摘要
目的探讨慢性心力衰竭患者在出院后1个月及3个月时自我护理行为的影响因素。方法采用目的抽样法,选取北京市某心血管病专科医院住院治疗的160例慢性心力衰竭患者为研究对象,调查其护理行为及其影响因素。结果①在出院后1个月时职业状况、收入水平、社会支持、自我概念、抑郁和心力衰竭知识与自我护理行为之间存在相关关系;在出院后3个月时职业状况、收入水平、社会支持、自我概念和心力衰竭知识与自我护理行为之间存在相关关系;②在出院后1个月时影响慢性心力衰竭患者自我护理行为的因素按照影响作用由大到小依次是:社会支持、自我概念、抑郁,对自我护理行为变异的解释度为23.70%;在出院后3个月时,其影响因素按照影响作用由大到小依次是:社会支持、自我概念,对自我护理行为变异的解释度为20.50%。结论对慢性心力衰竭患者应实施针对性的健康教育以提高其自我护理行为。社会支持等影响因素对自我护理行为总变异的解释度较低,建议在此基础上再扩大影响因素的范围,进一步广泛深入开展可干预因素的探讨和研究。
Objective To explore the influence factors of the self-care behaviors of chronic heart failure（CHF） patients at one and three months after discharge. Methods Convenience sampling was used to recruit 160 CHF inpatients who were in a cardiovascular diseases hospital in Beijing. Results The single factor analysis showed that their behaviors were related with occupation, income, social support, self - concept, depression and knowledge about hear failure disease one month after discharge, and related with the same factors except depression three month after discharge. Multiple regression indicated that social support,self-concept and depression were major influential factors and explained 23.70% of the variance in CHF selfcare behaviors at one month after discharge. At three months after discharge, social support and self - concept were major influence factors and explained 20.50% of the variance in CHF self- care behaviors. Conclusion Nurses should implement targeted health education to improve self - care behaviors of CHF patients. Further study is necessary to explore other influence factors of the self - care behaviors.
出处
《护理管理杂志》
2010年第3期164-166,共3页
Journal of Nursing Administration
关键词
慢性心力衰竭
自我护理
影响因素
chronic heart failure
self - care
influence factor
