慢性心力衰竭睡眠障碍患者希望水平对生活质量的影响

发布时间：2018-01-26 18:02

本文关键词： 慢性心力衰竭希望水平生活质量睡眠障碍　出处：《广东医学》2017年22期 　论文类型：期刊论文

【摘要】：目的调查慢性心力衰竭(心衰)睡眠障碍患者希望水平和生活质量的现状,并探讨希望水平对生活质量的影响。方法采用匹兹堡睡眠质量指数量表(PSQI)、Herth希望量表(HHI)和明尼苏达心衰生活质量量表(MLWHFQ)对120例慢性心衰睡眠障碍患者进行调查。结果慢性心衰睡眠障碍患者希望水平总分为(33.07±2.91)分,生活质量总分为(55.30±9.85)分;希望水平总分及各维度得分与生活质量总分呈负相关(P0.05);生活质量的影响因素为:婚姻、年龄、并发症数量、希望水平中采取积极行动和与他人保持亲密关系两个维度(F=16.207,R2=0.413,P0.01)。结论慢性心衰睡眠障碍患者希望处于中低等水平,生活质量较差,主要受希望水平因素影响,医护人员应重视患者心理因素的评估,鼓励患者采取积极行动和与他人保持亲密关系来提高患者希望水平,进而提高生活质量。
[Abstract]:Objective to investigate the level of hope and quality of life (QOL) in patients with sleep disorder of chronic heart failure (CHF). Methods the Pittsburgh Sleep quality Index (PSQI) was used to investigate the effect of the level of hope on the quality of life. Herth Hope scale (HHI) and Minnesota Heart failure quality of Life scale (MLWHFQ). 120 patients with chronic heart failure sleep disorder were investigated. Results the total score of hope level in patients with chronic heart failure sleep disorder was 33.07 卤2.91). The total score of quality of life was 55.30 卤9.85). There was a negative correlation between the total score of hope level and each dimension and the total score of quality of life (P 0.05). The influencing factors of quality of life were marriage, age, number of complications, positive action in the level of hope and intimate relationship with others. Conclusion the patients with chronic heart failure sleep disorder hope to be in the low and middle level, the quality of life is poor, mainly affected by the level of hope factors, medical staff should pay attention to the evaluation of patients' psychological factors. Patients are encouraged to take positive actions and maintain close relationships with others to improve their level of hope and thus improve their quality of life.
【作者单位】：南阳医学高等专科学校护理系;南阳医学高等专科学校教务处;
【基金】：2016年南阳市科技攻关项目(编号:KJGG36) 南阳医学高等专科学校校内科学研究基金(编号:2016NYYZ002)
【分类号】：R541.6;R740
【正文快照】： 慢性心力衰竭(简称心衰)是指持续存在的心力衰竭状态,是各种心脏疾病的终末通路,发病率高,病死率高,且易复发,严重影响患者的生活质量[1-2]。研究表明,睡眠障碍是困扰慢性心衰患者的主要症状之一,发生率高达70%[3],应密切关注慢性心衰伴睡眠障碍患者生活质量状况,并探索其生活

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