慢性心力衰竭患者生活质量影响因素及其与社会支持度的相关性

doi:10.3969/j.issn.1671-7171.2026.01.028

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摘要 【目的】 探讨影响慢性心力衰竭患者生活质量的影响因素及其与社会支持度的相关性。【方法】 选择2020年6月至2024年6月本院收治的104例慢性心力衰竭患者,采用明尼苏达心力衰竭生活质量问卷(MLHFQ)评估患者生活质量,采用社会支持评定量表(SSRS)评估患者社会支持度,采用Pearson相关分析法分析社会支持度与生活质量的相关性,采用单因素分析及多元线性回归分析法分析慢性心力衰竭患者生活质量的影响因素。【结果】 不同性别、年龄、心功能分级、合并症数量、日常生活能力、学历、家庭月收入、运动训练情况、婚姻状况的慢性心力衰竭患者MLHFQ评分比较,差异有统计学意义(P<0.05)。慢性心力衰竭患者主观支持、客观支持、社会支持利用度评分分别为(8.11±1.12)分、(11.47±2.08)分、(6.05±1.27)分。Pearson相关分析显示,慢性心力衰竭患者主观支持、客观支持、社会支持利用度评分与MLHFQ评分均呈负相关(r=－0.591、－0.759、－0.678,均P<0.05)。多元线性回归分析显示,年龄≥60岁、心功能分级Ⅲ~Ⅳ级、合并症数量≥4种、日常生活能力异常、学历为初中及以下、家庭月收入<3000元/月、主观支持评分、客观支持评分、社会支持利用度评分是慢性心力衰竭患者生活质量的独立影响因素(P<0.05)。【结论】 年龄、心功能分级、合并症数量、日常生活能力、学历、家庭月收入、主观支持、客观支持、社会支持利用度是影响慢性心力衰竭患者生活质量的相关因素,临床医护人员可根据慢性心力衰竭患者具体情况制定相关的社会支持方案,对提高慢性心力衰竭患者的生活质量具有重要意义。

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	余晓燕
	程艳娜
	马会勤
	于林君

关键词 ：心力衰竭, 慢性病, 生活质量, 影响因素分析, 社会支持

Abstract：【Objective】 To explore the related factors affecting the quality of life of patients with chronic heart failure and their correlation with social support. 【Methods】 A total of 104 patients with chronic heart failure admitted to our hospital from June 2020 to June 2024 were selected. The Minnesota Living with Heart Failure Questionnaire(MLHFQ) was used to evaluate the quality of life of the patients, and the Social Support Rating Scale(SSRS) was used to evaluate the social support of the patients. Pearson correlation analysis was used to analyze the correlation between social support score and quality of life. Univariate analysis and multiple linear regression analysis were used to analyze the influencing factors of quality of life in patients with chronic heart failure. 【Results】 There were statistically significant differences in MLHFQ scores of patients with chronic heart failure with different genders, ages, cardiac function classifications, number of comorbidities, activities of daily living, educational backgrounds, monthly household incomes, exercise training status and marital status(P<0.05). The scores of subjective support, objective support and social support utilization of patients with chronic heart failure were(8.11±1.12) points,(11.47±2.08) points and(6.05±1.27) points, respectively. Pearson correlation analysis showed that the scores of subjective support, objective support and social support utilization of patients with chronic heart failure were negatively correlated with MLHFQ(r=－0.591, －0.759, －0.678, all P<0.05). Multiple linear regression analysis showed that age ≥ 60 years old, cardiac function classification grade Ⅲ~Ⅳ, number of comorbidities ≥ 4 types, abnormal activities of daily living, educational background ≤ junior high school, monthly household income < 3000 yuan per month, subjective support, objective support and social support utilization were independent influencing factors of quality of life in patients with chronic heart failure(P<0.05). 【Conclusion】 Age, cardiac function classification, number of comorbidities, abnormal activities of daily living, educational background, monthly household income per capita, subjective support, objective support and social support utilization are the related factors affecting the quality of life of patients with chronic heart failure. Clinical medical staff can formulate relevant social support programs according to the specific conditions of patients with chronic heart failure, which is of great significance for improving the quality of life of patients with chronic heart failure.

Key words： Heart Failure Chronic Disease Quality of Life Root Cause Analysis Social Support

收稿日期: 2024-11-05

中图分类号:

R542.22

通讯作者: *E-mail:lemonlilyx@163.com

引用本文:

余晓燕, 程艳娜, 马会勤, 于林君. 慢性心力衰竭患者生活质量影响因素及其与社会支持度的相关性[J]. 医学临床研究, 2026, 43(1): 99-101.
YU Xiaoyan, CHENG Yanna, MA Huiqin, YU Linjun. Influencing Factors of Quality of Life and its Correlation with Social Support in Patients with Chronic Heart Failure. JOURNAL OF CLINICAL RESEARCH, 2026, 43(1): 99-101.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2026.01.028 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2026/V43/I1/99

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