Analysis Of Influencing Factors Of Weight Monitoring In Patients With Chronic Congestive Heart Failure Before And After Weight Management

ObjectiveTo explore the weight monitoring factors in patients with chronic congestive heart failure(congestive heart failure, CHF) before and after weight management, to campare the difference of weight monitoring factors before and after the intervention, to find the key to improvement for weight monitoring compliance, for future evidence-based nursing measures.MethodUsing the instrument of general data questionnaire, weight management scale, we collect 130 patients with congestive heart failure between October 2011 and February 2013 in Suzhou a tertiary hospital. Of these, 66 cases get weight management interventions for 1 year, weight management scale to collect data before and after the intervention, and collect the data "to monitor whether abnormal weight" and readmission.(1) analysis of patients with congestive heart failure at baseline and 1 year after intervention of weight management, monitoring the dimension and weight factors;(2) to explore patients with chronic congestive heart failure at baseline and 1 year after intervention of weight management and independent risk factors for dimension of weight monitoring;(3) to investigate the weight correlation dimension and weight monitoring compliance monitoring. chi-square test, Pearson/Spearman correlation analysis, unconditioned single factor and multi-factor linear regression were used for analysis.Result1. 130 cases before intervention were good for weight monitoring compliance of 17 cases(13.1%); After the intervention, 66 cases of patients were good for weight monitoring compliance of 40 cases(60.6%).2. Before the intervention, monitoring compliance with the patient weight factors associated with patients’ gender, EF, HF- EMPS, weight management knowledge, attitude and behavior dimension. Unconditioned multi-factor linear regression results show that the factors that effected body weight monitoring compliance on weight management belief(standard coefficient = 0.201, 95% CI = 0.030 0.198; P = 0.008) and behavioral dimensions(standard coefficient = 0.426, 95% CI = 0.125 0.272; P < 0.001).3. After the intervention, factors associated with monitoring weight compliance included age, family support, whether to detect abnormal weight, weight management knowledge, attitude and behavior dimension. Unconditioned multi-factor linear regression results show that the factors that effected body weight monitoring compliance on weight management knowledge(standard coefficient = 0.209, 95% CI = 0.040 0.423; P = 0.019), the belief(standard coefficient = 0.345, 95% CI = 0.104 0.385; P = 0.001) and behavioral dimensions(standard coefficient = 0.273, 95% CI = 0.051 0.265; P = 0.004).4. The correlation coefficient between dimension of weight monitoring and the patient’s weight monitoring compliance before and after intervention, was 0.623 and 0.623, respectively, with significant correlation.ConclusionWeight management is influence weight monitoring compliance of patients with chronic congestive heart failure. Weight management interventions contribute to weight management knowledge for the patient weight monitoring compliance. In addition, age and gender is also affect patients with weight factors of monitoring compliance. "Monitoring to abnormal weight" and its weight during intervention monitoring compliance were positively correlated.