目的：了解延边地区慢性心力衰竭患者安宁疗护需求现状，明确慢性心力衰竭患者安宁疗护需求在一般人口学上的差异，分析症状负担、焦虑抑郁、安宁疗护需求三者间的关系，探讨慢性心力衰竭患者安宁疗护需求的影响因素，为延边地区慢性心力衰竭患者安宁疗护干预方案的制定提供参考依据。 方法：采用便利抽样法选取2021年3月至2021年8月在吉林省延边朝鲜族自治州一所三级甲等医院心血管内科住院的243名慢性心力衰竭患者作为研究对象。采用一般资料调查表、心衰症状状态问卷、医院焦虑抑郁量表、安宁疗护结局量表进行调查。应用SPSS26.0统计软件对数据进行整理与分析。采用频数、百分比、均值、标准差、独立样本t检验、单因素方差分析、Pearson相关分析、多元线性回归分析进行统计分析。 结果： （1）延边地区慢性心力衰竭患者安宁疗护需求平均得分为19.54±5.89分。安宁疗护需求得分在年龄、民族、文化程度、工作状况、婚姻状况、居住地、医疗付费方式、家庭人均月收入、心功能分级、病程、年住院次数和合并症数量上存在差异，差异具有统计学意义（P＜0.05）。 （2）延边地区慢性心力衰竭患者症状负担与安宁疗护需求呈正相关（r=0.585，P＜0.01），症状负担与焦虑抑郁呈正相关（r=0.620，P＜0.01），焦虑抑郁与安宁疗护需求呈正相关（r=0.766，P＜0.01）。 （3）延边地区慢性心力衰竭患者安宁疗护需求的影响因素包括家庭人均月收入、症状负担和焦虑抑郁，共解释66.6%的变异量（F=38.137，P＜0.001）。 结论： （1）延边地区慢性心力衰竭患者安宁疗护需求处于较高水平。年龄较大、朝鲜族、文化程度和家庭人均月收入较低、非在职、无配偶、居住地为乡镇、城乡居民医保、心功能较差、病程较长、合并症数量和年住院次数较多的慢性心力衰竭患者安宁疗护需求更高。 （2）延边地区慢性心力衰竭患者症状负担越大、焦虑抑郁程度越严重，其安宁疗护需求越高。 （3）家庭人均月收入、症状负担和焦虑抑郁是延边地区慢性心力衰竭患者安宁疗护需求的影响因素。 关键词：延边地区；慢性心力衰竭；安宁疗护需求；影响因素

Objective: To understand the current situation of palliative care needs of patients with chronic heart failure in Yanbian, to identify the general demographic differences in palliative care needs of patients with chronic heart failure, to analyse the relationship between symptom burden, anxiety and depression and palliative care needs, to explore the factors influencing the palliative care needs of patients with chronic heart failure, and to provide a reference basis for the development of palliative care intervention programmes for patients with chronic heart failure in Yanbian. Methods: The convenience sampling method was used to select 243 patients with chronic heart failure who were hospitalized in the Department of Cardiovascular Medicine of a tertiary first-class hospital in Yanbian Korean Autonomous Prefecture, Jilin Province from March 2021 to August 2021 as the research subjects.The general information questionnaire, heart failure symptom status questionnaire, hospital anxiety and depression scale, and palliative care outcome scale were used to investigate. SPSS 26.0 statistical software was used to organize and analyze the data. Statistical analysis was performed using frequency, percentage, mean, standard deviation, independent sample t-test, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis. Result: (1) The average score of palliative care needs in patients with chronic heart failure was 19.54±5.89. There were significant differences in the scores of palliative care demand in age, ethnicity, education level, work status, marital status, residence, medical payment method, family per capita monthly income, grading of cardiac function, course of disease, number of hospitalization and number of complications (P < 0.05). (2) The symptom burden of chronic heart failure patients was positively correlated with palliative care demand (r=0.585, P < 0.01), symptom burden was positively correlated with anxiety and depression (r =0.620, P < 0.01), anxiety and depression were positively correlated with palliative care demand (r =0.766, P < 0.01). (3) The influencing factors of palliative care needs of chronic heart failure patients in Yanbian area included per capita monthly income, symptom burden and anxiety and depression, explaining 66.6% variation (F=38.137, P < 0.001). Conclusion: (1) Palliative care needs of patients with chronic heart failure in Yanbian area are at a high level.The demand for palliative care was higher in patients with chronic heart failure who were older, Korean, had lower education level and family per capita monthly income, were not employed, had no spouse, lived in towns and villages, had medical insurance for urban and rural residents, had poor cardiac function, had longer disease course, had more complications and had more hospitalization times per year. (2) The greater the symptom burden and anxiety and depression degree of chronic heart failure patients in Yanbian area, the higher their palliative care needs. (3) Family per capita monthly income, symptom burden and anxiety and depression were the influencing factors for palliative care needs of chronic heart failure patients in Yanbian area. Keywords: Yanbian area; chronic heart failure; palliative care needs; influencing factor

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