The Correlation Among Self-Perceived Burden,Coping Style And Quality Of Life In Patients With Chronic Heart Failure

Objectives:(1)To understand the status quo of self-perceived burden,coping style and quality of life of patients with chronic heart failure.(2)To analyze the influencing factors of quality of life of patients with chronic heart failure,(3)To explore the relationship among self-perceived burden,coping style and quality of life,and to provide reference for improving the quality of life of patients with effective intervention strategies.Methods: Randomly selected during the December 2015 to August 2016 in Hunan province 3 comprehensive tertiary hospital cardiovascular hospitalization in patients with chronic heart failure as the object of study.The general data questionnaire,the Minnesota heart failure quality of life scale(MLHFQ),the Self-perceived burden scale(SPBS)and the Medical Coping Style Questionnaire(MCMQ)were used to investigate the data.All data were input by Epidata3.1 software,and statistical analysis was performed by using statistical software SPSS23.0.Statistical methods include statistical description,two sample t test,single factor analysis of variance,non parametric Kruskal-Wallis H test,multiple stepwise regression analysis,Pearson or Spearman correlation analysis.Results:(1)The total score of quality of life in patients with chronic heart failure was(53.24 ± 12.10)points;in the three dimensions,the body area was the highest(2.62±0.67)points,followed by other areas(2.49±0.63)points,and the lowest was in the emotional field(2.46±0.78)points.(2)The total score of self-perceived burden of patients with chronic heart failure was(32.13±8.32)points,in 50 patients(22.7%)with mild self-perceived burden,there were 80 patients(36.4%)with moderate self-perceived burden,and 58 patients with severe self-perceived burden(26.4%).(3)In the medical coping style of patients with chronic heart failure,confronce coping dimension score was(18.81±3.19)points,avoidance coping dimension score was(14.63±2.60)points,resignation coping dimension score was(9.86±2.14)points.the confronce coping dimension score lower than the norm,the resignation coping score higher than the norm,the difference was statistically significant(P<0.05);there was no statistically significant difference between avoidance coping dimension and norm(P>0.05).(4)Single factor analysis showed that there were significant differences in quality of life among patients with different age,marital status,family per capita monthly income,living style,hospitalized times,type of complication and grade of cardiac function(P < 0.05).Multiple stepwise regression analysis showed that the marital status of the patients,the per capita monthly income of the family,the hospitalized times,the type of complications,grade of cardiac function into the regression model.(5)Pearson or Spearman correlation analysis showed that the self-perceived burden,avoidance coping and resignation coping were positively correlated with the total score of quality of life and their dimensions in patients with chronic heart failure,the difference was statistically significant(P<0.05),confronce coping with the total score of quality of life and their dimensions were negatively correlated,the difference was statistically significant(P<0.05).Conclusions:(1)The quality of life of patients with chronic heart failure is at a moderate level and needs to be improved;grade of cardiac function,family per capita monthly income,marital status,hospitalized times and type of complication were the influencing factors of quality of life in patients with chronic heart failure.(2)Chronic heart failure patients generally have a self-perception burden,the overall level is moderate,and more use of resignation coping style,less use of confronce coping style.(3)Chronic heart failure patients' self-perceived burden,avoidance coping and resignation coping were positively correlated with the total score of quality of life and their dimensions,that is,the more self-perception burden,to avoidance and resignation coping style,the worse the quality of life.The confronce coping with the total score of quality of life and their dimensions were negatively correlated,that is,to confronce coping style,the better the quality of life.