京 210009
  • 3. 东南大学附属中大医院 心血管内科,江苏 南京 210009
  • 4. 南京市鼓楼区模范西路社区卫生服务中心,江苏 南京 210009
  • 折叠

摘要

Abstract

Objective To investigate the status of self-care maintenance among patients with chronic heart failure (CHF) in community, and to explore its influence factors. Methods A total of 130 CHF patients in community were recruited and investigated by questionnaires including general information questionnaire, HF self-care scale and hospital anxiety and depression scale. The multivariate stepwise regression was used to analyze the influence factors of CHF patients’ self-care maintenance. ResuIts The score of self-care maintenance among CHF patients was 41.05±12.59. Depression, CHF health education, educational background of the patients and the CHF course entered in regression model(P<0.01) and could explain 33.70% of the variation of self-care maintenance. ConcIusion The self-care maintenance among CHF patients in community is relatively poor. The main factors affecting the selfcare maintenance are depression, CHF health education, educational background and the CHF course. Medical staff should pay more attention to patients with depression, lower educational level and shorter CHF course. In order to improve self-care maintenance level, it’s important to establish a new intervention model of CHF management in community based on hospital-community cooperation and the CHF information management platform.

关键词

慢性心力衰竭/自我护理维持/影响因素/社区

Key words

chronic heart failure/self-care maintenance/influence factors/community

分类

医药卫生

引用本文复制引用

谢樱姿,徐翠荣,陈泳,汤卫红,李秀云,苏小艳,张东芳..社区慢性心力衰竭患者自我护理维持的影响因素分析[J].护理学报,2016,23(13):6-10,5.

基金项目

江苏省“六大人才高峰”课题 ()

护理学报

OACSTPCD

2097-6569

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