慢性心力衰竭患者及主要照顾者的照护能力现状及影响因素

大理大学学报 ›› 2021, Vol. 6 ›› Issue (4): 71-79.

慢性心力衰竭患者及主要照顾者的照护能力现状及影响因素

张瑜，李利华

（1.大理大学第一附属医院老年病科，云南大理 671000；2.大理州第二人民医院老年科，云南大理 671000）

收稿日期:2020-06-28 修回日期:2020-09-14 出版日期:2021-04-15 发布日期:2021-05-19
通讯作者: 李利华，教授，博士，E-mail：lilihuayncn@163.com。
作者简介:张瑜，住院医师，主要从事心衰流行病学与康复研究。
基金资助:
国家自然科学基金项目（81460084；81660072；81860084）；云南省中青年学术和技术带头人培养项目（2015HB056）；
云南省医学学科带头人培养项目（D-201672）；大理大学高血压防治创新团队项目（ZKPY2019304）；云南省万
人计划青年拔尖人才项目（云人社发〔2018〕73号）

The Current Status and Influencing Factors of the Care Abilities of Patients with Chronic Heart Failure and Their Primary Caregivers

Zhang Yu, Li Lihua

（1. Department of Gerontology, The First Affiliated Hospital of Dali University, Dali, Yunnan 671000, China; 2. Department of
Gerontology, The Second People′s Hospital of Dali Prefecture, Dali, Yunnan 671000, China）

Received:2020-06-28 Revised:2020-09-14 Online:2021-04-15 Published:2021-05-19

摘要/Abstract

摘要： ［摘要］目的：评价慢性心力衰竭患者的自护能力及主要照顾者自护贡献能力，并分析其各自影响因素。方法：以某医院61对
住院慢性心力衰竭患者及其主要照顾者为研究对象，通过访谈和问卷调查收集资料。结果：慢性心力衰竭患者自护能力得分
为（43.5±10.7）分，主要照顾者自护贡献能力得分为（42.9±10.2）分，二者呈显著正相关。慢性心力衰竭患者的心衰知识水平、
住院次数、文化程度、民族是其自护能力的主要影响因素；主要照顾者的心衰知识水平、每天照顾时间、自觉健康状况和患者的
住院次数是自护贡献能力的主要影响因素。结论：慢性心力衰竭患者及主要照顾者的自护能力/自护贡献能力普遍低下，其影
响因素涉及人口学及临床特征。

关键词: ［关键词］慢性心力衰竭, 主要照顾者, 自护, 自护贡献

Abstract: 〔Abstract〕Objective: To evaluate the self-care abilities of patients with chronic heart failure（CHF）and their primary caregivers,
and analyze their respective influencing factors. Methods: A total of 61 inpatients with CHF and their primary caregivers in a hospital
were investigated by interviews and questionnaires. Results: The average score of Self-Care of Heart Failure Index for CHF patients
and their primary caregivers were（43.5±10.7）and（42.9±10.2）, respectively, and there was a significant positive correlation between
their scores. The patient′s levels of heart failure knowledge, admission times, education background and nationality were the primary
factors influencing his self-care ability. The primary caregiver′s level of heart failure knowledge, daily care time and self-awareness of
health condition, and the patient′s admission times were the major factors influencing his contribution to the patient′ self-care ability.
Conclusion: The self-care abilities of CHF patients and their primary caregivers′ contribution to patients′ self-care ability are
generally low, and the influencing factors are related to demographic and clinical characteristics.

Key words: 〔Key words〕chronic heart failure, primary caregivers, self-care, contribution to patients′ self-care abilities

中图分类号:

R541

张瑜, 李利华. 慢性心力衰竭患者及主要照顾者的照护能力现状及影响因素[J]. 大理大学学报, 2021, 6(4): 71-79.

Zhang Yu, Li Lihua. The Current Status and Influencing Factors of the Care Abilities of Patients with Chronic Heart Failure and Their Primary Caregivers[J]. Journal of Dali University, 2021, 6(4): 71-79.

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