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