心力衰竭患者家庭关怀度与自我护理状况的相关性研究

摘要

目的 探计心力衰竭(心衰)患者的家庭关怀度与自我护理状况的相关性,为促进患者的自我护理提供依据.方法 按方便抽样的原则,采用家庭关怀度指数问卷、心衰自我护理指数量表,测量144例住院心衰患者的家庭关怀度和自我护理状况,分析家庭关怀度与自我护理状况的相关性.结果 本组心衰患者家庭关怀度较好,总得分为(7.49±3.03)分;自我护理总体状况处于低水平,总得分为(156.23±38.51)分;其中,自我护理维持、自我护理管理和自我护理信心的得分分别为(54.38±10.41)分、(49.14±21.33)分和(53.02±13.74)分.家庭关怀度与自我护理状况呈正相关(r=0.21,P＜0.05).结论 心衰患者对症状的处理和信心有待提高.家庭关怀度对心衰患者的自我护理具有一定的促进作用,故在心衰患者自我护理的干预中应充分发挥家庭功能的作用.%Objective To investigate the correlation between family care and self-care in heart failure patients and to explore effective measures of improving self-care of heart failure patients. Methods The Family APGAR and Self-care of Heart Failure Index were used to investigate 144 heart failure inpatients. The correlation between family care and self-care was analyzed. Results Family care scores was high (7.49 ±3.03). The Level of total serf-care was low ( 156.23 ± 38.51 ): the score of self-care maintenance, self-care management and self-care confidence was (54.38 ± 10.41 ), (49.14 ± 21.33) and (53.02 ±13.74)respectively. Family care was positively correlated with self-care in heart failure patients (r =0.21 ,P ＜0.05 ).Conclusions Heart failure patients should enhance the skills and confidence of coping symptoms. Since family care has positive effect on self-care of patients, it is important to emphasize family function on caring heart failure patients.