心力衰竭患者的自我护理行为：沙特人群的横断面研究。
Self-care practices among heart failure patients: A cross-sectional study in Saudi population.
机构信息
From the Department of Community Health Nursing, College of Nursing, Taibah University, Al Madinah al Munawarah, Kingdom of Saudi Arabia.
出版信息
Saudi Med J. 2023 Mar;44(3):277-283. doi: 10.15537/smj.2023.44.3.20220799.
OBJECTIVES
To describe self-care practices among Saudi heart failure (HF) patients and identify sociodemographic characteristics contributing to self-care practices.
METHODS
A cross-sectional study utilizing the Arabic-language version of the revised Self-Care of Heart Failure Index (SCHFI), version 7-2. A convenience sample of 245 people treated for HF at a tertiary heart center in the Kingdom of Saudi Arabia were recruited from June to August 2020.
RESULTS
Statistical descriptions of SCHFI showed that confidence level was 84%, maintenance level was 67.5%, and monitoring level was 67.2%. Females' HF management (=0.023) and confidence (=0.002) were significantly higher than male participants. In addition, education level and employment status had a significant effect on HF monitoring with a -value of 0.006 for the 4 employment categories (F=[3,241]=4.06, =0.008, h=0.048). The effect size was small to medium for education level and employment status in the abovementioned results. Confidence significantly contributed to explaining all self-care sub-scale scores. Independent variables significantly predicted monitoring subscale scores (R2=0.082, F=[7,237]=3.027, =0.005).
CONCLUSION
Self-care practices in this study showed higher scores than those reported in international studies. Further studies are warranted to explore everyday self-care needs and challenges among HF patients.
目的
描述沙特心力衰竭（HF）患者的自我护理行为，并确定有助于自我护理行为的社会人口学特征。
方法
本研究采用阿拉伯语版修订后的心力衰竭自我护理量表（SCHFI）版本 7-2 进行横断面研究。2020 年 6 月至 8 月，在沙特阿拉伯一家三级心脏中心接受 HF 治疗的 245 名患者被纳入便利样本。
结果
SCHFI 的统计描述显示，信心水平为 84%，维持水平为 67.5%，监测水平为 67.2%。女性 HF 管理（=0.023）和信心（=0.002）显著高于男性参与者。此外，教育水平和就业状况对 HF 监测有显著影响，4 种就业类别的值为 0.006（F=[3,241]=4.06，=0.008，h=0.048）。教育水平和就业状况在上述结果中对 HF 监测的影响程度为小到中等。信心显著有助于解释所有自我护理子量表的分数。自变量显著预测监测子量表的分数（R2=0.082，F=[7,237]=3.027，=0.005）。
结论
本研究中的自我护理行为得分高于国际研究报告的得分。需要进一步研究来探索 HF 患者日常自我护理需求和挑战。
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