心力衰竭住院患者的认知,情绪,自我护理和药物坚持:一个横截面研究
Qi Niu1,2, Wenyuan Ma3, Yanjuan Lin4,5
1Department of Nursing, Fujian Medical University, Fuzhou, China.
Scientific reports
|July 7, 2025
概括
心力衰竭患者的心脏衰竭患者的心脏衰竭患者
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 行为科学 行为科学
背景情况:
- 不良的药物坚持是心力衰竭 (HF) 管理中的一个重要问题.
- 认知障碍 (CI),情绪障碍 (焦虑,抑郁症) 和自我护理不良在HF患者中很常见,并且与坚持问题有关.
- 这些因素之间的相互作用和它们对HF中药物服药的联合影响尚未完全理解.
研究的目的:
- 研究住院心力衰竭患者的认知,情绪,自我护理和药物坚持之间的关系.
- 确定通过认知,情绪和自我护理影响药物坚持的直接和间接途径.
主要方法:
- 一项涉及中国临人民医院200名住院HF患者的横截面研究.
- 使用蒙特利尔认知评估 (MoCA) 评估认知能力.
- 用医院焦虑和抑郁量表 (HADS) 评估情绪 (焦虑和抑郁).
- 使用心力衰竭自我护理指数 (SCHFI v7.2) 衡量自我护理的测量.
- 通过药物坚持自我效能量表修订 (MASES-R) 评估药物坚持.
主要成果:
- 在教育,认知,自我护理和药物坚持之间发现了积极的相关性.
- 观察到性别,年龄,心房动,NT-proBNP,心房动持续时间和情绪与药物坚持的负相关性.
- 情绪和自我照顾对药物坚持有直接影响.
- 认知和自我护理通过情绪间接影响了药物坚持.
结论:
- 情绪和自我护理直接影响心力衰竭患者的药物坚持.
- 认知功能和自我护理通过影响情绪,在药物坚持方面发挥着间接作用.
- 未来的干预措施应解决认知,情绪和自我护理之间的复杂相互作用,以提高HF管理中的药物坚持.
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