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一项关于慢性心力衰竭患者与瑞典普通人群应对策略及生活质量的比较相关性研究。

A comparative correlational study of coping strategies and quality of life in patients with chronic heart failure and the general Swedish population.

作者信息

Nilsson Annika, Carlsson Marianne, Lindqvist Ragny, Kristofferzon Marja-Leena

机构信息

Department of Health and Caring Sciences University of Gävle Gävle Sweden.

Section of Caring Sciences Department of Public Health and Caring Sciences Uppsala University Uppsala Sweden.

出版信息

Nurs Open. 2017 Apr 18;4(3):157-167. doi: 10.1002/nop2.81. eCollection 2017 Jul.

Abstract

AIM

The aim was to compare coping strategies and quality of life (QoL) in patients with chronic heart failure (CHF) with such strategies and QOL in persons from two general Swedish populations and to investigate relationships between personal characteristics and coping strategies.

DESIGN

A cross-sectional, comparative and correlational design was used to examine data from three sources.

METHODS

The patient group (=124), defined using ICD-10, was selected consecutively from two hospitals in central Sweden. The population group (=515) consisted of persons drawn randomly from the Swedish population. Data were collected with questionnaires in 2011; regarding QoL, Swedish population reference data from 1994 were used.

RESULTS

Overall, women used more coping strategies than men did. Compared with the general population data from SF-36, patients with CHF rated lower QoL. In the regression models, perceived low "efficiency in managing psychological aspects of daily life" increased use of coping. Other personal characteristics related to increased use of coping strategies were higher education, lower age and unsatisfactory economic situation.

摘要

目的

旨在比较慢性心力衰竭(CHF)患者与瑞典两个普通人群在应对策略和生活质量(QoL)方面的差异,并研究个人特征与应对策略之间的关系。

设计

采用横断面、比较和相关性设计来检验来自三个来源的数据。

方法

使用国际疾病分类第10版(ICD - 10)定义的患者组(n = 124),从瑞典中部的两家医院连续选取。人群组(n = 515)由从瑞典人口中随机抽取的人员组成。2011年通过问卷调查收集数据;关于生活质量,使用了1994年瑞典人群的参考数据。

结果

总体而言,女性使用的应对策略比男性更多。与SF - 36的一般人群数据相比,CHF患者的生活质量评分较低。在回归模型中,感知到的“在管理日常生活心理方面效率低下”会增加应对方式的使用。与应对策略使用增加相关的其他个人特征包括高等教育、较低年龄和经济状况不佳。

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本文引用的文献

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Predictors of quality of life in patients with heart failure.心力衰竭患者生活质量的预测因素
Jpn J Nurs Sci. 2014 Oct;11(4):290-8. doi: 10.1111/jjns.12034. Epub 2013 Nov 15.

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