摘要
目的了解老年慢性心力衰竭(CHF)患者自我管理现状,比较自我管理行为有无地区差异。方法采用随机整群抽样方法,在华东(江西省、上海市、浙江省)、华西(青海省、新疆维吾尔自治区、陕西省、甘肃省、宁夏回族自治区、云南省)、华南(海南省、广西壮族自治区)、华北(黑龙江省、内蒙古自治区)、华中(河南省、湖北省、湖南省)5个区域的102所医院对6124例老年CHF患者进行自我管理现状调查,统计其调查结果,并比较各地区之间的差异。结果老年CHF患者自我管理总体处于中等偏低水平,得分率61.25%(49/80)<80%,其中华东、华中地区得分较高,华西地区得分较低,不同地区间比较差异有统计学意义(H=59.07,P<0.01);饮食管理维度执行最好,得分率为66.67%(8/12),其中华东地区得分最高,华西地区得分最低,不同地区间比较差异有统计学意义(H=92.49,P<0.01);药物管理维度次之,得分率为65.00%(13/20),其中华东地区得分最高,华北、华西地区得分较低,不同地区间比较差异有统计学意义(H=351.10,P<0.01);心理/社会适应管理较差,得分率为60.00%(12/20),其中华东地区得分高于华北、华西地区,不同地区间比较差异有统计学意义(H=8.84,P<0.01);症状管理维度最差,得分率57.14%(16/28),其中华北、华中地区得分较高,不同地区间比较差异有统计学意义(H=17.62,P<0.01)。结论老年CHF患者自我管理水平有待提高,需针对不同地区开展系统化的、有针对性的健康教育,以提高患者自我管理水平,减少疾病负担。
Objective To understand the self-management status among elderly chronic heart failure(CHF)patients and to compare the regional differences of self-management.Methods By random cluster sampling,we investigated 6 124 elderly CHF patients from 102 hospitals in five regions,East China(Jiangxi Province,Shanghai Municipality,Zhejiang Province),West China(Qinghai Province,Xinjiang Uygur Autonomous Region,Shaanxi Province,Gansu Province,Ningxia Hui Autonomous Region,Yunnan Province),South China(Hainan Province,Guangxi Zhuang Autonomous Region),North China(Heilongjiang Province,Inner Mongolia Autonomous Region),Central China(Henan Province,Hubei Province,Hunan Province).The investigation result statistics were carried out and regional differences were compared.Results The self-management of elderly CHF patients had a low to medium level with 61.25%(49/80)<80%for the scoring rate.The scores of East China and Central China were higher and the score of West China was low;the regional differences were statistical(H=59.07,P<0.01).The score of diet management was highest with 66.67%for the scoring rate(8/12);East China had the highest score,and West China had the lowest score;the regional differences were statistical(H=92.49,P<0.01).The scoring rate of medication management was 65.00%(13/20)with the highest in East China and low in North China and West China;the regional differences were statistical(H=351.10,P<0.01).Mental/social adjustment management was poor with 60.00%(12/20)for the scoring rate;the scores of Ease China were higher than those of North and West China;the regional differences were statistical(H=8.84,P<0.01).Symptom management was the worst with 57.14%(16/28)for the scoring rate;the scores of East and Central China were high;the regional differences were also statistical(H=17.62,P<0.01).Conclusions Self-management of elderly CHF patients needs to be improved.Systematic and targeted health education for different regions should be carried out to improve patients'self-management and to reduce the disease burden.
作者
李涤凡
尹德荣
黄文伶
杨益鹏
戴付敏
彭幼清
Li Difan;Yin Derong;Huang Wenling;Yang Yipeng;Dai Fumin;Peng Youqing(School of Medicine,Tongji University,Shanghai 200092,China;Department of Quality Control,Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital,Xi'ning 810012,China;Emergency Department,the Second Nanjing People's Hospital,Nanning 530031,China;Cardiovascular Department,the Fourth Hospital of Daqing,Daqing 163712;Training Center,He'nan Provincial People's Hospital,Zhengzhou 450003;Nursing Department,Dongfang Hospital,Affiliated to Tongji University,Shanghai 200120)
出处
《中华现代护理杂志》
2019年第27期3451-3456,共6页
Chinese Journal of Modern Nursing
基金
国家自然科学基金面上项目(71473178)
上海市浦东卫生系统重点学科项目(PWZxk2017-01).
