摘要
目的调查心功能分级Ⅱ、Ⅲ和Ⅳ级心力衰竭患者胃肠道症状的发生情况,探讨其胃肠道症状与情绪的关系。方法采用方便抽样法,选取2016年3月—9月在北京市某三级甲等心血管病专科医院心力衰竭监护病房住院的154例心力衰竭患者作为研究对象,采用胃肠道症状分级评分量表、简式简明心境量表收集资料,同时采集患者的一般资料及疾病特征信息。结果 145例(94.16%)心力衰竭患者存在至少1种胃肠道症状;症状严重程度评分为0~22分,M(P_(25),P_(75))为5.00(3.75,8.00)分;心力衰竭患者较为严重的胃肠道症状依次为腹胀、排气增多、恶心和呕吐。NYHA心功能分级Ⅱ、Ⅲ和Ⅳ级患者的胃肠道症状发生率分别为84.21%、98.57%和95.65%,症状严重程度评分的M(P_(25),P_(75))分别为4.00(1.75,6.25)分、6.00(4.00,9.00)分和6.00(3.75,8.00)分。Spearman相关分析显示,心力衰竭患者胃肠道症状评分与情绪状态评分的相关系数为0.50(P<0.001)。心功能Ⅱ级患者的胃肠道症状评分与情绪状态评分的相关性最高,相关系数为0.65(P<0.001),其次为心功能Ⅳ级和心功能Ⅲ级患者,相关系数分别为0.48(P=0.001)和0.42(P<0.001)。结论不同心功能分级心力衰竭患者的胃肠道症状的发生率和严重程度存在差异,心功能Ⅲ级患者的胃肠道症状发生率最高且最为严重;心功能Ⅱ级患者胃肠道症状的发生与情绪的关系最为密切。
Objective To investigate the occurrence of gastrointestinal symptoms among heart failure patients with NYHA class Ⅱ, Ⅲ and Ⅳ and explore the relationship between gastrointestinal symptoms and mood status. Methods Convenient sampling was used and 154 chronic heart failure patients were recruited from a tertiary cardiovascular disease hospital in Beijing from March to September,2016. The general information and disease characteristics questionnaire,gastrointestinal symptom rating scale（GSRS） and Profile of Mood States-Short Form（POMS-SF） were used to collect data. Results （1） One hundred and forty-five（94.16%） chronic heart failure patients had gastrointestinal symptoms,the severity of gastrointestinal symptoms score was between 0 to 22 and the median and quartiles were 5（3.75,8.00）; the severest gastrointestinal symptoms were abdominal distension,increased exhaust, nausea and vomiting. In NYHA class Ⅱ , Ⅲ and Ⅳ heart failure patients,the overall incidence of gastrointestinal symptoms were 84.21% ,98.57% and 95.65% ,the median and quartiles of gastrointestinal symptom severity scores were 4.00（1.75,6.25）,6.00（4.00,9.00） and 6.00（3.75,8.00）.（2） Spearman correlation analysis showed that the correlation coefficient of gastrointestinal symptom score and mood status score in heart failure patients was 0.50（P〈0.001 ）. The correlation between gastrointestinal symptom scores and mood status scores was highest in NYHA class Ⅱ patients,the correlation coefficient was 0.65 （P〈0.001）,followed by NYHA class Ⅳ and Ⅲpatients,and the correlation coefficients were 0.48（P=0.001） and 0.42（P〈0.001）. Conclusion The incidence and severity of gastrointestinal symptoms vary in NYHA class Ⅱ, Ⅲ and Ⅳpatients,and the NYHA class Ⅲ patients have the highest incidence and the most serious gastrointestinal symptoms. The incidence of gastrointestinal symptoms is more closely related to mood status in NYHA class Ⅱ heart failure patients.
出处
《中华护理杂志》
CSCD
北大核心
2017年第2期133-138,共6页
Chinese Journal of Nursing
关键词
心力衰竭
情绪
症状
胃肠道
Heart Failure
Emotions
Symptoms
Gastrointestinal Tract
