| 赵洪.老年慢性心力衰竭患者居家生活空间纵向变化及潜在剖面分析[J].上海护理,2024,24(6): |
| 老年慢性心力衰竭患者居家生活空间纵向变化及潜在剖面分析 |
| Longitudinal changes and potential profile analysis of home living space in elderly patients with chronic heart failure |
| DOI： |
| 中文关键词: 老年 慢性心力衰竭 生活空间 纵向变化 潜在剖面分析 |
| 英文关键词:Old age chronic heart failure living space longitudinal change potential profile analysis |
| 基金项目:老年医学PWYts2021-12 |
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| 中文摘要: |
| 目的 探讨老年慢性心力衰竭患者（chronic heart failure，CHF）居家生活空间纵向变化特征，并分析其潜在剖面类别和影响因素。方法 采用方便抽样法，选择本院心内科2022年1月至2023年1月住院老年稳定期CHF患者为研究对象。采用一般资料调查表、生活空间评估量表进行问卷调查。对CHF患者居家生活空间特征进行潜在剖面分析，并通过单因素和多因素Logistics回归分析影响因素。结果 最终纳入110例老年CHF患者，其生活空间剖面分为生活空间持续受限组（n=33）、生活空间部分改善组（n=62）和生活空间显著改善组（n=15）；Logistics回归分析结果显示，年龄、独居与生活空间部分改善有关（P均<0.05），年龄、认知功能障碍与生活空间显著改善有关（P均<0.05）。结论 老年CHF患者居家生活空间存在异质性，可分为3个潜在剖面，可针对高龄、独居和合并认知功能障碍患者进行针对性干预，以提升其生活空间水平。 |
| 英文摘要: |
| OBJECTIVE To explore the longitudinal changes of home living space in elderly patients with chronic heart failure (CHF), and to analyze its potential profile characteristics and influencing factors.METHODS Convenience sampling method was used to select the elderly patients with stable CHF in the Department of Cardiology of our hospital from January 2022 to January 2023 as the research objects. A questionnaire survey was conducted using the general information questionnaire and the Chinese version of the living space scale. The potential profile analysis of the living space characteristics of CHF patients was carried out, and the influencing factors were analyzed by single factor and multi-factor Logistics regression.RESULTS Finally, 110 elderly CHF patients were included, and their living space profiles were divided into continuous limited living space group ( n = 33 ), partial improved living space group ( n = 62 ) and significant improved living space group ( n = 15 ). Logistics regression analysis showed that age and living alone were related to the partial improvement of living space ( P < 0.05 ), and age and cognitive dysfunction were related to the significant improvement of living space ( P < 0.05 ).
CONLCLUSIONS There is heterogeneity in the home living space of elderly CHF patients, which can be divided into three potential sections. Targeted interventions can be carried out for elderly patients, living alone and patients with cognitive dysfunction to improve their living space level. |
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