老年慢性心力衰竭患者的自我管理现状及其影响因素研究

发布时间：2018-12-14 13:18

【摘要】：目的调查新疆维吾尔族自治区老年慢性心力衰竭(chronic heart failure,CHF)患者自我管理的现状,并探讨不同人口学特征对CHF患者自我管理的影响。方法应用方便抽样法,选取新疆维吾尔族自治区乌鲁木齐市、喀什市、和田市、昌吉市、石河子市等地区住院的704例老年CHF患者作为研究对象,采用心力衰竭自我管理量表进行调查。结果新疆地区老年CHF患者自我管理总分为(47.6±11.1)分,得分率为59.5%。不同民族、宗教信仰、自理能力、人均月收入等人口学特征患者的自我管理得分比较,差异具有统计学意义(P0.01)。老年CHF患者自我管理的影响因素是宗教信仰、自理能力、心功能分级、人均月收入(P0.05)。结论新疆地区老年CHF患者自我管理水平低,并受宗教信仰、自理能力等因素的影响,护理人员应实施符合患者文化背景的自我管理教育,提高其自我管理水平。
[Abstract]:Objective to investigate the current situation of self-management of elderly patients with chronic heart failure (chronic heart failure,CHF) in Xinjiang Uygur Autonomous region and to explore the effect of different demographic characteristics on self-management of CHF patients. Methods 704 elderly CHF patients hospitalized in Urumqi, Kashi, Hotan, Changji and Shihezi in Xinjiang Uygur Autonomous region were selected as the study objects. Heart failure self-management scale was used to investigate. Results the total score of self management of elderly CHF patients in Xinjiang was (47.6 卤11.1), and the score rate was 59.5%. The scores of self-management in patients with demographic characteristics of different nationalities, religious beliefs, self-care ability and per capita monthly income were statistically significant (P0.01). The influencing factors of self-management in elderly patients with CHF were religious belief, self-care ability, cardiac function grading and per capita monthly income (P0.05). Conclusion the level of self-management of elderly patients with CHF in Xinjiang is low and influenced by religious belief and self-care ability. Nursing staff should carry out self-management education in accordance with the patients' cultural background and improve their self-management level.
【作者单位】：上海市质子重离子医院护理部;新疆生产建设兵团第三师医院护理部;新疆石河子大学医学院第一附属医院心内三科;新疆昌吉职业技术学院护理分院;上海中医药大学附属曙光医院血透室;新疆喀什地区第二人民医院综合ICU;同济大学附属东方医院护理部;
【基金】：国家自然科学基金面上项目(71473178) 上海市卫计委中医药三年行动计划(ZY3-LCPT-2-1003)
【分类号】：R473.5

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