| 慢性心力衰竭病人营养评价现状及其影响因素研究 |
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| 引用本文： | 陈优优,洪静芳. 慢性心力衰竭病人营养评价现状及其影响因素研究[J]. 蚌埠医学院学报, 2020, 45(11): 1573-1578. DOI: 10.13898/j.cnki.issn.1000-2200.2020.11.031 |
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| 作者姓名： | 陈优优 洪静芳 |
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| 作者单位： | 安徽医科大学 护理学院, 安徽 合肥 230032 |
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| 基金项目： | 中央引导地方科技专项发展项目2019（35） |
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| 摘 要： | 目的分析慢性心力衰竭病人营养现状及其影响因素，为临床制定针对性干预措施提供参考依据。方法采用一般情况调查表、中文版多维度疲乏量表、医院焦虑抑郁量表、社会支持评定量表、心功能不全生命质量量表、心力衰竭病人综合自护能力评估量表和MNA-HF微型营养评价工具，对196例慢性心力衰竭病人进行问卷调查。结果慢性心力衰竭病人MNA-HF微型营养得分为（17.25±4.36）分，慢性心力衰竭病人自理护理能力、心功能不全生命质量、社会支持得分与MNA-HF微型营养总分呈正相关关系（P < 0.01），疲乏与MNA-HF微型营养总分呈负相关关系（P < 0.01）。分层回归分析显示，家庭人均月收入、医保类型、病程、自护能力、生命质量是慢性心力衰竭病人MNA-HF微型营养的主要影响因素（P < 0.05），可解释营养评价46.9%的变异量。结论慢性心力衰竭病人营养状态有待于进一步提高，且与家庭人均月收入、医保类型、病程、自护能力、生命质量有关。该领域在今后的护理研究中，可通过加强对低收入、报销比例低的病人的关注，提高慢性心力衰竭病人的自护能力和生命质量来提高其营养状态，从而减少病人临床不良结局并改善其预后。
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| 关 键 词： | 心力衰竭 营养评价 影响因素 |
| 收稿时间： | 2020-01-22 |
Study on the current status of nutritional evaluation and its influencing factors in patients with chronic heart failure |
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| Affiliation: | School of Nursing, Anhui Medical University, Hefei Anhui 230032, China |
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| Abstract: | ObjectiveTo analyze the nutritional status and its influencing factors in patients with chronic heart failure(CHF), and provide the reference for clinical targeted intervention.MethodsA total of 196 patients with CHF were investigated using the general condition questionnaire, Chinese version of multi-dimensional fatigue scale, hospital anxiety and depression scale, social support rating scale, cardiac insufficiency quality of life scale, heart failure patients comprehensive self-care ability assessment scale and MNA-HF micro-nutrition evaluation scale.ResultsThe MNA-HF micronutrient score of patients with CHF was (17.25±4.36) points, the self-care ability, quality of life of cardiac dysfunction and social support scores in patients with CHF were positively correlated with the MNA-HF micro-nutrition score(P < 0.01), and the fatigue was negatively correlated with the total score of MNA-HF micro-nutrition evaluation scale(P < 0.01).The results of stratified regression showed that the family average monthly income, type of medical insurance, course of disease, ability of self-care and quality of life were the main influencing factors of MNA-HF micro-nutrition in patients with CHF(P < 0.05), which could explain the 46.9% variation in nutritional evaluation.ConclusionsThe nutritional status of patients with CHF needs to be further improved, which is related to the monthly income of family, type of medical insurance, course of disease, self-care ability and quality of life.In the future nursing research, the nutritional status of patients with CHF can be improved by paying more attention to the patients with low income and low reimbursement rate, improving their self-care ability and quality of life to reduce the clinical adverse outcomes and improve the prognosis of patients. |
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