Promoting self-care in heart failure - State of clinical practice based on the perspectives of healthcare systems and providers
Promoting self-care in heart failure - State of clinical practice based on the perspectives of healthcare systems and providers
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DOI：
10.1097/01.jcn.0000305095.27635.4f
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发表时间：
2008-05-01
影响因子：
2
通讯作者：
Albert, Nancy M.
中科院分区：
文献类型：
--
作者：
Albert, Nancy M.
患者坚持自我护理是循证共识治疗指南中讨论的一个重要主题，尽管证据水平仅反映专家意见。本文从医疗系统人员和医疗服务提供者的角度总结了有关自我护理的知识。这两个群体的这种观点可能会影响患者进行自我护理的能力，并可能动摇治疗指南或绩效评估建议。在医院或门诊护理环境中，没有针对患者遵守任何方面的自我护理的绩效衡量标准。同样，可能帮助患者坚持心力衰竭护理计划的自我护理干预的教育和示范也没有系统地应用于医疗保健系统或提供者。因此，我们仍然不能确定所使用的干预方法是否有效，或者所提供的教育的广度和深度是否足够。本文讨论了旨在促进患者坚持自我护理的临床实践的现状，以及医疗保健系统和医疗保健提供者如何为实现自我护理目标做出贡献。
Patient adherence to self-care is an important theme discussed in evidence-based consensus treatment guidelines, although the level of evidence reflects only expert opinion. This article summarizes what is known about self-care from the perspective of healthcare system personnel and healthcare providers. This perspectives of these two groups may influence patients abilities to perform self-care and may sway treatment guideline or performance measure recommendations. No performance measures address patient adherence to any aspect of self-care in the hospital or ambulatory care setting. Likewise, education and demonstration of self-care interventions that might aid patients to adhere to the heart failure plan of care are not systematically applied in healthcare systems or by providers. Thus, we remain unsure if the intervention methods used are effective or if the breadth and depth of education provided are sufficient. This article discusses the current state of clinical practice aimed at promoting patient adherence to self-care and how healthcare systems and healthcare providers contribute to reaching self-care goals.