Objective To explore the influencing factors of weight monitoring compliance in the patients with chronic congestive heart failure (CHF). Methods A total of 308 CHF patients in Jiangsu,Zhejiang and Shanghai were selected by convenience sampling method from October 2011 to February 2013. The questionnaire consisted of patients'general information,New York Heart Association (NYHA)classification and Weight Management Scale (WMS)was conducted to analyze the influencing factors of weight monitoring compliance of CHF patients. Results The factors related to the weight monitoring compliance of CHF patients included age, gender,education,NYHA classification and knowledge,beliefs and behaviors of weight management. The independent risk factors influencing weight monitoring compliance included education level (P < 0. 05)and knowledge,beliefs and behaviors of weight management (P < 0. 01). Conclusion Knowledge,beliefs and behaviors of weight management are important influencing factors of weight monitoring compliance. The patients with higher and lower educational level have poor compliance. Weight management education should be individualized to improve the weight monitoring compliance of patients.%目的 探讨慢性充血性心力衰竭(congestive heart failure,CHF)患者体重监测依从性的影响因素.方法 采用方便抽样法,进行横断面调查研究,收集2011年10月-2013年2月在江、浙、沪地区医院确诊的CHF患者308例,应用一般情况调查表和CHF体重管理量表进行调查,分析CHF患者体重监测依从性的影响因素.结果 与患者体重监测依从性的相关因素包括性别、年龄、文化程度、心功能以及体重管理相关知识、信念和行为.影响患者体重监测依从性的独立危险因素包括文化程度及体重管理相关知识、信念和行为.结论 体重管理相关知识、信念和行为维度是体重监测依从性的重要影响因素;文化程度较高和较低的患者体重监测依从性较差,应制订个体化的体重管理教育方案,提高患者体重监测依从性.
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