慢性心力衰竭病人主要照顾者自我护理贡献现状及影响因素研究

周静; 王宇; 何梦雨; 祁明昊; 谢影; 王冬梅; 黄宇理; 王峰; 陈振月

doi:10.13898/j.cnki.issn.1000-2200.2024.07.018

慢性心力衰竭病人主要照顾者自我护理贡献现状及影响因素研究

Study on the curent status of self-care contribution of primary caregivers of patients with chronic heart failure and its influencing factors

摘要

摘要:
目的调查慢性心力衰竭病人主要照顾者自我护理贡献现状，并分析其影响因素。
方法便利选取蚌埠市某三甲医院心内科慢性心力衰竭住院病人188例及其主要照顾者，采用一般资料调查表和心力衰竭病人照顾者自我护理贡献量表进行问卷调查。
结果慢性心力衰竭病人主要照顾者自我护理贡献得分为(23.21±4.94)分，其中医疗问题相关自我护理的贡献得分(15.10±2.98)分，生活方式相关自我护理的贡献得分(8.12±2.90)分。多元线性回归分析显示，病人自理能力、照顾者家庭居住地、身体状况、每日照顾时间、有无共同分担者、需要照顾病人数均为照顾者自我护理贡献的影响因素(P < 0.05~P < 0.01)。
结论慢性心力衰竭病人主要照顾者的自我护理贡献水平相对较低，医护人员应根据影响因素制定针对性干预措施，以提高照顾者的自我护理贡献水平，从而改善病人的生活质量。

Abstract:
Objective To investigate the current status of self-care contribution of primary caregivers of patients with chronic heart failure, and analyze its influencing factors.
Methods A total of 188 inpatients with chronic heart failure and their primary caregivers were selected from the department of cardiology of a top three hospital in Bengbu City. The General data questionnaire and self-care contribution scale of heart failure patients′ caregivers were used for questionnaire investigation.
Results The total self-care contribution score of rimary caregivers of patients with chronic heart failure was (23.21±4.94), the contribution score for medical problem-related self-care was (15.10±2.98), and the contribution score for lifestyle-related self-care was (8.12±2.90). The results of multiple linear regression analysis showed that the caregiver′s family residence, physical condition, average daily caregiving time, presence of co-sharers and number of patients requiring care were the influencing factors of caregiver′s self-care contribution(P < 0.05 to P < 0.05).
Conclusions The level of self-care contribution of primary caregivers of patients with chronic heart failure is low. According to the influencing factors, healthcare professionals should develop targeted interventions to improve the level of self-care contribution of caregivers, so as to improve the quality of life of patients.

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