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    曹园园, 孙国珍, 刘静, 王洁, 陈宁婕, 黄亚廷, 亢子凤. 慢性心力衰竭病人恐惧疾病进展的现状及影响因素分析[J]. 蚌埠医科大学学报, 2022, 47(12): 1760-1764. DOI: 10.13898/j.cnki.issn.1000-2200.2022.12.032
    引用本文: 曹园园, 孙国珍, 刘静, 王洁, 陈宁婕, 黄亚廷, 亢子凤. 慢性心力衰竭病人恐惧疾病进展的现状及影响因素分析[J]. 蚌埠医科大学学报, 2022, 47(12): 1760-1764. DOI: 10.13898/j.cnki.issn.1000-2200.2022.12.032
    shu
    CAO Yuan-yuan, SUN Guo-zhen, LIU Jing, WANG Jie, CHEN Ning-jie, HUANG Ya-ting, KANG Zi-feng. Status quo and influencing factors of fear of disease progression in patients with chronic heart failure[J]. Journal of Bengbu Medical University, 2022, 47(12): 1760-1764. DOI: 10.13898/j.cnki.issn.1000-2200.2022.12.032
    Citation: CAO Yuan-yuan, SUN Guo-zhen, LIU Jing, WANG Jie, CHEN Ning-jie, HUANG Ya-ting, KANG Zi-feng. Status quo and influencing factors of fear of disease progression in patients with chronic heart failure[J]. Journal of Bengbu Medical University, 2022, 47(12): 1760-1764. DOI: 10.13898/j.cnki.issn.1000-2200.2022.12.032
    shu

    慢性心力衰竭病人恐惧疾病进展的现状及影响因素分析

    Status quo and influencing factors of fear of disease progression in patients with chronic heart failure

      摘要
    • 摘要:
      目的探讨慢性心力衰竭（CHF）病人恐惧疾病进展（fear of disease progression，FoP）现状，并分析其影响因素。
      方法采用便利抽样方法选取198例CHF病人为研究对象，采用一般资料调查表、慢病病人健康素养量表、慢性病自我效能量表、社会支持量表、FoP简化量表（FoP-Q-SF）对其进行调查。
      结果198例病人FoP总分为（31.97±8.96）分，其中得分≥34分的病人88例（占44.44%），存在FoP心理功能失调。不同医疗付费方式、心功能分期、左心室射血分数（LVEF）和病程对病人FoP程度的影响有统计学意义（P < 0.05~P < 0.01）；CHF病人的健康素养得分、自我效能得分均与FoP-Q-SF得分呈负相关关系（P < 0.05和P < 0.01）；多元线性回归分析结果显示，心功能分期越高、LVEF越低和自我效能越低，CHF病人FoP-Q-SF得分越高（P < 0.05~P < 0.01）。
      结论CHF病人FoP心理总体处于中等水平，医务人员应注重加强对病人的心理干预，强化病人自我效能，以降低病人FoP水平。

       

      Abstract:
      ObjectiveTo investigate the status quo of fear of disease progression (FoP) in patients with chronic heart failure (CHF), and further explore the influencing factors of FoP.
      MethodsA total of 198 patients with CHF were enrolled as subjects by convenient sampling.The investigation using self-designed general information questionnaire, health literacy scale of chronic disease, self-efficacy scale of chronic disease, social support rating scale, and fear of progression questionnaire-short form (FoP-Q-SF) was conducted.
      ResultsThe total FoP score of 198 patients was (31.97±8.96), of which 88 patients (44.44%) had FoP psychological dysfunction with scores ≥ 34.The influence of different medical payment methods, cardiac function stages, left ventricular ejection fraction (LVEF) and course of disease on patients' FoP level was statistically significant (P < 0.05 to P < 0.01).The health literacy scores and self-efficacy score of CHF patients were negatively correlated with FoP-Q-SF scores (P < 0.05 and P < 0.01).The results of multiple linear regression analysis showed that the higher the cardiac function stage, the lower the LVEF and the lower the self-efficacy, the higher the FoP-Q-SF score of CHF patients (P < 0.05 to P < 0.01).
      ConclusionsThe FoP psychology of CHF patients is generally in the middle level.Medical staff should pay attention to strengthening psychological intervention and self-efficacy to reduce the FoP level of patients.

       

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