Study On The Status And Influencing Factors Of Acceptance Of Illness In Patients With Chronic Heart Failure

ObjectivesTo understand the status of acceptance of illness in patients with chronic heart failure and analyze its main influencing factors;To determine the correlation between acceptance of illness and hope level,disease cognition and social resource utilization of patients with chronic heart failure;It provides a theoretical basis for the follow-up development of intervention measures to improve the acceptance of illness in patients with chronic heart failure.MethodsThis study is a cross-sectional study,using the convenient sampling method.From March to August 2022,the researcher himself selected 174 patients with chronic heart failure in the Department of Cardiology of a third level first-class provincial hospital in Dalian City,Liaoning Province,who met the Naturalization criteria,as the study subjects,and indicated the purpose,significance and method of this study to the patients during their hospitalization,and conducted a questionnaire survey after signing the informed consent of the patients.The research tools needed in this study include general information questionnaire,acceptance of illness scale,Herth hope index,brief illness perception questionnaire and chronic illness resource survey.SPSS25.0statistical software was selected for data analysis.Frequency and constituent ratio were used to describe counting data,and mean ± standard deviation was used to describe measuring data;The disease acceptance level of patients with chronic heart failure with different characteristics was compared by independent sample t-test and analysis of variance;Pearson correlation analysis was used to test the correlation between illness acceptance and hope,disease cognition and social resource utilization in patients with chronic heart failure;Multiple linear regression analysis was used to analyze the main influencing factors on acceptance of illness in patients with chronic heart failure.Results1.A total of 174 valid questionnaires were collected in this study.The total score of acceptance of illness in patients with chronic heart failure was(23.26±3.12),including 22 patients(12.64%)with low disease acceptance,150 patients(86.21%)with moderate disease acceptance,and 2 patients(1.15%)with high disease acceptance;Among the eight items of acceptance of illness,Item 7 scored the highest(3.66±0.52)for "I will not be able to make myself happy because of enough self-sufficiency",and Item 2 scored the lowest(2.29±0.69)for "I cannot do what I like because of health problems".2.The total score of hope level of 174 patients with chronic heart failure in this study was(30.84±2.56)points.The average score of the three dimensions from high to low was(2.66±0.18)points for keeping close relationship with others,(2.61±0.34)points for taking positive actions,and(2.44±0.26)points for positive attitude towards reality and the future;The total score of disease cognition was(47.24±4.67).The average score of the three dimensions from high to low was emotion(6.25±0.70),cognition(6.04±0.86),and comprehension(2.32±2.09);The total score of social resource utilization was(43.63±6.72),and the average score of each dimension from high to low was(3.05±0.46)for medical staff,(2.97±0.40)for individuals,(2.78± 0.51)for family and friends,(2.30±0.52)for media and policy,(2.05±0.38)for workplaces,(1.67±0.59)for neighbors,and(1.60±0.41)for community organizations.3.The univariate analysis of the investigation results of patients with chronic heart failure showed that there were statistically significant differences in the total score of acceptance of illness in patients with chronic heart failure who were different in gender,age,course of heart failure,cardiac function classification,left ventricular ejection fraction,number of complications,number of drug types and whether they took drugs regularly(P<0.05).4.According to Pearson correlation analysis results,the total score of acceptance of illness in patients with chronic heart failure was positively correlated with the total score of hope and all dimensions(P<0.01),negatively correlated with the total score of disease cognition and cognitive dimensions(P<0.01),negatively correlated with the emotional dimension and understanding dimension(P<0.05),and positively correlated with the total score of social resource utilization and all dimensions(P<0.01).5.The results of multiple linear regression analysis showed that the main influencing factors of acceptance of illness in patients with chronic heart failure included gender,cardiac function grade,number of drugs taken,hope,disease cognition and social resource utilization,which could explain 66.80% of the variation(P<0.01).Conclusions1.The acceptance of illness in patients with chronic heart failure is generally at a middle level,with 98.85% of chronic heart failure patients having a low to moderate level of illness acceptance,which urgently needs to be improved.2.The main influencing factors of acceptance of illness in patients with chronic heart failure include gender,cardiac function classification,number of drugs taken,level of hope,disease cognition,and utilization of social resources.3.The acceptance of illness in patients with chronic heart failure is positively correlated with their hope level and social resource utilization level,and negatively correlated with their disease cognition.4.Clinical medical staff should focus on chronic heart failure with low illness acceptance.By increasing patients’ hope and confidence in disease treatment,providing comprehensive social resource support for chronic diseases,and systematic health education to reduce their negative disease cognition,this can effectively improve the disease acceptance of chronic heart failure patients and help them maintain good self-management behavior,Improve clinical outcomes.