Self-care abilities of patients with heart failure
Self-care abilities of patients with heart failure
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DOI：
10.1067/mhl.2001.118611
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发表时间：
2001-09-01
期刊：
影响因子：
2.8
通讯作者：
Moser, DK
中科院分区：
文献类型：
--
作者：
Carlson, B;Riegel, B;Moser, DK
背景：心力衰竭（HF）患者早期症状轻微，治疗方案复杂，自我护理困难。本研究的主要目的是描述HF自我护理能力和患者在自我护理方面取得成功的困难。第二个目的是比较HF患者与新诊断患者的自我护理能力。方法：描述性的，横截面的，进行了比较调查，以评估可能干扰自我护理和生活方式改变的人口统计学和临床因素，以适应患者的HE症状诊断，并通过使用自我护理量表评估对这些症状的自我护理反应。心力衰竭管理问卷：结果：139名患者主要是老年人、男性、退休、未婚、年收入低于20，000美元。听力和视力受损，大多数患者功能受损。在过去的一年中，大多数患者有多种HF症状，但他们对体征和症状的重要性的认识很差，许多误解是显而易见的。对于大多数患者来说，识别体征和症状的变化是困难的，但对于那些更有经验的HE患者来说更容易。很少有病人感到舒适的自我护理行动的有效性进行评估，大多数有低的自信心，在他们的能力，以执行self-care.CONCLUSIONS：自我护理能力和困难的数量，这些患者面临的低水平，这并不奇怪，再住院率仍然很高。提供了关于教学和提供护理的具体建议。
BACKGROUND: Self-care is difficult for patients with heart failure (HF) because early symptoms are subtle and the treatment regimen is complex. The primary purpose of this study was to describe HF self-care abilities and the difficulties that patients have in achieving success in self-care. A secondary purpose was to compare self-care abilities in patients experienced with HF with those patients who are newly diagnosed.METHODS: Descriptive, cross-sectional, comparative surveys were conducted to assess demographic and clinical factors that may interfere with self-care and lifestyle changes made to accommodate the diagnosis of HE Symptoms the patients had and self-care responses to those symptoms were assessed by using the Self-Management of Heart Failure questionnaire.RESULTS: The 139 patients were primarily elderly, male, retired, unmarried, and earning less than $20,000 annually. Hearing and eyesight were impaired and most patients were functionally compromised. Most of the group had multiple HF symptoms during the past year, yet their knowledge of the importance of signs and symptoms was poor and many misperceptions were evident. Recognition of changes in signs and symptoms was difficult for most patients, but easier for those more experienced with HE Experienced patients were more likely to use appropriate self-care remedies than newly diagnosed patients. Few patients were comfortable evaluating the effectiveness of their self-care actions and most had low self-confidence in their ability to perform self-care.CONCLUSIONS: With the low level of self-care ability and the number of difficulties these patients face, it is not surprising that rehospitalization rates remain high. Specific recommendations for the teaching and delivery of care are provided.