摘要
目的分析冠心病患者护理依赖性现状及其相关影响因素。方法选取2022年8月至2023年11月江西中医药大学附属医院收治的93例冠心病患者作为研究对象,采用护理依赖量表(CDS)调查患者对护理依赖性的现状,并根据护理依赖性情况,将患者分为护理依赖组和护理不依赖组。比较两组患者临床资料,并通过多因素logistic回归模型分析其相关影响因素。结果93例冠心病患者中,58例(62.37%)患者出现护理依赖,纳入护理依赖组,35例(37.63%)患者未出现护理依赖,纳入护理不依赖组。护理依赖组无日常陪护、心功能分级Ⅲ~Ⅳ级、介入治疗占比高于护理不依赖组,社会支持和自我护理能力评分低于护理不依赖组,差异有统计学意义(P<0.05)。多因素logistic回归模型分析结果显示,日常无陪护(β=0.930,OR=2.533,95%CI:1.071~5.993)、心功能分级Ⅲ~Ⅳ级(β=0.985,OR=2.678,95%CI:1.093~6.563)、介入治疗(β=1.061,OR=2.889,95%CI:1.156~7.222)是影响冠心病患者护理依赖性的独立危险因素(P<0.05);社会支持(β=-0.404,OR=0.668,95%CI:0.563~0.792)、自我护理能力(β=-0.083,OR=0.920,95%CI:0.884~0.957)是影响冠心病患者护理依赖性的独立保护因素(P<0.05)。结论冠心病患者护理依赖性较高,而日常无陪护、心功能分级、介入治疗、社会支持、自我护理能力均是冠心病患者出现护理依赖的独立影响因素,临床上应引起重视。
Objective To analyze the nursing dependence status of patients with coronary heart disease and its related influencing factors.Methods A total of 93 patients with coronary heart disease admitted to the Affiliated Hospital of Jiangxi University of Chinese Medicine from August 2022 to November 2023 were selected as the study objects.The care dependence scale(CDS)was used to investigate the status of nursing dependence of patients,and according to the nursing dependence,the patients were divided into nursing dependent group and nursing independent group.The clinical data of the two groups were compared,and the related influencing factors were analyzed by multivariate logistic regression model.Results Among the 93 patients with coronary heart disease,58 patients(62.37%)had nursing dependency and they were included in the nursing dependent group,while 35 patients(37.63%)had no nursing dependency and they were included in the nursing independent group.The nursing dependent group had no daily companion,cardiac function gradesⅢ-Ⅳ,and the proportion of interventional therapy were higher than those of nursing independent group,and the scores of social support and self-care ability were lower than those of nursing independent group,with statistical significances(P<0.05).The results of multivariate logistic regression model analysis showed that daily unaccompanied patients(β=0.930,OR=2.533,95%CI:1.071-5.993)and cardiac function gradesⅢ-Ⅳ(β=0.985,OR=2.678,95%CI:1.093-6.563)and interventional therapy(β=1.061,OR=2.889,95%CI:1.156-7.222)were independent risk factors for nursing dependence in patients with coronary heart disease(P<0.05).Social support(β=-0.404,OR=0.668,95%CI:0.563-0.792)and self-care ability(β=-0.083,OR=0.920,95%CI:0.884-0.957)were independent protective factors affecting nursing dependence in patients with coronary heart disease(P<0.05).Conclusion Nursing dependence is high in patients with coronary heart disease,and daily absence of chaperone,cardiac function grade,interventional therapy,social sup
作者
邓露双
潘琳
邓莉
刘英华
DENG Lushuang;PAN Lin;DENG Li;LIU Yinghua(Department of Nursing,Affiliated Hospital of Jiangxi University of Chinese Medicine,Jiangxi Province,Nanchang330000,China)
出处
《中国当代医药》
CAS
2024年第34期96-99,共4页
China Modern Medicine
基金
江西省卫生健康委科技计划项目(202310717)
江西省中医药管理局科技计划项目(2022B565)。
关键词
冠心病
护理依赖性
介入治疗
社会支持
Coronary heart disease
Nursing dependency
Interventional therapy
Social support
