实用心电与临床诊疗2025，Vol.34Issue(1)：120-126,7.DOI:10.13308/j.issn.2097-5716.2025.01.025
健康生态学视角下慢性心力衰竭患者自我护理现状及影响因素分析
Self-care status and influencing factors in patients with chronic heart failure from perspectives of health ecology
摘要
Abstract
Objective Based on the perspective of health ecology,to analyze the influencing factors of self-care level in patients with chronic heart failure(CHF).Methods A total of 231 patients with CHF were selected from the community health service centers of medical association of Zhongda Hospital Affiliated to Southeast University by convenience sampling method.Health ecology was used as the theoretical framework of influencing factors classification.In terms of personal characteristics,behavior style,interpersonal network,working and living environments,and policy aspects,we used the general information questionnaire,self-care of heart failure index(SCHFI),social support rating scale(SSRS),7-item generalized anxiety disorder scale(GAD-7),and patient health questionnaire-9(PHQ-9)to perform investigation.Univariate analysis and linear regression analysis were used to explore the influencing factors.Results The overall self-care level of patients with CHF was not high,and the average total score of self-care was(46.73±8.29)points.Linear regression analysis showed that LVEF at the level of individual characteristics,anxiety,depression and the number of knowledge acquisition pathways at the level of behavior style,and the level of social support at the interpersonal network level were independent influencing factors for self-care level in patients with CHF(P<0.05),which could explain 64.5%of the variation in self-care level.Conclusion The self-care ability of patients with CHF still needs to be strengthened.Nursing staff should pay attention to the influencing factors of self-care level of CHF patients from the perspective of health ecology,and should give systematic intervention from multi-dimensions and multi-layers,so as to enhance the self-care ability of patients.关键词
健康生态学/慢性心力衰竭/自我护理/影响因素Key words
health ecology/chronic heart failure/self-care/influencing factor分类
医药卫生引用本文复制引用
郝天天,徐翠荣,徐筱璐..健康生态学视角下慢性心力衰竭患者自我护理现状及影响因素分析[J].实用心电与临床诊疗,2025,34(1):120-126,7.基金项目
江苏省重点研发计划(社会发展)项目(BE2019746) （社会发展）
江苏省卫健委医学科研立项重点项目(ZD2022057) （ZD2022057）
