成年人心力衰竭的情感症状,认知功能和自我护理行为根据射出分数表型
Maria Jędrzejczyk1, Christopher S Lee2, Quin E Denfeld3
1Division of Research Methodology, Department of Nursing, Faculty of Nursing and Midwifery, Wroclaw Medical University, 51-618 Wroclaw, Poland.
European journal of cardiovascular nursing
|June 16, 2025
概括
这项研究发现,虽然认知功能和自我护理行为在心力衰竭 (HF) 类型之间有所不同,但在调整后,这些差异并不显著. 干预措施应侧重于整体的认知和情绪健康,而不仅仅是HF表型.
科学领域:
- 心脏病学 心脏病学
- 老年病的医生 老年病的医生
- 神经心理学 神经心理学
背景情况:
- 心力衰竭 (HF) 是一种影响老年人的复杂综合征.
- 肝炎呈现多种表型,包括肝炎降低 (HFrEF),轻度降低 (HFmrEF) 和保存喷射分数 (HFpEF).
- 认知功能障碍和情感症状是HF常见的并发症,可能会影响自我护理.
研究的目的:
- 为了比较不同HF表型 (HFrEF,HFmrEF,HFpEF) 的情绪症状,认知功能障碍和自我照顾行为.
- 研究HF患者的认知,情感和自我护理因素之间的相互关系.
- 根据HF表型,确定认知和情感因素是否会对自我护理实践产生不同的影响.
主要方法:
- 一项对250名因急性不补偿性HF住院的老年人进行横截面研究.
- 参与者根据左心室喷射率被分为HFrEF,HFmrEF和HFpEF组.
- 评估了情感症状 (HADS,PHQ-9),认知功能 (MoCA,MMSE) 和自我护理行为 (欧洲心力衰竭自我护理行为量表).
主要成果:
- 与HFrEF和HFmrEF组相比,HFpEF患者的认知功能障碍更明显 (p = 0.008).
- 更好的认知功能 (更高的MMSE得分) 与HFpEF患者的自我护理行为改善有关 (斯皮尔曼的r = -0.299,p = 0.003).
- 在特定的自我护理行为,如联系医疗保健提供者和饮食遵守方面,注意到了显著的差异.
结论:
- 在对共变量进行调整后,在HF表型中观察到的认知功能和自我护理行为的变化在统计学上并不显著.
- 为HF患者量身定制的干预措施应优先考虑认知和情绪健康的全面评估.
- 干预策略不应该仅仅依赖于HF表型,而是考虑个体患者的个人资料.
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