Investigation of fluid control status in patients with congestive heart failure
10.3760/cma.j.issn.1674-2907.2013.20.001
- VernacularTitle:慢性心力衰竭患者液体控制依从现状调查
- Author:
Lu-Lu SUN
1
;
Tao LIANG
;
Rong LV
;
Shi-Ming JI
;
Yan CHEN
;
Xiao-Jia BU
Author Information
1. 100016,清华大学第一附属医院重症医学科
- Keywords:
Heart failure;
Fluid control;
Thirsty;
Quality of life;
Prognosis
- From:
Chinese Journal of Modern Nursing
2013;19(20):2357-2360
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the fluid control in patients with congestive heart failure,and discuss its effect on patients' thirsty,quality of life and prognosis.Methods Self-designed thirsty scale,Minnesota quality of life survey and telephone visit were used to collect 273 heart failure patients' data regarding fluid control,thirsty and quality of life before admission,during hospitalization and 3 months after discharge,and analyze the effect of fluid control on patients' quality of life and prognosis.Results Patients' rate of fluid control was 28.6％,97.4％ and 82.8％ before admission,during hospitalization and 3 months after discharge,and the difference was statistically significant (x2 =350.581,P ＜ 0.01).The thirsty score before admission,during hospitalization and 3 months after discharge was (2.45 ± 1.53),(3.30 ± 1.59),(1.98 ± 1.32) in patients with fluid control and (1.39 ± 0.88),(1.43 ± 1.13),(1.33 ± 0.83) in patients without fluid control,and the differences were statistically significant (t =5.734,4.268,3.762,respectively; P ＜ 0.05).Quality of life before hospitalization was (65.61 ± 19.40) in patients with fluid control,higher than that in patients without fluid control,and the difference was statistically significant (t =3.307,P ＜0.01).Quality of life after hospitalization was (30.55 ± 29.40) in patients with fluid control,and had no statistically significant difference from that in patients without fluid control (t =0.259,P ＞ 0.05).There was no statistically significant difference in cases of re -hospitalization and death due to heart failure between two groups (P ＞ 0.05).Conclusions Patients with heart failure have higher rate of fluid control during hospitalization and 3 months after discharge.Adherence to fluid control can increase patients' thirsty,but has no significant influence on their quality of life and prognosis.
