老年慢性心力衰竭病人失志综合征现状及影响因素分析

doi:10.3969/j.issn.1003-9198.2024.11.006

摘要/Abstract

摘要： 目的调查老年CHF病人失志综合征现状,并分析其影响因素。方法采用便利抽样法选取2022年6月至2023年6月于长海医院住院的老年CHF病人为研究对象,采用一般资料调查表、中文版失志综合征量表 Ⅱ、心力衰竭躯体感知量表(HFSPS)、疾病进展恐惧简化量表(FoP-Q-SF)、国际体力活动问卷(IPAQ) 、领悟社会支持量表(PSSS)对病人进行调查。采用多元线性回归分析老年失志综合征的影响因素。结果 245例老年CHF病人失志综合征量表 Ⅱ 得分为(16.55±4.76)分,处于中等水平;Pearson相关分析显示,老年CHF病人失志综合征与躯体感知、疾病进展恐惧、久坐呈正相关(r=0.475、0.440、0.499),与社会支持呈负相关(r=-0.491);多元线性回归分析结果显示,家庭人均月收入、病程、躯体感知、疾病进展恐惧、久坐与社会支持是老年CHF病人失志综合征的独立影响因素(P＜0.05),可共同解释失志综合征45.9%的变异。结论老年CHF病人失志综合征处于中等水平,收入少、病程长、躯体感知强烈、疾病进展恐惧高及久坐的生活方式是病人失志的危险因素,而社会支持为保护因素。

关键词: 慢性心力衰竭, 老年人, 失志综合征, 影响因素

Abstract: Objective To investigate the current situation of demoralization syndrome in the elderly patients with chronic heart failure (CHF) and to analyze the influencing factors. Methods Convenience sampling method was used to enroll the elderly patients with CHF admitted to Changhai Hospital from June 2022 to June 2023 in this study. The patients were surveyed using a general information questionnaire, Chinese version of the Demoralization Scale-Ⅱ, Heart Failure Somatic Perception Scale (HFSPS), Fear of Progression Questionnaire-Short Form (FoP-Q-SF), International Physical Activity Questionnaire (IPAQ) and Perceived Social Support Scale (PSSS). Multiple linear regression was used to analyze the influencing factors of demoralization syndrome. Results The score of Demoralization Scale-Ⅱ in 245 elderly patients with CHF was 16.55±4.76, which was at a medium level. Pearson correlation analysis showed that demoralization syndrome was positively correlated with body perception, fear of disease progression and sedentary behavior (r=0.475, 0.440, 0.499, respectively), and negatively correlated with social support (r=-0.491). Multiple linear regression analysis showed that per capita monthly household income, disease duration, physical perception, fear of disease progression, sedentary behavior, and social support were independent influencing factors (P<0.05) for demoralization syndrome in the elderly patients with CHF, and could jointly explain 45.9% of the variation in demoralization syndrome. Conclusions The level of demoralization syndrome in the elderly patients with CHF is at a medium level. Low income, long course of disease, strong physical perception, high fear of disease progression and sedentary lifestyle were risk factors for the demoralization syndrome of patients with CHF, while social support is a protective factor.

Key words: chronic heart failure, aged, demoralization syndrome, influencing factor

中图分类号:

高文君, 孙青, 刘梦坛, 周丹. 老年慢性心力衰竭病人失志综合征现状及影响因素分析[J]. 实用老年医学, 2024, 38(11): 1105-1109.

GAO Wenjun, SUN Qing, LIU Mengtan, ZHOU Dan. Analysis of the current situation and influencing factors of demoralization syndrome in elderly patients with chronic heart failure[J]. Practical Geriatrics, 2024, 38(11): 1105-1109.

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