中华护理杂志 ›› 2023, Vol. 58 ›› Issue (14): 1733-1741.DOI: 10.3761/j.issn.0254-1769.2023.14.010
收稿日期:
2022-10-24
出版日期:
2023-07-20
发布日期:
2023-07-14
通讯作者:
康晓凤,E-mail:xfkangpumc@126.com作者简介:
江莹:女,本科(硕士在读),护师,E-mail:jiangying_ncbi@163.com
JIANG Ying(), YU Minhong, ZHANG Chunyan, KANG Xiaofeng()
Received:
2022-10-24
Online:
2023-07-20
Published:
2023-07-14
摘要:
目的 调查肺动脉高压患者的主、客观经济负担现状,并探讨其与健康相关生活质量的相关性。方法 采取便利抽样法,选取2022年2月—9月在北京市某三级甲等医院就诊的肺动脉高压患者作为调查对象。使用一般资料调查表、慢性病治疗经济毒性功能评估综合评分(Comprehensive Score for Financial Toxicity Functional Assessment of Chronic Illness Therapy,COST)和肺动脉高压特异性健康相关生活质量量表等对患者进行调查,并分析其影响因素。结果 152例肺动脉高压患者中,123例(80.9%)存在经济负担,COST为(16.22±10.19)分;多元线性逐步回归结果显示,肺动脉收缩压、6 min步行距离、社会经济地位复合指数、灾难性医疗支出和经济相关服药不依从是肺动脉高压患者经济负担的影响因素,可解释总变异的42.9%。经济负担与健康相关生活质量存在相关性(P<0.05)。 结论 肺动脉高压患者主、客观经济负担普遍存在,经济负担大的患者健康相关生活质量受损严重,医护人员应重视并全面筛查患者的经济负担,防止患者在疾病管理阶段因病致贫,从而减轻经济负担对患者预后的不良影响。
江莹, 余旻虹, 张春燕, 康晓凤. 肺动脉高压患者经济负担影响因素分析及护理对策[J]. 中华护理杂志, 2023, 58(14): 1733-1741.
JIANG Ying, YU Minhong, ZHANG Chunyan, KANG Xiaofeng. Investigation and analysis of influencing factors related to financial burden among pulmonary artery hypertension patients[J]. Chinese Journal of Nursing, 2023, 58(14): 1733-1741.
表1 调查对象的一般资料及经济负担的单因素分析(n=152)
Table 1 The general information of the subjects and the results of the univariate analysis on the influencing factors of financial burden(n=152)
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