Cardiovascular disease self-care interventions.
Cardiovascular disease self-care interventions.
复制标题
DOI：
10.1155/2013/407608
复制
发表时间：
2013
影响因子：
1.9
通讯作者：
Chyun D
中科院分区：
文献类型：
--
作者：
Dickson VV;Nocella J;Yoon HW;Hammer M;Melkus GD;Chyun D
背景。心血管疾病（CVD）是全球发病率和死亡率增加的主要原因。临床实践指南建议，常规指导 CVD 患者进行自我护理，包括饮食限制、药物依从性和症状监测。 目标。描述护士主导的 CVD 自我护理干预措施的性质，确定当前护士主导的 CVD 自我护理干预措施的局限性，并提出在未来研究中解决这些问题的建议。 设计。对 PubMed、MEDLINE、ISI Web of Science 和 CINAHL 中护士主导的 CVD 自我护理干预研究的综合评价。保留并评估符合护士主导的 RCT 或准实验性 CVD 自我护理干预研究（2000 年至 2012 年）纳入标准的初步研究（n = 34）。通过至少两名评审员筛选和提取所有数据来保证评审质量。 结果。在以男性（57%）和白人（67%）为主的样本中研究了各种自我保健干预策略。联合干预措施很常见，生活质量是最常见的评估结果。干预措施的有效性尚无定论，而且一般来说，结果不会随着时间的推移而持续。 结论。需要进行研究来开发和测试量身定制的、包容性的 CVD 自我护理干预措施。关注严格的研究设计和方法（包括一致的结果和测量）至关重要。
Background. Cardiovascular disease (CVD) is a major cause of increased morbidity and mortality globally. Clinical practice guidelines recommend that individuals with CVD are routinely instructed to engage in self-care including diet restrictions, medication adherence, and symptom monitoring. Objectives. To describe the nature of nurse-led CVD self-care interventions, identify limitations in current nurse-led CVD self-care interventions, and make recommendations for addressing them in future research. Design. Integrative review of nurse-led CVD self-care intervention studies from PubMed, MEDLINE, ISI Web of Science, and CINAHL. Primary studies (n = 34) that met the inclusion criteria of nurse-led RCT or quasiexperimental CVD self-care intervention studies (years 2000 to 2012) were retained and appraised. Quality of the review was assured by having at least two reviewers screen and extract all data. Results. A variety of self-care intervention strategies were studied among the male (57%) and Caucasian (67%) dominated samples. Combined interventions were common, and quality of life was the most frequent outcome evaluated. Effectiveness of interventions was inconclusive, and in general results were not sustained over time. Conclusions. Research is needed to develop and test tailored and inclusive CVD self-care interventions. Attention to rigorous study designs and methods including consistent outcomes and measurement is essential.