Analysis of changes and influencing factors of symptom clusters in elderly patients with heart failure during discharge transition period

Zhou Xiaoxia; Gao Baihua; Wang Meijuan

doi:10.3969∕j.issn.1674-3245.2023.05.024

Abstract：Objebtive To analyze the changes of symptom clusters and their influencing factors in elderly patients with heart failure during discharge.Methods A total of 110 elderly patients with heart failure admitted to the Department of Cardiology,Affiliated Hospital of Jining Medical College from September 2019 to September 2022 were selected as the research objects by convenient sampling method.Memorial heart failure symptom assessment scale(MSAS-HF)was used to evaluate the symptoms(physiological,psychological and heart failure symptoms)of patients with heart failure.Single factor and multiple stepwise regression analysis were used to analyze the independent influencing factors of symptom cluster changes in elderly patients with heart failure during discharge transition period.Results The physiological symptoms,psychological symptoms,heart failure symptoms and total scores of patients after discharge were higher than those before discharge[(6.53±1.41)vs.(5.84±1.39),(3.84±0.74)vs.(3.16±1.02),(4.02±0.62)vs.(3.11±0.97),(14.58±2.52)vs.(12.06±1.95)],and the differences were statistically significant(t=3.655,5.660,8.291,14.745,P<0.05).The score of MSAS-HF was not correlated with sex,BMI,marital status,educational level and heart function grade(P>0.05),but correlated with age,course of disease and type of disease(P<0.05).Multivariate analysis showed that age,course of disease and type of combined disease were independent factors affecting the changes of symptom clusters in elderly patients with heart failure during discharge(P<0.05).Conclusion The symptoms of heart failure in elderly patients with heart failure after discharge are more serious,and the changes of symptom clusters are affected by many factors.Among them,age,course of disease and type of combined disease are independent factors affecting the changes of symptom clusters in elderly patients with heart failure during the transitional period after discharge.