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Status quo and correlation analysis of the empowerment and frailty in the middle-aged and elderly patients with chronic heart failure |
XIAO Guifang1 YANG Yiqin2 HU Pingping1 |
1. Department of Cardiovascular, Guangdong Second Traditional Chinese Medicine Hospital, Guangdong Province,Guangzhou 510095, China;
2. Department of Nursing, Guangdong Second Traditional Chinese Medicine Hospital,Guangdong Province, Guangzhou 510095, China |
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Abstract Objective To explore the status of the empowerment and frailty in middle-aged and elderly patients with chronic heart failure, and analyze the correlation between them. Methods A total of 187 middle-aged and elderly patients with chronic heart failure in the Department of Cardiovascular, Guangdong Second Traditional Chinese Medicine Hospital from March 2020 to February 2021 were selected and evaluated by patient empowerment scale and infirmity assessment scale. Pearson correlation analysis and multiple linear regression analysis were used to explore the influence of empowerment on infirmity. Results The empowerment score of middle-aged and elderly patients with chronic heart failure was (109.17±11.23) points, including 182 patients with ≤160 points (97.3%), and the frailness score was (61.68±14.34) points, with a scoring rate of 63.6%. There were statistically significant differences in fadiness scores of patients with different age, complication, heart function grade and self-care ability (P<0.05). The scores of empowerment dimensions were negatively correlated with those of weakness dimensions (P<0.05). Doctor-patient relationship management ability, social support, role recognition, medical decision-making participation and patient support were the independent factors of frailty (P<0.05). Conclusion The empowerment ability of the middle-aged and old patients with chronic heart failure were relatively poor, and the frailty situation were relatively serious. Clinical medical staff should pay attention to improving the patient′s empowerment level to reduce the adverse effects of frailty.
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[1] |
韩霞萍,宁丽,蔡丽丽,等.基于德尔菲专家咨询法构建慢性心力衰竭患者延续性护理健康赋权方案[J].中华现代护理杂志,2020,26(23):3160-3165.
|
[2] |
马丽媛,吴亚哲,王文,等.《中国心血管病报告2017》要点解读[J].中国心血管杂志,2018,23(1):3-6.
|
[3] |
周白瑜,陶永康,石婧,等.北京市社区老年人衰弱状况及其相关因素分析[J].中华老年医学杂志,2020,39(2):214-219.
|
[4] |
吴玉兰,张幼莉,梁婉芬.赋权指导对长期住院脑卒中患者家庭主要照顾者照顾能力的影响[J].中国当代医药,2021,28(7):207-209,213.
|
[5] |
杨晓鹏,宋新宇,仝慧娟.沈阳市老年人衰弱现状及影响因素研究[J].中国老年保健医学,2020,18(1):23-27.
|
[6] |
Mikky IF.Development of the Client Empowerment Scale(CES).New Jersey:University of Connecticut[J].J Glob Health,2006,9(3):1-15.
|
[7] |
周春兰,吉雪,吴艳妮.患者赋权量表在慢性病患者中应用的信效度研究[J].中国全科医学,2016,19(34):4280-4284.
|
[8] |
de Witte N,Gobbens R,de Donder L,et al.The comprehensive frailty Assessm ent instrument:development,validity and reliability[J].Geriatr Nuts,2013,34(4):274-281
|
[9] |
王坤,陈长香,李淑杏.衰弱综合评估工具的汉化及信效度检验[J].中国康复理论与实践,2017,23(1):72-76.
|
[10] |
杜颖平.自我管理在慢性心力衰竭病人护理中的应用[J].护理研究,2018,32(8):1327-1328.
|
[11] |
朱倩,陈正君,余红,等.赋权指导在脑卒中患者家庭主要照顾者中的应用[J].中国护理管理,2019,19(2):112-115.
|
[12] |
Denfeld QE,Winters-Stone K,Mudd JO,et al.The prevalence of frailty in heart failure:A systematic review and meta-analysis[J].Int J Cardiol,2017,236(6):283-289.
|
[13] |
徐志华,李晓微,杨秀婷,等.老年慢性心力衰竭患者衰弱现状及其影响因素分析[J].中华现代护理杂志,2019,25(17):2155-2158.
|
[14] |
李利平,孙建萍,吴红霞,等.慢性病患者病耻感的研究现状[J].解放军护理杂志,2020,37(3):75-78.
|
[15] |
Yeh MY,Lin SH,Tung TH.Psychometric evaluation of the Chinese version of the Patient Perceptions of Empowerment Scale (PPES)[J].Biomed Res Int,2014:867451.
|
[16] |
Kleier JA,Dittman PW.Attitude and Empowerment as Predictors Of Self-Reported Self-Care and A1C Values among African Americans With Diabetes Mellitus[J].Nephrol Nurs J,2014,41(5):487-493.
|
[17] |
赵红梅.心力衰竭患者自我管理水平与生活质量的相关性[J].解放军护理杂志,2013,2(13):35-38.
|
[18] |
杨阳,曾铁英.老年慢性病病人健康赋权水平及其影响因素[J].护理研究,2019,33(2):214-218.
|
|
|
|