慢性心力衰竭患者疾病获益感现状及影响因素的研究进展
Research Progress on the Current Status and Influencing Factors of Disease Benefit Perception in Patients with Chronic Heart Failure
摘要: 疾病获益感(Benefit Finding, BF)是指患者在疾病经历中感知到的积极心理变化，如个人成长、价值观重塑、社会关系增强等。尽管慢性心力衰竭(Chronic Heart Failure, CHF)的治疗过程常伴随运动障碍、情绪困扰等消极影响，但许多患者仍能从患病经历中发现正向改变，如更珍惜健康、增强家庭纽带、提升生活意义感等。积极心理学研究表明，疾病获益感能显著促进患者的心理适应能力，提高生活质量，并增强治疗依从性。目前，疾病获益感在癌症、慢性疼痛等领域已有较多研究，但在慢性心衰领域仍处于探索阶段。本文系统综述了慢性心衰患者疾病获益感的现状、测量工具、影响因素及不足。最后，结合现有研究，对未来研究方向提出建议，以期为临床医护人员制定个性化干预策略提供参考，优化慢性心衰患者的长期康复管理。
Abstract: Benefit Finding (BF) refers to the positive psychological changes patients perceive during their illness experience, such as personal growth, reshaping of values, and strengthened social relationships. Despite the negative impacts of Chronic Heart Failure (CHF) treatment, such as mobility limitations and emotional distress, many patients identify positive changes from their illness experience, including greater appreciation for health, strengthened family bonds, and enhanced life meaning. Positive psychology research indicates that BF significantly promotes psychological adaptation, improves quality of life, and increases treatment adherence. While illness benefits have been extensively studied in cancer and chronic pain, research in chronic heart failure remains exploratory. This systematic review examines the current status, measurement tools, influencing factors, and interventions related to illness benefits in CHF patients. Finally, it identifies existing research gaps and proposes future directions, aiming to inform clinicians in developing personalized intervention strategies and optimizing long-term rehabilitation management for CHF patients.
文章引用：高变, 王僖僖, 郝琴. 慢性心力衰竭患者疾病获益感现状及影响因素的研究进展 [J]. 临床医学进展, 2026, 16(4): 2629-2636. https://doi.org/10.12677/acm.2026.1641515

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