影响心力衰竭患者自我护理的因素:一个横截面研究
Widaryati Widaryati1, Dwi Prihatiningsih1, Wawan Febri Ramdani1
1Department of Nursing, Faculty of Health Sciences, Universitas Aisyiyah, Yogyakarta, Indonesia.
Journal of basic and clinical physiology and pharmacology
|February 27, 2025
概括
心力衰竭患者的自我护理行为受到教育,婚姻状况,职业,NYHA类和年龄的显著影响. 针对这些因素的干预措施可以改善患者的自我护理,并减少再入院.
科学领域:
- 心血管疾病研究研究
- 患者自我护理行为研究 患者自我护理行为研究
- 慢性疾病管理 慢性疾病管理
背景情况:
- 心力衰竭是全球和印度尼西亚普遍存在的心血管疾病,其特点是高死亡率和显著的长期患者影响.
- 糟糕的自我护理行为导致高复发率,再住院和心力衰竭患者的生活质量下降,这是由于其慢性和渐进性质.
- 有效管理心力衰竭需要深入了解影响患者自我护理的因素.
研究的目的:
- 分析影响心力衰竭诊断患者自我护理维护的关键因素.
- 在这个患者群体中确定与自我护理行为相关的人口和临床变量.
主要方法:
- 在2020年8月至10月期间,对100名心力衰竭患者进行了一项横截面研究.
- 用心力衰竭自我护理指数 (SCHFI) 调查问卷来评估自我护理水平.
- 使用奇平方统计测试来确定各种因素与自我护理之间的关系.
主要成果:
- 在自我护理维护和教育 (p=0.00),婚姻状况 (p=0.005),职业 (p=0.00),NYHA类 (p=0.00) 和患者年龄 (p=0.01) 之间发现了显著的关联.
- 在自我护理维护和性别 (p=0.30),并发症 (p=0.21) 或心力衰竭持续时间 (p=0.11) 之间没有观察到显著的关系.
结论:
- 教育,婚姻状况,职业,NYHA班级和年龄是心力衰竭患者自我护理的重要决定因素.
- 在这项研究中,性别,并发症和疾病持续时间对自我护理维持没有显著影响.
- 针对特定影响因素的有针对性的干预措施对于提高自我护理和降低心力衰竭再住院率至关重要.
相关概念视频
Pathophysiology of Heart Failure
1.4K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.4K
Assessment of the Cardiovascular System I: Subjective Data
258
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
258
Factors affecting Blood pressure
2.9K
Several physiological and lifestyle factors influence blood pressure (BP). Understanding these factors is crucial as they are significant in patient education and blood pressure management.
Physiological Factors:
Physiological Factors:
2.9K
Lifestyle Factors and Health
31
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
31
Stress Prevention and Stress Management Techniques I
32
Stress prevention and management are crucial for maintaining well-being and building resilience. Techniques to manage stress include cultivating qualities like conscientiousness, a sense of personal control, and self-efficacy. Each of these traits significantly reduces stress and promotes healthier lifestyle choices and outcomes.
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
Conscientiousness
Conscientious individuals tend to be organized, responsible, and disciplined. They prioritize completing tasks and following structured routines,...
32
Factors Affecting Illness
4.1K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.1K


