Difference of thirst distress and capacity management behavior between patients with simple heart failure and patients with heart failure combined with diabetes
10.3760/cma.j.cn115682-20230512-01885
- VernacularTitle:单纯心力衰竭患者与心力衰竭合并糖尿病患者口渴困扰和容量管理行为的差异分析
- Author:
Xiao WU
1
;
Yuehua MA
;
Mingnan LI
Author Information
1. 新乡市中心医院 新乡医学院第四临床学院心血管内科三病区，新乡 453000
- Keywords:
Heart failure;
Diabetes mellitus;
Thirst distress;
Capacity management behavior;
Nursing strategy
- From:
Chinese Journal of Modern Nursing
2023;29(23):3161-3165
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate and analyze the difference between patients with simple heart failure and patients with heart failure combined with diabetes in thirst distress and capacity management behavior, so as to provide ideas for clinical nursing practice.Methods:From March to December 2022, 490 patients with heart failure hospitalized in Xinxiang Central Hospital were selected by convenience sampling. Patients were divided into simple heart failure group and heart failure with diabetes group according to whether they were combined with diabetes or not. We conducted a survey on two groups of patients using the Thirst Distress Scale (TDS) and Volume Management Scale to compare the differences in thirst distress and capacity management behavior between the two groups.Results:There were 257 cases in simple heart failure group and 233 cases in heart failure with diabetes group. The total TDS scores of the simple heart failure group and the heart failure with diabetes group were (25.72±2.86) and (30.79±3.11) respectively. The TDS scores of all items and total scores in the heart failure with diabetes group were higher than those in the simple heart failure group, and there were statistically significant differences between the two groups in terms of item 1, item 5, item 7, item 8 and total TDS scores ( P<0.05). The total score of capacity management behavior in the simple heart failure group and the heart failure with diabetes group was (13.69±1.95) and (11.73±1.88) respectively. The score of diet management and total score of capacity management behavior in the heart failure with diabetes group were lower than those in the simple heart failure group, and the monitoring score of complications was higher than that in the simple heart failure group, with statistical significances ( P<0.05) . Conclusions:Compared with patients with simple heart failure, patients with heart failure and diabetes have more serious thirst problems, especially in the sense of salivary viscosity, control of drinking behavior and thirst sensation, and worse capacity management behavior. Targeted nursing guidance and education can be carried out in clinical practice.
