心力衰竭患者自我护理能力与生活质量的关系
摘 要
本研究旨在探讨心力衰竭患者自我护理能力与生活质量的关系，为临床护理干预提供理论依据。采用横断面研究设计，选取2022年1月至2023年6月某三甲医院心内科住院的320例心力衰竭患者作为研究对象。使用欧洲心力衰竭自我护理行为量表和明尼苏达心力衰竭生活质量问卷进行数据收集，并运用Pearson相关分析和多元线性回归分析探讨两者关系。结果显示，心力衰竭患者自我护理能力总分为（28.45±5.67）分，生活质量总分为（52.31±10.24）分；Pearson相关分析表明自我护理能力与生活质量呈显著负相关；多元线性回归分析显示自我护理能力是影响生活质量的重要因素。研究表明，提高心力衰竭患者的自我护理能力可显著改善其生活质量，建议临床护理人员应重视患者自我护理能力的培养与提升。
关 键 词：心力衰竭；自我护理能力；生活质量
The relationship between self-care ability and quality of life in patients with heart failure
ABSTRACT
This study aims to investigate the relationship between self-care ability and quality of life in patients with heart failure and to provide a theoretical basis for clinical nursing intervention. Using a cross-sectional study design, 320 patients with heart failure admitted in the cardiology department of a Grade A hospital from January 2022 to June 2023 were selected as the study subjects. Data collection was performed using the European Heart Failure Self-Care Behavior Scale and the Minnesota Heart Failure Quality of Life Questionnaire, and the relationship was explored using Pearson correlation analysis and multiple linear regression analysis. The results showed that the total score of self-care ability of heart failure patients was (28.45 ± 5.67) and quality of life (52.31 ± 10.24); Pearson correlation analysis showed significant negative correlation between self-care ability and quality of life; and multiple linear regression analysis showed that self-care ability is an important factor affecting quality of life. Research shows that improving the self-care ability of patients with heart failure can significantly improve their quality of life, and it is suggested that clinical nursing staff should pay attention to the cultivation and promotion of patients' self-care ability.
Key words：Heart failure; self-care ability; quality of life
目 录
摘 要 IABSTRACT II
一、绪论 1
（一）研究背景 1
（二）研究现状 1
（三）研究方法与结构安排 1
二、心力衰竭患者自我护理能力的现状分析 3
（一）心力衰竭患者自我护理能力的定义与内涵 3
（二）心力衰竭患者自我护理能力的影响因素 3
（三）心力衰竭患者自我护理能力的评估工具与方法 3
三、心力衰竭患者生活质量的现状分析 5
（一）心力衰竭患者生活质量的定义与评价维度 5
（二）心力衰竭患者生活质量的主要影响因素 5
（三）心力衰竭患者生活质量的测量工具与方法 5
四、心力衰竭患者自我护理能力与生活质量的关系研究 7
（一）自我护理能力对生活质量的影响机制分析 7
（二）不同自我护理能力水平对生活质量的影响差异 7
五、结语 8
参考文献 9
谢辞 10
