自我护理、药物治疗依从性及其与心力衰竭患者生活质量的关系。

Self-Care and Compliance with Medication and Their Relationship to the Quality of Life of Patients with Heart Failure.

作者信息

Maria Malliarou, Panagiota Kokoi, Vasileios Tzenetidis, Iokasti Papathanasiou, Tsioumanis Georgios, Nikolaos Tzenetidis, Nikoletta Apostolidi, Axilleas Bouletis, Ioannis Apostolakis, Pavlos Sarafis

机构信息

Department of Nursing, Laboratory of Education and Research of Trauma Care and Patient Safety, University of Thessaly, Larissa, Greece.

Hellenic Open University, Patras, Greece.

出版信息

Adv Exp Med Biol. 2023;1425:417-427. doi: 10.1007/978-3-031-31986-0_40.

DOI:10.1007/978-3-031-31986-0_40

PMID:37581815

Abstract

INTRODUCTION

Heart failure is a major health problem, often accompanied by limited physical activity and severe effects in various areas of patient quality of life. Self-care, as well as compliance with medication, can further contribute to clinical stability and improved patient outcomes.

PURPOSE

The purpose of this chapter is to assess the effect of self-care and compliance with medication, on the quality of life of patients with heart failure.

METHOD

The research sample consisted of 67 patients diagnosed with heart failure who visited the cardiology outpatient clinic of a general hospital in the capital of Greece. The assessment of self-care behavior was performed by the scale EHFScBS and SCHFI v.6, the Morsiky Green Levine Adherence Scale (MAQ) was used for the evaluation of adherence to medical treatment, while for the evaluation of the quality of life the questionnaire MLWHFQ was used.

RESULTS

The multifactorial linear regression analysis showed that age, compliance with medication and scoring in the dimension "Self-care confidence" relates independently to the overall quality-of-life scale rating. In particular, participants over 80 had a significantly higher score, that is, worse quality of life, compared to those under the age of 70 (p < 0.001), while participants with low compliance with treatment had a significantly worse quality of life compared to participants with high compliance (p < 0.001). It has been noticed that the better self-care they had and the higher compliance with their medication, their quality of life was better.

CONCLUSION

Self-care behavior and adherence to medical treatment of patients with heart failure are related to their quality of life. Age, educational level, and "Self-care confidence" are factors that influence self-care behavior, compliance with medication, and quality of life. In-depth patient information on the need for adherence to therapeutic guidelines may help to reduce pharmaceutical costs and maximize the therapeutic effect. For this reason, health professionals treating these patients should take into account all the factors that negatively affect their quality of life and treat them with the appropriate interventions.

摘要

引言

心力衰竭是一个重大的健康问题，常伴有身体活动受限，并对患者生活质量的各个方面产生严重影响。自我护理以及药物依从性有助于临床病情稳定并改善患者预后。

目的

本章旨在评估自我护理和药物依从性对心力衰竭患者生活质量的影响。

方法

研究样本包括67名被诊断为心力衰竭的患者，他们前往希腊首都一家综合医院的心脏病门诊就诊。自我护理行为通过EHFScBS量表和SCHFI v.6进行评估，使用Morsiky Green Levine依从性量表（MAQ）评估药物治疗依从性，而使用问卷MLWHFQ评估生活质量。

结果

多因素线性回归分析表明，年龄、药物依从性以及“自我护理信心”维度的得分与总体生活质量量表评分独立相关。具体而言，80岁以上的参与者与70岁以下的参与者相比，得分显著更高，即生活质量更差（p < 0.001），而治疗依从性低的参与者与依从性高的参与者相比，生活质量显著更差（p < 0.001）。研究发现，他们的自我护理越好、药物依从性越高，生活质量就越好。

结论

心力衰竭患者的自我护理行为和药物治疗依从性与他们的生活质量相关。年龄、教育水平和“自我护理信心”是影响自我护理行为、药物依从性和生活质量的因素。深入了解患者对遵循治疗指南必要性的信息可能有助于降低药物成本并使治疗效果最大化。因此，治疗这些患者的医护人员应考虑所有对其生活质量产生负面影响的因素，并采取适当干预措施进行治疗。