高原地区慢性心力衰竭患者生活质量及其影响因素分析-中国护理管理.PDFVIP

论  著 Research Paper 高原地区慢性心力衰竭患者生活质量及其 影响因素分析 马晓婷 张琳 徐文炳 施雁 [摘 要] 目的：调查高原地区慢性心力衰竭（CHF)患者生活质量现状，并分析其影响因素。方法：2014年11月至 2015年7月，选取西宁地区3所三级甲等医院CHF就诊患者160例作为研究对象，应用患者一般资料问卷、明尼苏达 心力衰竭生活质量量表（MLHFQ)、慢性病患者自我效能量表（CDSMP)进行调查。结果：高原地区CHF患者生活质 量得分为（52.36±21.32)分，回归分析显示：年龄、工作状态、学历、月收入、一年内再住院情况、自理程度、自我效 能是患者生活质量水平的主要影响因素。结论：高原地区CHF患者生活质量有待改进，应根据患者生活质量水平及不同 影响因素特征进行针对性的健康教育。     [关键词]  高原地区；慢性心力衰竭；生活质量；影响因素                    [中图分类号]  R47 [DOI] 10.3969/j.issn.1672-1756.2016.03.012 Influencing factors of quality of life of patients with Chronic Heart Failure in Qinghai-Tibet Plateau / MA Xiaoting, ZHANG Lin, XU Wenbing, SHI Yan // Department of Nursing, Shanghai Tenth Peoples Hospital of Tongji University, Shanghai, 200072 China /// Chinese Nursing Management-2016,16(3): 327-331 [Abstract] Objective: To investigate the quality of life of patients with Chronic Heart Failure in Qinghai-Tibet Plateau and analyze its influencing factors. Methods: A total of 160 patients with chronic heart failure from November, 2014 to July, 2015 were enrolled in 3 tertiary hospitals in Xining area and investigated with patients demographic information, Minnesota Living with Heart Failure Questionnaire (MLHFQ), and Chronic Disease Self-Management Program (CDSMP). Results: The total score of MLHFQ was 52.36±21.32. Patients age, work, educational background, monthly income, readmission within one year, self-care ability and self-efficacy were factors influencing their quality of life. Conclusion: The quality of life of patients was at low and moderate level. Health education should be provided based on patients quality of life and influencing factors. [ ] Keywords