男性慢性心力衰竭患者的自我护理和生活质量。
Self-care and quality of life among men with chronic heart failure.
机构信息
Department of Clinical Nursing, Wroclaw Medical University, Wroclaw, Poland.
出版信息
Front Public Health. 2022 Jul 22;10:942305. doi: 10.3389/fpubh.2022.942305. eCollection 2022.
INTRODUCTION
Chronic Heart Failure (CHF) involves a complex regimen of daily self-care behaviors: pharmacological therapy, symptom monitoring and lifestyle modifications. Patients with CHF may have a reduced health related quality of life (HRQoL) due to various physical and emotional symptoms. HRQoL may be improved through the use of self-care interventions.
PURPOSE
To assess the level of self-care and quality of life among men with chronic heart failure.
METHODS
The study was conducted among 80 men diagnosed with CHF (mean age 58 years). The study was cross-sectional. A self-administered questionnaire and analysis of medical records were used to collect baseline sociodemographic and clinical data. Self-care was assessed using the standardized European Heart Failure Self-care Behavior Scale- EHFScBS-9 and quality of life was assessed using the World Health Organization Quality of Life Bref.
RESULTS
The Patients in NYHA class II constituted the vast majority (71.25%), mean LVEF in the study group was 43.5%, and mean disease duration was 3 years. The most common comorbidities were ischemic heart disease (72.5%), hypertension (70%) and diabetes mellitus (60%). The most commonly reported non-pharmacological treatments for NS were fluid restriction (45%), moderate physical activity (42.50%) and daily weight control (41.25%). The EHFSc-9 questionnaire score averaged 50.31 points out of 100 possible (SD = 26.52). The mean score regarding perception of QoL was 2.78 points (SD = 0.91), and 40% of patients indicating poor perception of QoL. The mean score for self-rated Analysis of the results of the individual domains of the WHOQoL BREF questionnaire showed that patients rated their QoL best in the environmental domain ( = 13.28; SD = 3.11), then in the social domain ( = 12.81; SD = 2.71), and in the psychological domain ( = 12.8; SD = 3.2). In contrast, QoL in the physical domain was rated the lowest ( = 10.44; SD = 2.85). There was no significant correlation between quality of life and self-care ( > 0.05).
CONCLUSIONS
Men with CHF have unsatisfactory self-care outcomes and low quality of life scores and are dissatisfied with their health. Strategies to improve selfcare and quality of life in this group are indicated.
介绍
慢性心力衰竭（CHF）涉及到日常自我护理行为的复杂方案：药物治疗、症状监测和生活方式改变。由于各种身体和情绪症状，CHF 患者的健康相关生活质量（HRQoL）可能会降低。通过使用自我护理干预措施，HRQoL 可以得到改善。
目的
评估男性慢性心力衰竭患者的自我护理水平和生活质量。
方法
这项研究在 80 名被诊断为 CHF（平均年龄 58 岁）的男性中进行。该研究是横断面研究。使用自我管理问卷和病历分析收集基线社会人口统计学和临床数据。使用标准化的欧洲心力衰竭自我护理行为量表-EHFScBS-9 评估自我护理，使用世界卫生组织生活质量简表评估生活质量。
结果
在 NYHA 心功能分级 II 级的患者中占绝大多数（71.25%），研究组的平均左心室射血分数为 43.5%，平均病程为 3 年。最常见的合并症是缺血性心脏病（72.5%）、高血压（70%）和糖尿病（60%）。最常报告的非药物治疗心力衰竭是限制液体摄入（45%）、适度体力活动（42.50%）和每日体重控制（41.25%）。EHFSc-9 问卷的平均得分为 100 分中的 50.31 分（标准差=26.52）。关于生活质量感知的平均得分是 2.78 分（标准差=0.91），40%的患者表示生活质量感知较差。个体 WHOQoL BREF 问卷领域的结果分析显示，患者对环境领域的生活质量评价最高（=13.28；标准差=3.11），其次是社会领域（=12.81；标准差=2.71），然后是心理领域（=12.8；标准差=3.2）。相比之下，身体领域的生活质量评价最低（=10.44；标准差=2.85）。生活质量与自我护理之间无显著相关性（>0.05）。
结论
慢性心力衰竭男性的自我护理结果和生活质量评分不理想，对自身健康状况不满意。表明需要采取策略来改善该人群的自我护理和生活质量。
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