在心力衰竭患者的认知功能,抑郁症状,自我护理信心和维护之间的结构关系
JinShil Kim1, Seon Young Hwang1,2, Sun Hwa Kim3
1College of Nursing, Gachon University, Incheon, South Korea.
SAGE open nursing
|September 11, 2023
概括
保持记忆功能和自我护理信心对于心力衰竭 (HF) 患者来说至关重要,以改善自我护理维护. 定期的记忆检查和有针对性的教育可以增强认知功能和对管理慢性HF的信心.
科学领域:
- 心脏病学 心脏病学
- 神经心理学 神经心理学
- 行为科学 行为科学
背景情况:
- 心力衰竭 (HF) 管理需要有效的自我护理维护行为.
- 了解影响自我护理的认知和心理因素对于改善患者的治疗结果至关重要.
研究的目的:
- 确定认知功能领域,抑郁症,自我护理信心和心力衰竭患者的自我护理维护之间的结构关系.
- 阐明直接和间接途径影响HF患者的自我护理维护行为.
主要方法:
- 韩国三家医院201名心力衰竭患者的数据的二次分析.
- 利用结构方程建模来分析认知功能 (由首尔神经心理查电池评估) 和自我护理 (由HF指数v.6.2的自我护理评估) 之间的关系.
主要成果:
- 保持自我护理是直接和显著地受到记忆功能 (β=.43) 和自我护理信心 (β=.70) 的影响.
- 记忆和全球认知功能通过自我护理信心间接影响自我护理维护 (分别为β=-.37和β=.14).
- 抑郁症状也通过自我照顾的信心间接地影响了自我照顾的维持 (β=-.21).
结论:
- 提高自我护理信心和保持记忆功能对于慢性心力衰竭的长期自我护理维护至关重要.
- 建议对HF患者进行定期的记忆评估和有针对性的干预措施,以改善认知功能和自我护理信心.
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