患有心力衰竭的患者的主观认知问题:综合性审查
Catherine M Martin1, Elham Y Algashgari2, Yvonne Lu3
1Catherine M. Martin, MSN, RN, Indiana University School of Nursing, Indianapolis.
The Journal of cardiovascular nursing
|February 6, 2026
概括
主观认知问题在心力衰竭 (HF) 患者中很常见,影响高达91%. 这些问题与HF严重程度,心理困扰和影响生活质量相关,突出了针对性干预的需要.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 心理学 心理学 心理学
背景情况:
- 认知功能障碍是心力衰竭 (HF) 患者的常见问题.
- 主观认知问题 (SCC) 是个人对自己的认知能力的担忧,这些担忧可能与客观评估不同.
- 人们对SCC在HF群体中的患病率和影响知之甚少.
研究的目的:
- 确定HF患者中SCC的患病率和严重程度.
- 为了确定影响HF患者SCC的因素.
- 探索与高频中SCC相关的结果.
主要方法:
- 使用CINAHL,PubMed,PsycINFO和EMBASE进行了整合性的文献审查.
- 搜索组合了与心力衰竭和主观认知问题相关的关键词.
- 该综述包括了9篇文章,包括来自567名HF患者的数据.
主要成果:
- 在HF患者中,SCC的患病率在40%至91%之间,重度轻度至中度.
- 影响SCC的因素包括HF严重程度,心理困扰 (抑郁,焦虑,压力),多病症 (COPD,失眠,高BMI) 和较差的客观认知功能.
- SCC与降低生活质量,减少参与有意义的活动以及增加自我护理努力有关.
结论:
- 主观认知问题非常普遍,在心力衰竭患者中具有轻度至中度的严重程度.
- 识别影响SCC的因素可以帮助确定有风险的个体.
- 了解SCC结果可以指导干预措施,以改善HF患者的健康状况.
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