| 葛 兰,刘 莉,王 倩,郭霁萱,汤丹卉,张建军.心力衰竭患者症状群变化研究及对患者生活质量的影响[J].,2021,(19):3665-3669 |
| 心力衰竭患者症状群变化研究及对患者生活质量的影响 |
| Study on Changes of Symptom Cluster in Patients with Heart Failure and Its Influence on Patients' Quality of Life |
| 投稿时间：2021-05-10 修订日期：2021-05-31 |
| DOI：10.13241/j.cnki.pmb.2021.19.013 |
| 中文关键词: 心力衰竭 症状群 生活质量 影响因素 |
| 英文关键词: Heart failure Symptom cluster Quality of life Influence factor |
| 基金项目:北京市科技计划项目（Z171100000417055） |
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| 中文摘要: |
| 摘要 目的：探讨心力衰竭患者症状群的变化情况，并分析其对生活质量的影响。方法：前瞻性选取我院2018年10月～2020年10月收治的心力衰竭患者122例，分别在患者入院时及出院3后个月、6个月进行Memorial心力衰竭症状评估量表（MSAS-HF）、明尼苏达心力衰竭生活质量量表（MLHFQ）评分，分析患者MSAS-HF评分与MLHFQ评分的相关性以及患者出院后6个月生活质量的影响因素。结果：心力衰竭患者出院后3个月、6个月的疲倦、不适、情绪、淤血、缺血、呼吸困难症状群评分及总分均低于入院时，且出院后6个月的情绪症状群评分低于出院后3个月（P＜0.05）；心力衰竭患者出院后3个月、6个月的情绪领域、躯体领域、其他领域评分及总分低于入院时，且出院后6个月的情绪领域评分、总分低于出院后3个月（P＜0.05）；出院后6个月心力衰竭患者MSAS-HF各维度评分及总分与MLHFQ总分呈正相关（P＜0.05）；单因素分析显示：患者出院后6个月生活质量与入院时左室射血分数（LVEF）、入院时MSAS-HF总分、入院时纽约心功能分级（NYHA）、病程有关（P＜0.05）；Logistic多元回归分析提示：入院时LVEF≤40%、入院时NYHA Ⅳ级、病程＞5年是患者出院后6个月生活质量的危险因素（P＜0.05），而入院时MSAS-HF总分＜40分是患者出院后6个月生活质量的保护因素（P＜0.05）。结论：心力衰竭患者出院后3、6个月的症状群程度均减轻，生活质量有所改善，患者入院时症状群对生活质量有影响。 |
| 英文摘要: |
| ABSTRACT Objective: To explore the changes of symptom cluster in patients with heart failure, and to analyze its influence on the quality of life. Methods: 122 patients with heart failure who were admitted to our hospital from October 2018 to October 2020 were prospectively selected. Memorial Heart Failure Symptom Assessment Scale (MSAS-HF) and Minnesota Heart Failure Quality of Life Scale (MLHFQ) were scored of patients at admission, 3 months and 6 months after discharge, respectively. The correlation between MSAS-HF score and MLHFQ score, as well as the influencing factors of patients' quality of life 6 months after discharge were analyzed. Results: The scores of fatigue, discomfort, mood, congestion, ischemia and dyspnea of patients with heart failure at 3 and 6 months after discharge were lower than those at admission, and the scores of mood symptom cluster at 6 months after discharge were lower than those at 3 months after discharge (P＜0.05). The scores and total scores of emotional field, physical field and other fields of patients with heart failure at 3 months and 6 months after discharge were lower than those at admission, and the scores and total scores of emotional field at 6 months after discharge were lower than those at 3 months after discharge (P＜0.05). At 6 months after discharge, the scores and total scores of MSAS-HF all dimensions were positively correlated with the total scores of MLHFQ (P＜0.05). Univariate analysis showed that the quality of life at 6 months after discharge was related to the left ventricular ejection fraction (LVEF) at admission, the total score of MSAS-HF at admission, the New York heart Association (NYHA) at admission and the course of disease (P＜0.05). Logistic multiple regression analysis suggested: LVEF ≤40% at admission, NYHA Ⅳ at admission, and disease course > 5 years were risk factors for 6 months after discharge of patient of life quality (P＜0.05), while MSAS-HF total score < 40 scores at admission was protective factor for 6 months after discharge of patient of life quality (P＜0.05). Conclusion: The symptoms of patients with heart failure are reduced at 3 and 6 months after discharge, and the quality of life is improved. The symptoms of patients at admission have an impact on the quality of life. |
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