The current status and influencing factors of the coexistence of multiple frailty domains in patients with chronic heart failure
10.3761/j.issn.0254-1769.2025.03.008
- VernacularTitle:慢性心力衰竭患者躯体、认知、社会衰弱共存现状及影响因素研究
- Author:
Sipei WANG
1
;
Yan WANG
;
Weihua NIU
;
Huifeng YANG
Author Information
1. 300167 天津市 天津中医药大学护理学院
- Publication Type:Journal Article
- Keywords:
Chronic Heart Failure;
Frailty;
Root Cause Analysis;
Nursing Care
- From:
Chinese Journal of Nursing
2025;60(3):311-318
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the status and influencing factors of the coexistence of multiple frailty domains in patients with chronic heart failure(CHF),and to provide a reference for formulating targeted intervention measures.Methods The patients with CHF hospitalized in the cardiovascular department of a tertiary general hospital in Tianjin from November 2021 to December 2022 were conveniently selected as the study subjects.The self-designed general information questionnaire,FRAIL scale,Montreal Cognitive Assessment(MoCA)scale,HALFT Scale,Social Support Rating Scale and Self-Rating Depression Scale were used to investigate the coexistence of physical,cognitive and social frailty in CHF patients,and single factor analysis and binary logistic regression analysis were used to analyze the influencing factors.Results A total of 275 questionnaires were issued and 269 valid questionnaires were collected.Among 269 patients with CHF,12(4.5％),67(24.9％),122(45.4％)and 68(25.3％)patients had 0,1,2 and 3 frailty domains,respectively.According to the patients with CHF whether coexists physical,cognitive,social frailty,divided into coexistence and non-coexistence group.In univariate analysis,there were statistically significant differences in education,residence,family history of cardiovascular disease,NYHA cardiac function grade,atrial fibrillation,BMI,social support score and depression score(P＜0.05).Binary logistic regression analysis showed that high education level(OR=0.567,95％CI 0.397～0.810,P=0.002)was the protective factor for multiple frailty domains in CHF patients,and atrial fibrillation(OR=1.904,95％CI 1.054～3.442,P=0.033)and depression(OR=1.038,95％CI 1.006～1.071,P=0.018)were risk factors.Conclusion The prevalence of the coexistence of multiple frailty domains in CHF patients is high.Education level,atrial fibrillation and depression are potential intervention targets for multiple frailty domains in CHF patients.Targeted intervention measures should be carried out to reduce the incidence of multiple frailty domains and to improve quality of life for CHF patients.
