论文检索
期刊
全部知识仓储预印本开放期刊机构
高级检索

心房颤动患者疾病感知现状及影响因素分析OACSTPCD

Analysis of disease perception status and influencing factors in patients with atrial fibrillation

中文摘要英文摘要

目的 调查心房颤动(房颤)住院患者疾病感知现状并分析其影响因素.方法 便利选取房颤住院患者191例为研究对象,采用一般资料调查表、疾病感知问卷、家庭关怀度指数问卷进行调查,采用多元线性逐步回归方程分析疾病感知的影响因素.结果 191例房颤患者疾病感知总分为(43.15±11.71)分,认知表征、情绪表征、疾病理解力维度得分分别为(24.34±8.96)、(14.46±4.31)、(4.35±3.16)分.房颤患者家庭功能总分(7.27±2.38)分,其中低家庭关怀构成比为36.6%.相关性分析显示,房颤患者疾病感知总分与家庭功能总分呈显著负相关(r=-0.327,P<0.01).多元线性回归分析结果显示家庭人均月收入、合并高血糖、合并消化系统疾病、房颤症状严重程度、家庭关怀度是房颤患者疾病感知的影响因素(P<0.05),可解释总变异的40.9%.结论 房颤患者具有一定程度的负性疾病感知,且房颤患者的家庭功能越好,其疾病感知越积极.医务人员应重点关注家庭人均月收入低、合并其他慢性病、房颤疾病症状较重、低家庭关怀度的患者.

Objective To investigate the disease perception status of hospitalized patients with atrial fibrillation(AF)and to analyze its influencing factors.Methods A convenience sample of 191 hospitalized AF patients from a ter-tiary hospital in Wuhan City were selected as the study subjects.General information questionnaire,disease perception questionnaire,and family care index questionnaire were used for investigation.Multiple linear stepwise regression analysis was performed to analyze the influencing factors of disease perception.Results The total score of disease perception in 191 AF patients was(43.15±11.71)points,with scores for cognitive representation,emotional representation,and dis-ease comprehension dimensions being(24.34±8.96),(14.46±4.31),and(4.35±3.16)points,respectively.The total score of family function in AF patients was(7.27±2.38)points,with the proportion of low family care constituting 36.6%.Correlation analysis showed a significant negative correlation between the total score of disease perception and the total score of family function in AF patients(r=-0.327,P<0.01).Multiple linear regression analysis revealed that per capita monthly household income,comorbid diabetes,comorbid digestive system diseases,severity of AF symptoms,and family care level were influencing factors of disease perception in AF patients(P<0.05),explaining 40.9%of the total variance.Conclusion AF patients have a certain degree of negative disease perception,and the better the family func-tion of AF patients,the more positive their disease perception.Medical staff should pay attention to patients with low per capita monthly household income,comorbidities,severe AF symptoms,and low family care levels.

鲁小庆;张娟娟;安子芬;崔佳欣;余立平

武汉大学人民医院心血管内科(湖北武汉 430060)武汉大学护理学院(湖北武汉 430071)

临床医学

房颤;疾病感知;家庭关怀;影响因素

atrial fibrillation;illness perception;family care;influencing factors

《广东医学》 2024 (003)

306-312 / 7

湖北省卫生健康委员会面上项目(WJ2021M136)

10.13820/j.cnki.gdyx.20232735

评论

下载量:0
点击量:0