慢性心力衰竭患者疾病进展恐惧与希望水平、自我感受负担的关系OA

Objective:To analyze the association of fear of disease progression on hope level and self-perceived burden in patients with chronic heart failure(CHF).Methods:A total of 182 patients with CHF who were admitted to Yellow River Sanmenxia Hospital from June 2022 to June 2025 were selected and divided into the fear group[the Chinese version of the fear of progression questionnaire-short form(FOP-Q-SF)scores 34)]and the normal group(FOP-Q-SF scores＜34).The herth hope index(HHI)and self-perceived burden scale(SPBS)scores were compared between the two groups.Pearson correlation analysis was conducted to analyze the association of fear of disease progression on hope level and self-perceived burden in patients with CHF.Logistic regression analysis was used to identify the influencing factors for fear of disease progression in patients with CHF.Results:In this study,patients with fear of disease progression accounted for 48.35％.Total HHI score of the fear group[(26.35±2.73)vs(32.58±3.34)]was lower than that of the normal group,and total SPBS score[(32.15±3.36)vs(28.21±2.93)]was higher than that of the normal group,with significant differences(both P＜0.05).FOP-Q-SF score was negatively correlated with total HHI score(r=-0.629,P＜0.001),and was positively correlated with total SPBS score(r=0.578,P＜0.001)in patients with CHF.High total HHI score was protective factor for fear of disease progression(OR=0.660,95％CI:0.461,0.945),while total SPBS score was risk factor(OR=1.872,95％CI:1.111,3.153)in patients with CHF.Conclusion:The fear of disease progression in patients with CHF is closely related to the level of hope and self-perceived burden.Therefore,it is recommended to take measures to enhance the patient'hope level and reduce their self-perceived burden,thereby alleviating the fear of disease progression in CHF patients.