摘要
目的探讨心力衰竭患者口渴感及其相关因素。方法选取心功能为Ⅱ、Ⅲ、Ⅳ级的心力衰竭患者120例,进行一般资料及口渴感相关因素调查。结果心力衰竭患者口渴感得分为(2.74±1.44)分;88.62%的心力衰竭患者存在口渴感;不同心功能患者的口渴感差异具有统计学意义(P<0.05);未使用利尿剂、仅使用传统利尿剂及使用利钠肽的心力衰竭患者口渴感差异具有统计学意义(P<0.01);24 h平衡量和24 h入量与口渴感程度呈负相关,呼吸困难程度和24 h出量与口渴感程度呈正相关(P<0.01或P<0.05)。结论大多数心力衰竭患者存在口渴感,且口渴程度较明显,其口渴程度随24 h平衡量增加而减少,随呼吸困难程度增加而增加;心功能越差的患者口渴感越明显;使用利尿剂会导致患者的口渴感。
Objective To investigate the level of thirsty and relevant factors of patients with heart failure.Methods Totally,120 patients whose heart functions were in the level Ⅱ,Ⅲ and Ⅳ were recruited.General information and thirsty relevant factors of patients were investigated.Results Thirsty feeling score of heart failure patients was （2.74 ± 1.44）,and 88.62% heart failure patients had thirsty feeling.Thirsty feeling of heart failure patients with different cardiac function were significantly different （P 〈 0.05）.Thirsty feeling of heart failure patients who did not used diuretics,only use the conventional diuretic and use natriuretic peptide （BNP） were statistically difference （P 〈 0.05）.Balance quantity of 24 hours was negatively correlated with thirsty feeling,and degress of breathing difficulty was positively correlated with thirsty feeling （P 〈 0.01 or P 〈 0.05）.Conclusion Most patients with heart failure have obvious thirsty feeling.Thirsty feeling reduces with the increase of 24 hours balance quantity,increases with the increase degree of breathing difficulty.Patients with worse cardiac function have more obvious thirsty feeling.The use of diuretics can arouse thirsty feeling of patients with heart failure.
出处
《护理管理杂志》
2014年第9期635-637,共3页
Journal of Nursing Administration
关键词
心力衰竭
口渴感
出入量
呼吸困难
heart failure
thirsty
input and output
breathing difficulty
