高龄慢性心力衰竭患者体力活动现状及影响因素研究

摘要/Abstract

摘要： 目的探讨高龄慢性心力衰竭患者体力活动现状及影响因素。方法选取2021年6月—2023年12月在南京医科大学第一附属医院老年心血管科住院的204例高龄慢性心力衰竭者作为研究对象,采用国际体力活动长问卷测量体力活动（IPAQ）、心脏病患者运动恐惧量表（TSK-SV Heart）、生活质量评定量表（SF-36）、自我负担量表（SPBS）对其进行调查。单因素分析采用方差分析、独立样本t检验,多因素分析采用多元线性回归分析。结果 72%高龄慢性心力衰竭患者体力活动处于中低等水平。相关性分析结果显示：年龄、家庭收入、文化程度、心力衰竭程度、居住情况、运动恐惧程度、生活质量水平及自我负担水平是高龄患者体力活动的影响因素,差异有统计学意义（P<0.05）。结论高龄慢性心力衰竭患者存在明显体力活动不足,影响其体力活动水平的因素有高龄、心力衰竭严重、运动恐惧严重、生活质量低及自我负担水平越重。

关键词: 高龄心衰, 体力活动, 运动恐惧, 生活质量, 自我负担, 影响因素

Abstract: Objective To explore the physical activity status and influencing factors of elderly patients with chronic heart failure. Methods From June 2021 to December 2023, 204 elderly patients with chronic heart failure who were hospitalized in the Department of Geriatrics and Cardiology, First Affiliated Hospital of Nanjing Medical University were selected. Physical activity (IPAQ), exercise fear scale for heart patients (TSK-SV Heart), quality of life rating scale (SF-36) and self-burden scale (SPBS) were used to investigate them. Single factor analysis used variance analysis, independent sample T test, and multivariate analysis used multiple linear regression analysis. Results The physical activity of 72% elderly patients with chronic heart failure was in the middle and low level. The results of correlation analysis show that age, family income, education level, heart failure degree, living condition, exercise fear degree, quality of life level and self-burden level are the influencing factors of physical activity of elderly patients (P<0.05). Conclusion The elderly patients with chronic heart failure have obvious lack of physical activity, and the influencing factors on their physical activity level are as follows, especially the elderly, serious heart failure, serious exercise fear, low quality of life and the heavier self-burden level.

Key words: elderly heart failure, physical activity, fear of exercise, quality of life, self-financing, influencing factor

中图分类号:

R541.6+1

蒋莉, 胡晓琳, 高云静, 汤一帆, 杨蕾. 高龄慢性心力衰竭患者体力活动现状及影响因素研究[J]. 中华养生保健, 2024, 42(18): 7-11.

JIANG Li, HU Xiao-lin, GAO Yun-jing, TANG Yi-fan, YANG Lei. Study on Physical Activity Status and Influencing Factors of Elderly Patients with Chronic Heart Failure[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(18): 7-11.

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