养老机构冠心病病人疾病认知影响因素研究

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Abstract  Objective：To explore the influencing factors of disease cognition of patients with coronary heart disease（CHD） in nursing homes and to provide a reference for targeted nursing intervention.Methods：From September 2021 to March 2022，a total of 414 CHD patients in 7 nursing homes in Hebei province were selected as the research subjects.The general information questionnaire，a short version of the coronary artery disease education questionnaire（CADE⁃Q SV），the 38⁃item expectations regarding aging（ERA⁃38），the Tilburg Frailty Indicator（TFI），and the Geriatric Depression Scale（GDS） were used to conduct the survey.The correlation and influencing factors were analyzed.Results：The cognition score of CHD patients in nursing homes was（11.66±3.40） points.Single factor analysis showed that patients with different ages，education levels，occupations，per capita monthly income，frequency of family visits，whether integrated eldercare services with medical care，entertainment activities status，medical rehabilitation status，depression，and frailty were statistically significantly different in disease cognition（P<0.05）.Pearson correlation analysis showed that aging expectations of CHD patients in nursing homes were positively correlated with disease cognition（r=0.423，P<0.01）；frailty and depression were negatively correlated with disease cognition（r=-0.509，P<0.01；r=-0.335，P<0.01）.Multiple linear regression showed that education level，per capita monthly income，integrated eldercare services with medical care，medical rehabilitation status，frailty，and aging expectations were the influencing factors of disease cognition of CHD patients in nursing homes（P<0.05），which explained 66.0% of the total variance.Conclusions：Education level，per capita monthly income，integrated eldercare services with medical care，medical rehabilitation status，frailty，and aging expectations were the influencing factors of disease cognition of CHD patients in nursing homes.Targeted measures should be taken to improve the disease cognition level of the elderly.

Keywords  elderly； nursing homes； coronary heart disease； disease cognition； aging expectations； frailty； depression； nursing

摘要  目的：探讨养老机构冠心病病人疾病认知影响因素，为针对性护理干预提供参考。（剩余11135字）