Objective:To explore how patients with PAH experience self-management challenges. Methods:A descriptive phenomenological research was applied to conduct face-to-face, semi-structured, in-depth interviews with 12 patients diagnosed with PAH recruited from Fuwai Central China Cardiovascular Hospital in Henan Province, from January to June 2025. The collected data were analyzed using Colaizzi's phenomenological analysis method. Results:Analysis revealed two overarching themes: (1) Individual-level barrier, comprising lack of awareness,insufficient knowledge about medications and disease management, and heavy financial burden; and (2) Contextual challenges, comprising uncertainty about the disease progression, lack of family and social support, poor accessibility to medications, and disruptions due to public health emergencies. Conclusion:Patients with PAH face significant multi-faceted barriers to effective self-management. Interventions should be multifaceted, involving structured patient education, psychological support, family involvement, and policy-level changes to improve drug accessibility and financial support.

Sleep disturbances are highly prevalent in patients with chronic heart failure and may increase mortality risk. As primary caregivers, spouses often experience long-term care-giving responsibilities, leading to caregiver burden and reduced sleep quality. The sleep quality of spousal caregivers requires equal attention. There is an interdependence between the sleep health of patients and their spousal caregivers. Depression and the quality of the relationship may play an important role in this, but the mechanisms of the interaction are not yet clear. Therefore, we aimed to explore the correlation between sleep quality in patients with chronic heart failure and their spousal caregivers and the mechanisms by which depression plays a role in the quality of relationship and sleep quality. A cross-sectional design was conducted from April to November 2023, involving 223 patients with chronic heart failure and spousal caregivers recruited from hospital outpatient clinics or home settings. Data were collected via on-site questionnaires or telephone follow-ups using validated instruments: Demographic questionnaire, Quality of Relationship Index, Hospital Anxiety and Depression Scale, and Pittsburgh Sleep Quality Index. SPSS 26.0 and AMOS 22.0 were employed for data analysis, including common method bias testing, paired samples t-tests, pearson correlations, and actor-partner interdependence mediation modeling. Strong correlation between sleep quality in patients with chronic heart failure and spousal caregivers (r = 0.361, P < 0.001). Quality of relationship in both patients and spousal caregivers significantly influenced each other’s sleep quality (β = -0.267, P < 0.001 for patients; β = -0.122, P < 0.001 for caregivers). Bootstrap analyses revealed that depression in both patients and caregivers partially mediated the relationship between caregivers’ quality of relationship and patients’ sleep quality (β = -0.091, 95

IntroductionAtrial fibrillation (AF) significantly detracts from health-related quality of life (HRQoL). Despite the promotion of exercise interventions for managing AF, the effectiveness of different exercise modalities remains to be clearly defined. This systematic review and network meta-analysis aims to evaluate the comparative effectiveness of various modes of exercise interventions on HRQoL in AF patients.MethodsA random-effect network meta-analysis was performed. We conducted comprehensive searches across multiple databases, including PubMed, Web of Science, Embase, Cochrane Library, Scopus, and Chinese databases such as CNKI, WanFang Data, and VIP. The review included only randomized controlled trials (RCTs) that investigated the effects of exercise interventions on HRQoL among individuals diagnosed with AF.ResultsThe network meta-analysis (NMA) incorporated 12 studies, of which five presented some concerns regarding risk of bias and one exhibited a high risk of bias. For total HRQoL in AF patients, aerobic exercise, and cardiac rehabilitation (CR) yielded standardised mean differences of 0.60 (95% CI: 0.02–1.13) and 0.59 (95% CI: 0.20–0.99), respectively. For the physical component of HRQoL, CR was most efficacious, demonstrating the highest Surface Under the Cumulative RAnking curve (SUCRA) value of 77%. For the mental component of HRQoL, high-intensity interval training (HIIT) was superior, with the highest SUCRA value of 90.7%.ConclusionsBoth aerobic exercise and CR effectively improve the physical and mental dimensions of HRQoL as well as overall HRQoL in patients with AF. However, for the mental component of HRQoL, HIIT was identified as the most effective intervention.

AIMS:To determine the contributions of different kinds of symptoms to the quality of life and mediating effect of psychological and physical symptoms between heart failure symptoms and quality of life.DESIGN:A multi-centre cross-sectional study.METHODS:2006 chronic heart failure patients from four cities were recruited in China from January 2021 to December 2022. Patients' symptoms and quality of life were self-reported, and data were analysed using correlation analysis, dominance analysis and mediating effects analysis.RESULTS:The dominance analysis revealed that the overall mean contributions of heart failure, psychological and physical symptoms were .083, .085 and .111; 29.5%, 30.2% and 39.5% of the known variance. And heart failure symptoms could negatively affect quality of life through psychological and physical symptoms, accounting for 28.39% and 22.95% of the total effect. Heart failure symptoms could also affect quality of life through the chain-mediated effect of physical and psychological symptoms, accounting for 16.74%.CONCLUSIONS:Physiological symptoms had the strongest effect on quality of life and heart failure symptoms had the weakest. Most of the effect for heart failure symptoms on quality of life in chronic heart failure patients was mediated by psychological and physiological symptoms.RELEVANCE TO CLINICAL PRACTICE:It is important to design non-pharmacological intervention plans for the enhancement of physical and psychological symptoms' management skills, to reduce the adverse impact of heart failure symptoms on quality of life.REPORTING METHOD:Study methods and results reported in adherence to the STROBE checklist.NO PATIENT OR PUBLIC CONTRIBUTION:No patients or members of the public were involved in the study.

BACKGROUND:Job crafting is defined as a series of proactive behaviors exhibited by employees in order to balance work resources and needs, which has a significant positive impact on the nurses. It is necessary to find the core factors that influence the job crafting, as emergency nurses deal with the most complex tasks, so as to improve their job satisfaction.OBJECTIVES:To investigate the core factors of job crafting among emergency nurses.METHODS:A cross-sectional design was used in the study. A total of 255 nurses were recruited from two hospitals in Zhengzhou and Shenzhen, China in December 2021. 255 nurses completed an online questionnaire. Hierarchical regression models and fsQCA models were used to explore the factors influencing job crafting among emergency nurses and helped us to identify core factors.RESULTS:The hierarchical regression model and the fsQCA model found that the occupational benefit, psychological empowerment, and research experience were the core factors affecting their job crafting. Job involvement was not significant in the regression model, but the QCA model indicated that it needs to be combined with other factors to impact on job crafting. The QCA model uncovered seven key conditional configurations that led to high and low job crafting among emergency nurses, explaining 80.0% of the results for high job crafting and 82.6% of the results for the low job crafting, respectively.CONCLUSIONS:The results of this study provide valuable insights into the job crafting experienced by emergency nurses. Junior emergency nurses should be granted a high level of psychological empowerment without assigning them overly complex tasks, such as research tasks, as these challenges can stop their job crafting. Intermediate and senior emergency nurses, on the other hand, can be assigned research tasks coupled with high psychological empowerment to enhance their job crafting.

Background There are many tools for symptom assessment of patients with heart failure, but there is a lack of standardized evaluation studies on the quality of such tools, which brings difficulties to the selection of tools. Objective To evaluate the measurement property and methodological quality of symptom assessment tools in patients with heart failure, and to provide reference for relevant personnel to choose symptom assessment tools. Methods The Chinese and English databases such as PubMed, Embase, and CNKI were searched for relevant studies from the date of library construction to July 30, 2023. The Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guideline was employed to evaluate the scale and form recommendations. Results Eleven studies were included for quality assessment, including eight tools for assessing symptoms in patients with heart failure: Chinese version of Memorial Symptom Assessment Scale Heart Failure (MSAS-HF), Heart Failure Somatic Perception Scale (HF-SPS), M.D.Anderson Symptom Inventory Heart Failure (MDASI-HF), Symptom Status Questionnaire Heart Failure (SSQ-HF), Shortness of Breath in Heart Failure Instrument (SOB-HF), Minnesota Living with Heart Failure Questionnaire (MLHFQ), Chronic Heart Failure Assessment Tool (CHAT) and Kansas City Cardiomyopathy Questionnaire (KCCQ). Regarding the measurement property, scales such as Chinese version of MSAS-HF, MDASI-HF, MLHFQ, and KCCQ were demonstrated a "sufficient" level of content validity. Conversely, HF-SPS, SSQ-HF, and SOB-HF were exhibited an "uncertain" level of content validity, while CHAT was categorized as having "insufficient" content validity. Finally, Chinese version of MSAS-HF and MLHFQ were recommended as level A, and the other six scales were recommended as level B. Conclusion Certainly, both Chinese version of MSAS-HF and MLHFQ demonstrate a remarkable level of reliability. Considering the distinct attributes of assessment tools, it is highly advisable to utilize Chinese version of MSAS-HF for the purpose of symptom assessment in patients suffering from heart failure.

ObjectiveTo analyze the status quo and influencing factors of job readiness of newly graduate nurses.MethodsThe convenience sampling method was adopted to conduct a questionnaire survey among 349 newly graduated nurses from 8 hospitals in Henan province in November 2021 by using the general situation questionnaire，the Newly Graduate Nurses Job Readiness Scale and the Clinical Teaching Behavior Scale.ResultsThe job readiness score and clinical teaching behavior score of newly graduate nurses were （272.25±52.20） and （94.41±17.88），respectively.The scores of clinical teaching behavior and all dimensions were positively correlated with work readiness of newly graduate nurses.Educational background and teaching，feedback and evaluation，and expressing concern and support in clinical teaching behavior scale had an impact on the job readiness of newly graduated nurses，which can explain 61.20% of the total variation.ConclusionThe job readiness of newly graduated nurses is above the medium level，which is affected by educational background，clinical teaching behavior and other factors.Nursing managers could take targeted intervention measures to improve the job readiness of newly graduated nurses and help them adapt to the role of clinical nurses.

目的 基于Lasso-Logistic回归分析构建2种慢性心力衰竭患者合并肾功能不全的列线图风险预测模型并进行比较.方法 收集996例慢性心力衰竭患者的临床资料,按7:3比例随机分为建模组698例与验证组298例.基于Lasso回归筛选变量,将差异具有统计学意义的变量纳入多因素Logistic回归分析筛选独立影响因素,对构建的2种列线图模型进行比较并评价临床有效性.结果 建模组698例患者中,148例患者合并肾功能不全,占21.20％.模型1多因素Logistic回归分析结果显示,血红蛋白、肌酐、尿酸、年龄、瓣膜性心脏病、有无合并症是慢性心力衰竭患者合并肾功能不全的独立影响因素(P＜0.05);模型2多因素Logistic回归分析结果显示,血红蛋白、肌酐、尿酸、有无合并症是慢性心力衰竭患者合并肾功能不全的独立影响因素(P＜0.05).模型1的曲线下面积(AUC)为0.814,Hosmer-Lemeshow检验结果显示该模型未偏离完美拟合(P=0.08),且校准图显示该模型具有较好的一致性;模型2的AUC为0.806,Hosmer-Lemeshow检验结果显示该模型偏离完美拟合(P＜0.01),且校准图显示该模型的一致性较差.验证组结果显示,模型1、模型2的AUC分别为0.835、0.824,Hosmer-Lemeshow检验结果显示模型均未偏离完美拟合(P=0.12、0.45),且校准曲线显示一致性较好.结论 基于Lasso-Logistic回归分析构建的2个风险预测模型对慢性心力衰竭患者合并肾功能不全风险具有较好的预测能力,但模型1的区分度、Hosmer-Lemeshow检验结果和校准曲线一致性更佳,临床适用性更强,净收益更高,建议临床应用时选择模型1.

OBJECTIVE:To summarize the management experience of helicopter medical transport in patients with critical heart disease, so as to provide reference for transport of patients with critical heart disease under the background of major natural disasters.METHODS:The clinical and transport data of 36 critically ill cardiac patients in Fuwai Central China Cardiovascular Hospital from 16:30 on July 21 to 19:30 on July 22, 2021 due to historically rare heavy rainstorms were collected. All 36 critically ill cardiac patients were transported by helicopter. The safe transportation was implemented under the measures of quickly forming a transport leadership and coordination group, clarifying responsibilities and division of labor, doing a good job in the pretreatment of the patient's condition, pipeline assessment and mechanical circulation support (MCS) equipment, simulating and practicing the transfer process, improving the safety of the transfer implementation process, and effectively handing over with the target hospital. The gender, age, disease type, MCS, transport and outcome of patients were collected.RESULTS:Thirty-six patients with cardiac critical illness were from adult extracardiac intensive care unit (ICU), adult cardiac care unit (CCU), children's CCU, comprehensive ICU and department of neurology. There were 24 males and 12 females; age (50.93±20.86) years old. There were 12 patients using respirator, 7 patients needing MCS, 2 of whom needed both extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pump (IABP), and 7 patients with post-cardiac surgery. The total distance of transportation of 36 patients was 1 638.4 km, the transit time was 10.5 hours, one way flight time of helicopter was about 8 minutes, and the average transport time per patient was about 17.5 minutes. The vital signs of 36 patients during transport were basically stable, without complications, and all of them reached the target hospital safely.CONCLUSIONS:Under the seamless connection of the rapid establishment of the transfer leadership coordination group, assessment of the patient's condition and pretreatment, the simulation of the transfer process, and the effective handover with the receiving hospital, the use of helicopter for medical transport for critically ill heart patients is feasible and safe, which can buy valuable time for saving patients' lives and further treatment.

Objective:To analyze the status quo and influencing factors of job readiness of newly graduate nurses. Methods:The convenience sampling method was adopted to conduct a questionnaire survey among 349 newly graduated nurses from 8 hospitals in Henan province in November 2021 by using the general situation questionnaire,the Newly Graduate Nurses Job Readiness Scale and the Clinical Teaching Behavior Scale. Results:The job readiness score and clinical teaching behavior score of newly graduate nurses were（272. 25±52. 20） and（94. 41±17. 88）,respectively. The scores of clinical teaching behavior and all dimensions were positively correlated with work readiness of newly graduate nurses. Educational background and teaching,feedback and evaluation,and expressing concern and support in clinical teaching behavior scale had an impact on the job readiness of newly graduated nurses,which can explain 61. 20% of the total variation.Conclusion:The job readiness of newly graduated nurses is above the medium level,which is affected by educational background,clinical teaching behavior and other factors. Nursing managers could take targeted intervention measures to improve the job readiness of newly graduated nurses and help them adapt to the role of clinical nurses.

目的:了解慢性心力衰竭病人口渴困扰的真实体验,以期为临床医护人员制定针对性的干预措施提供参考.方法:采用现象学研究方法,对14例慢性心力衰竭病人进行半结构式深入访谈,运用Colaizzi 7步分析法对访谈资料进行分析.结果:慢性心力衰竭病人口渴症状体验可归纳为4个方面主题:情感反应、口渴不适感、自我容量管理能力欠佳、应对策略.结论:慢性心力衰竭病人口渴症状发生率较高,医护人员应重视对病人口渴感的评估,提供有效的干预措施,提高病人液体限制依从性.

目的 探讨慢性心力衰竭患者照护者健康素养的潜在分类,并分析不同类别的影响因素.方法 采用一般资料调查表和慢性心力衰竭患者照护者健康素养调查问卷,便利抽取245例慢性心力衰竭患者照护者进行调查.采用Mplus7.4对慢性心力衰竭患者照护者健康素养水平进行潜在剖面分析,并对不同类别间人口学变量的分布差异进行检验.结果 照护者健康素养水平可分为健康素养低等型(38.0％)、健康素养中等型(56.3％)和健康素养高等型(5.7％)3个潜在类别.不同年龄、与患者关系、文化程度、家庭人均月收入、照护患者的时间和是否有共同照护者的照护者健康素养类别比较,差异有统计学意义(均P＜0.05).结论 慢性心力衰竭患者照护者个体之间健康素养水平存在差异,医护人员应根据各类别的不同特征采取针对性的评估和干预,以提高照护者的健康素养.

目的 探讨中性粒细胞/淋巴细胞比值(neutrophil/lymphocyte ratio,NLR)预测老年不明原因栓塞性卒中(embolic stroke of undetermined source,ESUS)患者新发心房颤动(new onset atrial fibrillation,NOAF)的临床意义.方法 依据 2018 年 6 月—2021 年 6 月于阜外华中心血管病医院心内科就诊的 211 例老年 ESUS 患者根据随访期间是否发生NOAF分为NOAF组(n=20)和非NOAF组(n=191).分析 2 组患者的临床资料、实验室检查及超声心动图等指标的差异,采用多因素 logistic 回归分析老年 ESUS 患者发生 NOAF 的危险因素,使用受试者工作特征(ROC)曲线评价NLR预测老年ESUS患者发生NOAF的价值.最后根据ROC曲线最佳截断点处的NLR值将患者分为高 NLR组(NLR≥2.6,n=87)和低 NLR 组(NLR＜2.6,n= 124),绘制 Kaplan-Meier 生存曲线,并使用 Log-rank法分析 2 组患者NOAF的发生率.结果 NOAF组年龄、冠状动脉粥样硬化性心脏病(简称冠心病)病史、心力衰竭病史、中性粒细胞、NLR及左心房内径(LAD)高于非 NOAF组,差异有统计学意义(均 P＜0.05).多因素 logistic回归分析显示,高 NLR 是老年 ESUS 患者发生 NOAF 的独立危险因素(OR = 4.927,95％CI:1.955～12.418,P = 0.001).ROC曲线结果显示,NLR预测老年 ESUS患者发生 NOAF的曲线下面积(AUC)为 0.769(95％CI:0.706～0.824,P＜0.001),灵敏度为 75.00％,特异度为 68.06％.Kaplan-Meier生存曲线进一步分析显示,高 NLR 组 NOAF的发生率高于低 NLR组,差异有统计学意义(P＜0.001).结论 老年 ESUS 患者中,NLR 与 NOAF 的发生独立相关,可能是预测老年 ESUS患者发生 NOAF的有效炎症指标.

目的 分析先天性心脏病(CHD)患儿家庭功能现况.方法 选取2021年6—12月阜外华中心血管病医院收治的206例CHD患儿的照顾者作为研究对象,使用郑州大学护理与健康学院自制调查问卷及家庭功能评定量表(FAD)对患儿家庭功能情况进行调查,分析CHD患儿家庭功能现况.结果 FAD量表调查结果显示,受调查家庭中63个(30.58％)问题解决功能异常,118个(57.28％)沟通功能异常,131个(63.59％)角色功能异常,119个(57.77％)情感反应功能异常,116个(56.31％)情感介入功能异常,182个(88.35％)行为控制功能异常,145个(70.39％)总的功能异常.在职者问题解决、沟通、情感反应、情感介入、行为控制、总的功能维度得分较待业者低(P<0.05).大专及以上受教育程度患儿照顾者问题解决、情感反应、总的功能维度得分较初中及以下、高中或中专低(P<0.05).简单CHD患儿家庭问题解决、沟通、情感反应、情感介入、行为控制、总的功能维度得分较复杂CHD低(P<0.05).结论 CHD患儿家庭功能异常情况普遍存在.照顾者在职状态、受教育程度、CHD复杂程度均会对家庭功能产生影响.

目的 探讨多元协同护理在心房颤动患者中的应用效果.方法 采用便利抽样法选择2021年10月至2021年12月阜外华中心血管病医院收治的58例心房颤动患者为对照组,选择2022年1月至2022年3月收治的56例心房颤动患者为观察组,对照组患者给予常规护理,观察组患者给予多元协同护理.入院时、出院后6个月,采用中文版服药依从性量表(MMAS-8)评估2组患者的服药依从性,采用中文版一般自我效能感问卷(GSES)评估2组患者的自我效能感,采用中文版心房颤动患者生活质量量表(AF-QoL-21)评估患者的生活质量.所有患者出院后随访6个月,统计出院后1、3、6个月时患者心血管事件发生情况.结果 入院时2组患者的MMAS-8、GSES、AF-QoL-21评分比较差异无统计学意义(P>0.05),2组患者出院后6个月的MMAS-8、GSES、AF-QoL-21评分显著高于入院时(P<0.05);出院后6个月,观察组患者的MMAS-8、GSES、AF-QoL-21评分显著高于对照组(P<0.05).出院后1个月,观察组和对照组患者心血管事件发生率分别为1.79％(1/56)、5.17％(3/58),2组患者心血管事件发生率比较差异无统计学意义(χ2=0.254,P>0.05).出院后3个月,观察组和对照组患者心血管事件发生率分别为5.36％(3/56)、17.24％(10/58),观察组患者心血管事件发生率显著低于对照组(χ2=3.958,P<0.05).出院后6个月,观察组和对照组患者心血管事件发生率分别为12.50％(7/56)、32.76％(19/58),观察组患者心血管事件发生率显著低于对照组(χ2=6.211,P<0.05).结论 多元协同护理可以提高心房颤动患者的服药依从性、自我效能和生活质量,降低患者心血管事件发生率.

综述女性癌症病人亲密伴侣暴力的概念、发生现状、评估工具及影响因素,为构建具有中国特色的二元护理干预方案提供参考.

冠心病发病率和死亡率较高,严重危害个体健康,也增加了医疗支出,加重社会负担.冠心病患者的健康行为是影响其疾病发生发展的主要因素,良好的健康促进行为可降低疾病复发率和死亡率,关注冠心病患者的健康促进行为是当下研究的重点和热点之一.本文对冠心病患者健康促进行为的研究进展进行综述,旨在为临床制定并实施有效的健康行为干预措施提供参考.

目的 建立疼痛管理决策辅助方案,探讨其在骨肉瘤患者术后疼痛管理中的应用效果.方法 选取40例骨肉瘤术后患者,按随机数字表法分为干预组和对照组,各20例.2组均采用常规疼痛管理,干预组在此基础上实施决策辅助方案.干预前后采用视觉模拟评分法(VAS)、决策准备量表(PREPDM),以及术后疼痛管理策略和临床质量指标问卷(SCQIPP)对患者进行测评,评价实施效果.结果 最终干预组19例、对照组18例完成研究.干预前2组患者的VAS、PREPDM评分差异无统计学意义(P>0.05).出院前1天时,2组患者的VAS和PREPDM评分均较干预前显著改善,其中干预组患者的改善效果优于对照组,差异均有统计学意义(P<0.05).出院前1天观察组患者的疼痛管理策略和SCQIPP评分高于对照组,差异有统计学意义(P<0.05).结论 应用疼痛管理决策辅助方案能够有效减轻骨肉瘤患者术后的疼痛程度,促进患者参与决策,提高其对术后疼痛管理的满意度.

目的:探讨多学科团队协作在心血管急危重症患者院际转运中的应用效果.方法:选取院际转运的180例心血管急危重症患者为研究对象,2018年7月至2019年6月以常规院际转运模式转运的90例患者为对照组,2019年7月至2020年6月开展多学科团队协作院际转运模式转运的90例患者为观察组.比较两组平均转运时间、不良事件发生率、转运成功率和转运满意度的差异.结果:观察组转运反应时间短于对照组、现场评估救治时间长于对照组,差异有统计学意义(P＜0.05);观察组前往目的地时间、返回时间与对照组相比,差异无统计学意义(P＞0.05);两组不良事件发生率、转运成功率和患者/家属转运满意度比较差异有统计学意义(P＜0.01).结论:基于多学科团队协作所构建的院际转运模式可以有效缩短心血管急危重症患者院际转运反应时间,为现场评估及救治赢得更充足的时间,减少转运不良事件的发生率,提高转运成功率和转运满意度,为推行心血管急危重症患者院际转运模式提供参考.

目的 探讨慢性心力衰竭患者症状群的种类及其与生活质量的关系,为促进心力衰竭患者症状管理实践的发展,提高患者的生活质量提供依据.方法 于2020年1月-2021年3月采取便利抽样法选取河南省郑州市、巩义市、商丘市以及新疆维吾尔自治区哈密市5家医院的1 353例慢性心力衰竭患者为研究对象,使用一般资料调查表、Memorial心力衰竭症状评估量表和明尼苏达心力衰竭生活质量问卷进行面对面问卷调查.采用SPSS 26.0软件进行统计分析,慢性心力衰竭患者症状群种类采用系统聚类法结合专业知识确定,症状群与生活质量的关系采用多重线性回归分析.结果 1 353例慢性心力衰竭患者平均年龄为(65.4±23.6)岁.32种慢性心力衰竭症状中,发病率最高的5个症状依次为胸痛(81.67％),气短(71.69％),没劲(68.51％),心悸(63.64％)和口干(47.82％).将发病率＞30％的18个症状采用系统聚类法进行变量聚类,提取出4个症状群,分别为情绪症状群(忧虑、哀伤、感觉紧张)、淤血症状群(平躺时呼吸困难、夜间睡眠憋醒、腿或胳膊水肿)、疲倦症状群(出汗、咳嗽、食欲下降、体重减少、很难集中注意力、口干、易困和睡眠困难)和缺血症状群(胸痛、气短、没劲和心悸).患者生活质量得分为(58.36±23.40)分,其中躯体领域得分为(54.05±27.34)分,情绪领域得分为(67.42±26.29)分,其他领域得分为(57.00±23.91)分.多重线性回归分析结果显示,心力衰竭情绪症状群(β=-4.06,95％CI:-5.27～-2.84)、淤血症状群(β=-5.25,95％CI:-6.54～-3.96)、疲倦症状群(β=-7.05,95％CI:-8.76～-5.34)和缺血症状群(β=-5.99,95％CI:-7.42～-4.56)与心力衰竭患者生活质量下降高风险相关,均有统计学意义(P＜0.01).结论 心力衰竭患者存在多个症状群且严重影响患者的生活质量,医护人员应重视心力衰竭患者的症状群现象,从症状群的角度进行症状管理,以缓解症状,改善患者的生活质量.