【摘要】 目的 了解老年慢性心力衰竭住院患者饮食行为现状并分析其影响因素，为进一步促进患者精细化管理提供参考。方法 采用便利抽样法，选取2022年1月至2023年7月在郑州大学第二附属医院心内科住院的263例老年慢性心力衰竭住院患者，采用一般资料问卷、心力衰竭患者饮食行为量表进行问卷调查。结果 263例老年慢性心力衰竭住院患者饮食行为总分为(48.48±11.59)分，盐的限制维度得分为(17.12±3.27)分;健康习惯维度得分为(14.05±3.26)分;糖的限制维度得分为(7.89±2.33)分;预防液体潴留维度得分为(10.22±2.93)分。回归分析结果显示，受教育程度、居住状态、NYHA心功能分级、病程、年住院次数是老年慢性心力衰竭住院患者饮食行为的影响因素(P<0.05)。结论 老年慢性心力衰竭住院患者饮食行为水平仍需进一步提高，护理人员可针对不同人群特征，制定精细化管理方案，以进一步提高患者饮食行为水平。更多还原

【Abstract】 Objective To understand the status of dietary behavior in elderly patients with chronic heart failure and analyze its influencing factors,so as to provide reference for further promoting the refined management of patients. Methods A total of 263elderly patients with chronic heart failure( CHF) who were hospitalized in the Cardiology Department of the Second Affiliated Hospital of Zhengzhou University from January 2022 to July 2023 were selected by convenience sampling method. General data questionnaire and scale for dietary behaviors in heart failure were used for questionnaire investigation. Results The total score of dietary behavior in 263 elderly patients with chronic heart failure was( 48. 48 ± 11. 59) points,and the limiting dimension score of salt was( 17. 12 ± 3. 27) points. The score of health habits was( 14. 05 ± 3. 26) points. The limiting dimension score of sugar was( 7. 89 ± 2. 33) points. The dimension of prevention of fluid retention was( 10. 22 ± 2. 93) points. The results of regression analysis showed that education level, residence status, NYHA cardiac function grade, duration of disease, and annual hospitalization were the influencing factors of dietary behavior in elderly patients with chronic heart failure( P < 0. 05).Conclusion The dietary behavior level of elderly patients with chronic heart failure still needs to be further improved. Nursing staff can formulate refined management plans according to the characteristics of different populations to further improve the dietary behavior level of patients.更多还原