慢性稳定性心力衰竭患者症状群分类的研究

摘要

Objective:The aim of the study was to explore symptom clusters in patients with chronic stable heart failure.Methods:Symptoms were measured using heart failure-related-symptom items in the Minnesota Heart Failure Quality of Life Scale.Results:The results of exploratory factor analysis showed that two symptom clusters were identified based on the incidences of given symptoms.They were named as physical symptom cluster and emotional symptom cluster,respectively.The Cronbach's α coefficients of each symptom cluster were 0.826 and 0.832.The results showed that age,gender,place of residence,work,educational level,income,smoking history,regular exercise,etiology,duration,CCI and NYHA are influencing factors of physical symptom cluster.Whether living alone,regular exercise,BMI,etiology,duration,CCI,NYHA and medication are influencing factors of emotional symptom cluster.Conclusion:Symptom clusters play a crucial role in symptom management of heart failure patients.The results of the study were helpful to guide health care providers to develop interventions based on the symptom clusters.%目的:分析慢性稳定性心力衰竭(简称心衰)患者的症状群.方法:采用明尼苏达生活质量量表中心衰症状相关条目对236例心衰患者进行问卷调查.结果:探索性因子分析提取出躯体症状群和情绪症状两大症状群,Cronbach'sα系数分别是0.826和0.832.经相关分析、Mann-Whitney U秩和检验或Kruskal-Wallis H秩和检验发现,不同年龄、性别、居住地、工作情况、文化程度、月收入、吸烟史、规律运动情况、病因、病程、CCI、NYHA分级及用药情况的患者,其躯体症状群严重度不同,差异有统计学意义(P＜0.05);不同居住情况、规律运动情况、BMI、病因、病程、CCI、NYHA分级及用药情况的患者,其情绪症状群严重度不同,差异有统计学意义(P＜0.05).结论:医护人员应对高危人群进行个体化干预,以减轻患者的症状水平,提高其生活质量.