心臟衰竭病患自我照顧能力與症狀困擾、社會支持、憂鬱之研究

A Study of Relationships between Symptom Distress, Social Support and Depression and Self Care Ability in Patients with Heart Failure

劉敏慧(Min-Hui Liu) ； 胡瑞桃(Shui-Tao Hu) ； 郭李堂(Li-Tang Kuo) ； 王兆弘(Chao-Hung Wang) ； 董道興(Tao-Hsin Tung)

《實證護理》 4卷4期 (2008/12) Pp. 277-288

https://doi.org/10.6225/JEBN.4.4.277

摘要

The objective of this study was to investigate relationships between symptom-related distress, depression, social support, and self-care ability in heart failure patients. A descriptive, cross-sectional design was employed, and data was gathered at a northern Taiwan teaching hospital between August 10, 2006 and August 30, 2007. A total of 77 outpatient department heart failure patients were recruited as participants. Instruments used included a symptoms distress scale, depression scale, social support scale, and heart failure self ability scale. SPSS version 10.0 was used for data coding and analysis. Primary statistical methods used included descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation and stepwise liner regression. Study results included: (1). Self-care ability was found significantly correlated with participant level of income (t=2.30, p＜.05); (2). The mean score for self-care ability was 46.71, with the highest and lowest scored items being medication care and sleep status, respectively; (3). Social support from family and healthcare teams was found to correlate positively with self-care ability (r=0.38, p＜.01; r=0.32, p＜.001). However, depression correlated negatively with self-care ability (r=-0.36, p＜.001); and (4). Stepwise regression analysis showed that being male and receiving social support were important factors influencing level of self-care ability. These two variables explained 24% of observed variation. This study suggests that a well-designed combination of social support from both family and society could substantially improve the self-care quality of patients with heart failure. Heart failure care team may effectively raise their care efficiency by targeting this specific therapeutic intervention.

關鍵字

心臟衰竭 ； 症狀困擾 ； 憂鬱 ； 社會支持 ； 自我照顧能力

並列摘要

The objective of this study was to investigate relationships between symptom-related distress, depression, social support, and self-care ability in heart failure patients. A descriptive, cross-sectional design was employed, and data was gathered at a northern Taiwan teaching hospital between August 10, 2006 and August 30, 2007. A total of 77 outpatient department heart failure patients were recruited as participants. Instruments used included a symptoms distress scale, depression scale, social support scale, and heart failure self ability scale. SPSS version 10.0 was used for data coding and analysis. Primary statistical methods used included descriptive statistics, independent t-test, one way ANOVA, Pearson's correlation and stepwise liner regression. Study results included: (1). Self-care ability was found significantly correlated with participant level of income (t=2.30, p＜.05); (2). The mean score for self-care ability was 46.71, with the highest and lowest scored items being medication care and sleep status, respectively; (3). Social support from family and healthcare teams was found to correlate positively with self-care ability (r=0.38, p＜.01; r=0.32, p＜.001). However, depression correlated negatively with self-care ability (r=-0.36, p＜.001); and (4). Stepwise regression analysis showed that being male and receiving social support were important factors influencing level of self-care ability. These two variables explained 24% of observed variation. This study suggests that a well-designed combination of social support from both family and society could substantially improve the self-care quality of patients with heart failure. Heart failure care team may effectively raise their care efficiency by targeting this specific therapeutic intervention.

並列關鍵字

heart failure ； symptoms distress ； depression ； social support ； self care ability