社区居住的心力衰竭成年患者的个人成长、症状及不确定性

Personal growth, symptoms, and uncertainty in community-residing adults with heart failure.

作者信息

Overbaugh Kristen J, Parshall Mark B

机构信息

School of Nursing, University of Texas Health Sciences Center San Antonio, 7703 Floyd Curl Dr., San Antonio, TX 78229-3900, USA.

College of Nursing, University of New Mexico Health Sciences Center, MSC07 4380 Box 9, 1650 University Blvd., Albuquerque 87131, NM, USA.

出版信息

Heart Lung. 2017 Jan-Feb;46(1):54-60. doi: 10.1016/j.hrtlng.2016.09.002. Epub 2016 Oct 27.

DOI:10.1016/j.hrtlng.2016.09.002

PMID:28164832

Abstract

BACKGROUND

Personal growth has not been studied extensively in heart failure (HF).

OBJECTIVES

To characterize personal growth in HF and its relationships with symptom burden, uncertainty, and demographic and clinical factors.

METHODS

Associations among personal growth, uncertainty, symptom burden, and clinical and demographic variables were examined in adult outpatients with HF using bivariate correlations and multiple regressions.

RESULTS

Participants (N = 103; 76% male, mean age = 74 years, 97% New York Heart Association classes II and III) reported moderate levels of personal growth, uncertainty, and symptom burden. Personal growth was weakly correlated with age and symptom burden but not with other study variables. In a regression model, age, sex, ethnicity, disease severity, time since diagnosis, symptom burden, and uncertainty were not significant independent correlates of personal growth.

CONCLUSIONS

Community-residing patients with HF report moderate personal growth that is not explained by uncertainty, symptom burden, or demographic and clinical variables.

摘要

背景

心力衰竭（HF）患者的个人成长尚未得到广泛研究。

目的

描述HF患者的个人成长情况及其与症状负担、不确定性以及人口统计学和临床因素的关系。

方法

采用双变量相关性分析和多元回归分析，对成年HF门诊患者的个人成长、不确定性、症状负担以及临床和人口统计学变量之间的关联进行研究。

结果

参与者（N = 103；76%为男性，平均年龄 = 74岁，97%为纽约心脏协会II级和III级）报告的个人成长、不确定性和症状负担水平中等。个人成长与年龄和症状负担呈弱相关，但与其他研究变量无关。在回归模型中，年龄、性别、种族、疾病严重程度、诊断后的时间、症状负担和不确定性并非个人成长的显著独立相关因素。