慢性心力衰竭患者延续护理需求及影响因素研究

doi:10.3761/j.issn.1672-9234.2022.09.013

摘要/Abstract

摘要：

目的调查慢性心力衰竭患者延续护理需求现状并分析其影响因素,为制订针对性的干预措施提供参考。方法以Andersen行为模型为理论框架,应用一般资料调查表、慢性心力衰竭患者延续护理需求问卷、社会支持评定量表、抑郁自评量表、一般自我效能量表对309例慢性心力衰竭患者进行问卷调查。结果慢性心力衰竭患者延续护理需求方式排名最高的是电话随访（60.2%）,需求内容总均分为（3.79±0.75）分,其中心脏康复需求维度得分最高;自我效能、社会支持、左心室射血分数及自评健康状况是慢性心力衰竭患者延续护理需求的影响因素（P<0.05）,共解释慢性心力衰竭患者延续护理需求总变异的59.7%,其中,社会支持是影响慢性心力衰竭患者延续需求的主要因素。结论慢性心力衰竭患者延续护理需求较高,且受多种因素影响,其中社会支持是主要影响因素。医护人员应针对不同需求水平的患者实施针对性的干预措施,促进医疗资源有效使用。

关键词: 心力衰竭, 护理, 卫生服务需求, 延续护理

Abstract:

Objective To investigate the current situation of the continuing nursing needs of patients with chronic heart failure and to analyze the main factors affecting their needs. Methods Taking Andersen's behavior model as the theoretical framework,a total of 309 patients with chronic heart failure were applied with the general information questionnaire,the Chronic Heart Failure Patient's Continuing Care Needs Questionnaire,the Social Support Rating Scale,the Self-Rating Depression Scale and the General Self-Efficacy Scale. Results The highest ranking of the continuing nursing needs in patients with chronic heart failure was telephone follow-up（60.2%）. The total average score of content needs was（3.79±0.75）,and the score of cardiac rehabilitation dimension was the highest. Self-efficacy,social support,left ventricular ejection fraction and self-rated health status were the influencing factors of the continuing nursing needs in patients with chronic heart failure,which explained 59.7% of the total variation. Social support is a major factor influencing out-of-hospital needs of patients with chronic heart failure. Conclusion The continuing nursing needs of patients with chronic heart failure is high,and it is affected by many factors,among which social support is the main influencing factor. Medical staff should implement targeted interventions for patients with different needs level to promote the effective use of medical resources.

Key words: Heart Failure, Nursing Care, Health Services Needs and Demand, Continuing care

申颖,丁雯,王斐,孙爱萍,芦鸿雁. 慢性心力衰竭患者延续护理需求及影响因素研究[J]. 中华护理教育, 2022, 19(9): 837-842.

SHEN Ying,DING Wen,WANG Fei,SUN Aiping,LU Hongyan. Influencing factors of the continuing care needs of patients with chronic heart failure[J]. Chinese Journal of Nursing Education, 2022, 19(9): 837-842.

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