摘要
目的：了解老年高血压合并冠心病患者自我感受负担现状,并分析其影响因素。方法采用多中心调查法,纳入来自6个中心452例符合纳入标准的老年高血压合并冠心病患者为研究对象,采用自编患者一般资料调查表、自我感受负担量表（ SPBS）、衰弱量表（ FRAIL）、简版老年抑郁量表（ GDS-15）、Barthel指数问卷（ BI）、家庭关怀度指数问卷（ FAI）和简易营养评价量表（ MNA-SF）进行调查。结果患者自我感受负担得分范围为10-47分,平均（23.99±8.13）分,处于轻中度负担水平,71%的老年高血压合并冠心病患者存在不同程度的自我感受负担。多元逐步回归分析显示老年患者的居住地、自理能力评分、抑郁状态、最近健康状况为老年高血压合并冠心病患者自我感受负担的主要影响因素。结论老年高血压合并冠心病患者普遍经历轻度至中度的自我感受负担,应针对其主要影响因素采取积极的措施减轻其负担。
Objective To research the current status of self-perceived burden （ SPB ） in elderly patients with hypertension combined with coronary heart disease （ CHD） , and analyze their influencing factors. Methods A total of 452 elderly patients with hypertension combined with coronary disease from six centers were selected as the research object, and were investigated with self-designed patients′ general information questionnaire, self-perceived burden scale （ SPBS） , FRAILscale, geriatric depression scale （ GDS-15） , Barthel index （BI） questionnaire, family APGAR index （FAI） and simple nutritional evaluation method （MNA-SF）. Results The range of SPB score in elderly patients was 10-47 points. The score of SPB of elderly patients with hypertension combined with CHD was （23.99±8.13） points, which was at mild to moderate level, and 71% of the elderly patients with hypertension combined with CHD showed different in level of SPB. The influencing factors of self-perceived burden were the place of residence （ P〈0. 001 ） , self-care ability （ P= 0. 005 ） , depression （P=0.023）, and the recent health status （P=0.028）. Conclusions The elderly patients with hypertension combined with CHD commonly experience mild to moderate level of self-perceived burden, and we should take positive measures to alleviate their SPBaimed at the main influencing factors.
出处
《中华现代护理杂志》
2016年第34期4939-4943,共5页
Chinese Journal of Modern Nursing
基金
四川省科技厅科技支撑计划项目（2015SZ0150）
关键词
老年人
高血压
冠心病
自我感受负担
Aged
Hypertension
Coronary heart disease
Self-perceived burden
