Comparison of self-care behaviors of heart failure patients in 15 countries worldwide
Comparison of self-care behaviors of heart failure patients in 15 countries worldwide
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DOI：
10.1016/j.pec.2013.02.017
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发表时间：
2013-07-01
影响因子：
3.5
通讯作者：
Riegel, Barbara
中科院分区：
文献类型：
--
作者：
Jaarsma, Tiny;Stromberg, Anna;Riegel, Barbara
目的：世界各地的临床医生寻求教育和支持心力衰竭患者从事自我护理。我们旨在描述来自三大洲15个国家的患者的自我保健行为。方法：收集来自美国、欧洲、澳大拉西亚和南美5964例心力衰竭患者的自我保健数据。采用心力衰竭自我护理指数或欧洲心力衰竭自我护理行为量表收集自我护理数据。结果：在所有的样本中，大多数患者都按照处方服药，但运动量和体重监测都很低。在22个样本中的14个中，超过50%的患者报告运动水平低。在16个样本中，不到一半的患者定期称体重，各国之间差异很大。各国在每年接种流感疫苗和遵循低钠饮食方面的自我保健差异最大。结论：心力衰竭患者的自我护理行为处于次优状态，需要在全球范围内得到改善。实践意义:。专注于特定自我照顾行为的干预措施可能比一般的教育计划更有效。需要改变一些卫生保健系统和国家政策，以支持心力衰竭患者增加他们的自我保健行为。2013爱思唯尔爱尔兰有限公司版权所有。
Objective: Clinicians worldwide seek to educate and support heart failure patients to engage in self-care. We aimed to describe self-care behaviors of patients from 15 countries across three continents.Methods: Data on self-care were pooled from 5964 heart failure patients from the United States, Europe, Australasia and South America. Data on self-care were collected with the Self-care of Heart Failure Index or the European Heart Failure Self-care Behavior Scale.Results: In all the samples, most patients reported taking their medications as prescribed but exercise and weight monitoring were low. In 14 of the 22 samples, more than 50% of the patients reported low exercise levels. In 16 samples, less than half of the patients weighed themselves regularly, with large differences among the countries. Self-care with regard to receiving an annual flu shot and following a low sodium diet varied most across the countries.Conclusion: Self-care behaviors are sub-optimal in heart failure patients and need to be improved worldwide.Practice implications:. Interventions that focus on specific self-care behaviors may be more effective than general educational programs. Changes in some health care systems and national policies are needed to support patients with heart failure to increase their self-care behavior. (C) 2013 Elsevier Ireland Ltd. All rights reserved.