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护理学报 ›› 2022, Vol. 29 ›› Issue (1): 1-6.doi: 10.16460/j.issn1008-9969.2022.01.001

• 研究生园地 •    下一篇

321例老年慢性心力衰竭患者灵性需求现状及影响因素分析

汪张毅1a, 赵浩梅2, 叶建亚2, 张思爱1a, 王月1a, 王朝1a, 庞晓丽1b   

  1. 1.天津中医药大学a.研究生院;b.护理学院,天津 301617;
    2.河北中医学院 护理学院,河北 石家庄 050000
  • 收稿日期:2021-08-03 出版日期:2022-01-10 发布日期:2022-02-14
  • 通讯作者: 庞晓丽（1976-）,女,天津人,博士,教授。E-mail：403033115@qq.com
  • 作者简介:汪张毅（1998-）,男,湖南湘西人,本科学历,硕士研究生在读。
  • 基金资助:
    2021年度河北省社会科学发展研究课题（20210201439）; 2020年河北省省级科技计划项目科学普及专项（20557706K）; 天津市研究生科研创新项目（2021YJSS171）; 天津中医药大学研究生科研创新项目资助（YJSKC-20212005）

Status Quo of Spiritual Needs and Its Influence Factors in Elderly Patients with Chronic Heart Failure: A 321-case Study

WANG Zhang-yi1a, ZHAO Hao-mei2, Ye Jian-ya2, ZHANG Si-ai1a, WANG Yue1a, WANG Zhao1a, PANG Xiao-li1b   

  1. 1a. Graduate School; 1b. School of Nursing, Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China;
    2. School of Nursing, Hebei University of Chinese Medicine, Shijiazhuang, 050000, China
  • Received:2021-08-03 Online:2022-01-10 Published:2022-02-14

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摘要： 目的 调查老年慢性心力衰竭患者灵性需求现状并分析其影响因素,为制订针对性的灵性照护干预措施提供参考。方法 采用便利抽样法于2021年3—7月抽取天津市7家三级甲等医院共321例老年慢性心力衰竭患者作为调查对象,使用一般资料调查表、中文版灵性需求量表、领悟社会支持量表及自我超越量表进行问卷调查。结果 321例老年慢性心力衰竭患者灵性需求总分为（40.51±15.89）分,条目均分为（1.50±0.56）分。6个维度中,条目均分最的是“积极给予”（1.97±0.75）分,最低的是“信仰-资源”（0.78±0.39）分;灵性需求与社会支持（r=0.687,P<0.01）及自我超越（r=0.701,P<0.01）均呈正相关;多元线性回归分析显示宗教信仰、文化程度、心力衰竭病程、社会支持及自我超越进入回归方程（F=59.681,P<0.01）,可解释总变异的57.4%。结论 321例老年慢性心力衰竭患者灵性需求处于中等水平,宗教信仰、文化程度、心力衰竭病程、社会支持及自我超越是影响老年慢性心力衰竭患者灵性需求的主要因素。医护人员应根据老年慢性心力衰竭患者个体化特征和差异采取针对性的灵性照护措施,可通过提升患者的社会支持和自我超越水平,来最大程度地满足其灵性需求。

关键词: 老年, 慢性心力衰竭, 灵性需求, 社会支持, 自我超越, 影响因素

Abstract: Objective To investigate the status quo of spiritual needs and its influence factors among elderly patients with chronic heart failure, and to provide reference for the development of targeted spiritual care. Methods A convenient sample of 321 elderly patients with chronic heart failure were selected from 7 tertiary grade-A hospitals in Tianjin from March to July 2021, and they were surveyed by using general information questionnaire, the Chinese Version of the Spiritual Needs Questionnaire, the Perceived Social Support Scale and the Chinese Version of the Self-Transcendence Scale. Results The total score of spiritual needs was 40.51±15.89 and the average score for all entries was 1.50±0.56. Among the six dimensions, the highest score was “positive giving” 1.97±0.75, the lowest “belief-resources” 0.78±0.39. And spiritual needs were positively correlated with social support (r=0.687, P<0.01) and self-transcendence (r=0.701, P<0.01). Multiple linear regression analysis showed that religious beliefs, education background, course of heart failure, social support, and self-transcendence into the regression equation (F=59.681, P<0.01), explaining 57.4% of the total variation. Conclusion The spiritual needs of 321 elderly patients with chronic heart failure were in a moderate level. Religious beliefs, education background, course of heart failure, social support, and self-transcendence were the main factors affecting the spiritual needs. It is suggested that medical staff should take targeted spiritual care measures to meet their spiritual needs by improving social support and self-transcendence.

Key words: elderly, chronic heart failure, spiritual needs, social support, self-transcendence, influence factor

中图分类号: 

  • R473.5
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