摘要
目的调查中青年慢性心力衰竭患者社会融合现状,并分析其影响因素。方法便利选取307例住院中青年慢性心力衰竭患者,采用一般资料调查表、Berkman-Syme社交网络指数、存在无意义焦虑量表、家庭关怀度指数问卷、简化版双向社会支持量表进行调查。结果中青年慢性心力衰竭患者社会融合总分为(6.60±2.26)分,其中社会融合程度Ⅰ级91例(29.64%),Ⅱ级62例(20.20%),Ⅲ级98例(31.92%),Ⅳ级56例(18.24%)。有序多分类logistic回归分析显示,年龄、心衰病程、左室射血分数、合并症指数、存在无意义焦虑、家庭功能、双向社会支持是中青年慢性心力衰竭患者社会融合的影响因素(均P<0.05)。结论中青年慢性心力衰竭患者社会融合程度较低,亟待关注。社会融合受多种因素影响,医护人员应基于可干预因素,制订个性化的提升策略,以促进患者的社会融合,避免社会隔离。
Objective To investigate the level of social integration in young and middle-aged patients with chronic heart failure,and to analyze the influencing factors.Methods A convenience sample of 307 hospitalized young and middle-aged patients with chronic heart failure were recruited and invited to complete a battery of questionnaires,including a demographic questionnaire,the Berkman-Syme Social Network Index,the Anxiety Measure of the Existential Meaninglessness Scale,the Family APGAR Index,and the Brief 2-Way Social Support Scale.Results The total social integration score was(6.60±2.26),with 91(29.64%)patients at GradeⅠ,62(20.20%)at GradeⅡ,98(31.92%)at GradeⅢ,and 56(18.24%)at GradeⅣ.Ordinal logistic regression analysis showed that,age,duration of heart failure,left ventricular ejection fraction,comorbidity index,meaninglessness-anxiety,family function,and bidirectional social support were factors influencing social integration in young and middle-aged patients with chronic heart failure(all P<0.05).Conclusion Young and middle-aged patients with chronic heart failure report low level of social integration,which is affected by a variety of factors.Health care professionals should develop individualized strategies targeted to the modifiable factors to promote social integration of patients and avoid social isolation.
作者
申文佳
梁爽
吕昊霖
辛菊花
冯志芬
陈洋
张字涵
杨敏
Shen Wenjia;Liang Shuang;LüHaolin;Xin Juhua;Feng Zhifen;Chen Yang;Zhang Zihan;Yang Min(School of Nursing and Health,Henan University,Kaifeng 475000,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第21期35-40,共6页
Journal of Nursing Science
基金
2024年度河南省科技攻关项目(242102310271,242102310194)。
关键词
中青年
慢性心力衰竭
社会融合
存在无意义焦虑
家庭功能
社会支持
社会隔离
影响因素
young and middle-aged people
chronic heart failure
social integration
anxiety of the existential meaninglessness
family function
social support
social isolation
influencing factor
