主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2025, Vol. 25 ›› Issue (6): 818-823.doi: 10.3969/j.issn.1672-1756.2025.06.004

• 特别策划·慢性心力衰竭护理 • 上一篇    下一篇

慢性心力衰竭患儿家庭管理现状及影响因素分析

张嫒 沈巧 张琴 冷虹瑶 王艳琴 李芮 陶芙蓉 郑显兰   

  1. 重庆医科大学附属儿童医院心血管科,国家儿童健康与疾病临床医学研究中心,儿童发育疾病研究教育部重点实验室,结构性出生缺陷与器官修复重建重庆市重点实验室,国家临床心血管内科重点专科,重庆市卫生健康委儿童重要器官发育与疾病重点实验室,401122 重庆市(张嫒,张琴,王艳琴,李芮,陶芙蓉);护理部(沈巧,冷虹瑶,郑显兰)
  • 出版日期:2025-06-15 发布日期:2025-06-15
  • 通讯作者: 郑显兰,硕士,主任护师/教授,护理学科主任,E-mail:zhengxianlan@vip.163.com
  • 作者简介:张嫒,硕士,主管护师/讲师

Analysis of the current status and influencing factors of family management for children with Chronic Heart Failure

ZHANG Ai, SHEN Qiao, ZHANG Qin, LENG Hongyao, WANG Yanqin, LI Rui, TAO Furong, ZHENG Xianlan   

  1. Department of Cardiology, Children's Hospital of Chongqing Medical University, National Clinical Research Center for Child Health and Disorders, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing Key Laboratory of Structural Birth Defect and Reconstruction, National Clinical Key Cardiovascular Specialty, Key Laboratory of Children's Important Organ Development and Diseases of Chongqing Municipal Health Commission, Chongqing, 401122, China
  • Online:2025-06-15 Published:2025-06-15
  • Contact: E-mail:zhengxianlan@vip.163.com

摘要: 目的:调查慢性心力衰竭患儿家庭管理现状并分析其影响因素,为护理人员制定有针对性的干预策略提供参考。方法:采用便利抽样法,选取2021年4月至2022年4月在重庆市某三级甲等儿童医院心血管内科住院治疗后出院的155例慢性心力衰竭患儿的家长为研究对象,发放一般信息调查表、家庭管理量表进行调查,采用多元逐步回归分析影响因素。结果:慢性心力衰竭患儿的家庭管理量表得分为(156.27±34.92)分。回归分析结果显示,患儿是否服用心血管药物、心功能分级、居住地及家长工作是否因孩子疾病改变是家庭管理的影响因素(均P<0.05),共解释总变异度的45.6%。结论:慢性心力衰竭患儿的家庭管理水平有待提高,护理人员应加强对CHF患儿家庭的支持,提供个性化和持续性的干预,以提升家庭管理水平。

关键词: 慢性心力衰竭;儿童;家庭管理;影响因素

Abstract: Objective: To investigate the current status of family management for children with Chronic Heart Failure (CHF) and analyze the influencing factors, aiming to provide references for nurses to develop targeted intervention strategies. Methods: Employing the convenience sampling method, 155 parents of children with CHF who were discharged from the department of cardiovascular medicine of a tertiary grade A children's hospital in Chongqing from April 2021 to April 2022 were selected. A general information questionnaire and the Family Management Scale were utilized for the investigation, and multiple stepwise regression was used to analyze the influencing factors. Results: The total score of the Family Management Scale for children with CHF was 156.27±34.92. Regression analysis results showed that whether the children were taking cardiovascular drugs, the cardiac functional classification, residence and whether the parents' jobs had been changed due to the children's disease were the influencing factors of family management (all P<0.05), which explained 45.6% of the total variance. Conclusion: The level of family management in children with CHF needs to be improved. Nurses should strengthen support for families of children with CHF and provide individualized and sustained interventions.

Key words: Chronic Heart Failure; children; family management; influencing factor

中图分类号:  R47;R197