CAJ | 학술논문

目的调查目前心力衰竭患者液体控制现状,并探讨其对心力衰竭患者口渴感、生活质量和预后的影响.方法采用自行设计口渴感程度量表及中文版明尼苏达生活质量问卷和电话调查的方法,收集273例心力衰竭住院患者入院前、住院期间和出院后3个月的液体控制状况、口渴感程度、生活质量等资料,分析液体控制对心力衰竭患者生活质量和预后的影响.结果心力衰竭患者入院前、住院期间和出院后3个月的液体控制率分别为28.6％,97.4％和82.8％,总体差异有统计学意义(x2=350.581,P＜0.01)；心力衰竭患者在入院前、住院期间及出院后3个月时各时期液体控制依从者的口渴感得分分别为(2.45±1.53),(3.30±1.59),(1.98±1.32)分,均高于液体控制不依从者[(1.39±0.88),(1.43±1.13),(1.33±0.83)分],差异有统计学意义(t值分别为5.734,4.268,3.762；P＜0.05)；入院前液体控制依从患者组生活质量得分(65.61±19.40)分,高于液体控制不依从患者,差异有统计学意义(t =3.307,P＜0.01)；出院后3个月时液体控制依从患者生活质量得分下降至(30.55±29.40)分,但与液体控制不依从者比较差异无统计学意义(t=0.259,P＞0.05)；两组患者出院后因心力衰竭再住院或死亡方面组间比较差异无统计学意义(P＞0.05).结论心力衰竭患者住院期间及出院3个月时液体控制依从率较高；遵从液体控制会增加心力衰竭患者的口渴感,但不会对患者的生活质量和预后产生显著影响.
목적 조사목전심력쇠갈환자액체공제현상,병탐토기대심력쇠갈환자구갈감、생활질량화예후적영향.방법 채용자행설계구갈감정도량표급중문판명니소체생활질량문권화전화조사적방법,수집273례심력쇠갈주원환자입원전、주원기간화출원후3개월적액체공제상황、구갈감정도、생활질량등자료,분석액체공제대심력쇠갈환자생활질량화예후적영향.결과 심력쇠갈환자입원전、주원기간화출원후3개월적액체공제솔분별위28.6％,97.4％화82.8％,총체차이유통계학의의(x2=350.581,P＜0.01)；심력쇠갈환자재입원전、주원기간급출원후3개월시각시기액체공제의종자적구갈감득분분별위(2.45±1.53),(3.30±1.59),(1.98±1.32)분,균고우액체공제불의종자[(1.39±0.88),(1.43±1.13),(1.33±0.83)분],차이유통계학의의(t치분별위5.734,4.268,3.762；P＜0.05)；입원전액체공제의종환자조생활질량득분(65.61±19.40)분,고우액체공제불의종환자,차이유통계학의의(t =3.307,P＜0.01)；출원후3개월시액체공제의종환자생활질량득분하강지(30.55±29.40)분,단여액체공제불의종자비교차이무통계학의의(t=0.259,P＞0.05)；량조환자출원후인심력쇠갈재주원혹사망방면조간비교차이무통계학의의(P＞0.05).결론 심력쇠갈환자주원기간급출원3개월시액체공제의종솔교고；준종액체공제회증가심력쇠갈환자적구갈감,단불회대환자적생활질량화예후산생현저영향.
Objective To explore the fluid control in patients with congestive heart failure,and discuss its effect on patients' thirsty,quality of life and prognosis.Methods Self-designed thirsty scale,Minnesota quality of life survey and telephone visit were used to collect 273 heart failure patients' data regarding fluid control,thirsty and quality of life before admission,during hospitalization and 3 months after discharge,and analyze the effect of fluid control on patients' quality of life and prognosis.Results Patients' rate of fluid control was 28.6％,97.4％ and 82.8％ before admission,during hospitalization and 3 months after discharge,and the difference was statistically significant (x2 =350.581,P ＜ 0.01).The thirsty score before admission,during hospitalization and 3 months after discharge was (2.45 ± 1.53),(3.30 ± 1.59),(1.98 ± 1.32) in patients with fluid control and (1.39 ± 0.88),(1.43 ± 1.13),(1.33 ± 0.83) in patients without fluid control,and the differences were statistically significant (t =5.734,4.268,3.762,respectively; P ＜ 0.05).Quality of life before hospitalization was (65.61 ± 19.40) in patients with fluid control,higher than that in patients without fluid control,and the difference was statistically significant (t =3.307,P ＜0.01).Quality of life after hospitalization was (30.55 ± 29.40) in patients with fluid control,and had no statistically significant difference from that in patients without fluid control (t =0.259,P ＞ 0.05).There was no statistically significant difference in cases of re -hospitalization and death due to heart failure between two groups (P ＞ 0.05).Conclusions Patients with heart failure have higher rate of fluid control during hospitalization and 3 months after discharge.Adherence to fluid control can increase patients' thirsty,but has no significant influence on their quality of life and prognosis.