慢性心力衰竭患者的生活质量评估

Katka Bobčíková, R. Bužgová
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摘要

摘要 目的本横断面研究旨在评估慢性心力衰竭患者的生活质量(QoL)和某些方面。材料和方法。采用明尼苏达心力衰竭患者生活问卷对患者的生活质量进行评估。根据 NYHA 分级获得了有关抑郁、疾病感知、社会支持、自给自足和心衰严重程度的数据。数据分析采用了描述性统计、Kruskal-Wallis 和 Mann-Whitney 检验以及 Spearman 相关系数。此外还进行了线性回归分析。结果显示相关性分析(p < 0.05)表明,自理能力较差的患者(r = -0.3529)和心力衰竭较严重的患者(r = 0.2642)的生活质量较差。更差的疾病感知(r = 0.4113)、更频繁的抑郁(r = 0.5470)和对健康状况更差的主观评估(r = 0.4394)表明患者的 QoL 更差。预测 QoL 总分的因素是抑郁(p = 0.000)、疾病感知(p = 0.001)、自给自足(p = 0.008)和对健康状况的主观评估(p = 0.005)。结论在对慢性心力衰竭患者进行护理时,有必要采取以改善 QoL 为重点的综合方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An assessment of the quality of life in chronic heart failure patients
Abstract Aim. The aim of this cross-sectional study was to evaluate quality of life (QoL) and selected aspects of patients with chronic heart failure. Material and methods. The Minnesota Living with Heart Failure Questionnaire was used for an assessment of QoL. Data were obtained on depression, illness perception, social support, self-sufficiency, and severity of heart failure according to NYHA classifi cation. Data were analysed using descriptive statistics, the Kruskal–Wallis and Mann-Whitney test, and the Spearman correlation coefficient. Linear regression analysis was also performed. Results. Correlation analysis (p < 0.05) indicated that patients with reduced self-suffi ciency (r = -0.3529) and patients with more severe heart failure (r = 0.2642) reported a poorer QoL. Worse the illness perception (r = 0.4113), more frequent depression (r = 0.5470) and a worse subjective assessment of the state of health (r = 0.4394) indicated a worse QoL. The predictors of the total QoL score were depression (p = 0.000), illness perception (p = 0.001), self-sufficiency (p = 0.008), and subjective assessment of the state of health (p = 0.005). Conclusions. A comprehensive approach with an emphasis on improving QoL is necessary in the care of patients with chronic heart failure.
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