Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients: An in-depth look
Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients: An in-depth look
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DOI：
10.1016/j.hrtlng.2012.03.003
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发表时间：
2012-11-01
期刊：
影响因子：
2.8
通讯作者：
van der Wal, Martje H. L.
中科院分区：
文献类型：
--
作者：
Jaarsma, Tiny;Nikolova-Simons, Mariana;van der Wal, Martje H. L.
目的：尽管心力衰竭患者自我护理的知识越来越多，但仍然需要有效的干预措施。我们试图加深对心力衰竭护士在临床实践中使用的干预措施的理解，以提高患者对药物治疗和症状监测的依从性。方法：进行了一项定性研究，并进行了定向内容分析，使用的数据来自一个选定的样本，讲荷兰语的心力衰竭护士完成了两个小册子，涉及药物治疗依从性和症状识别。结果：护士在决定干预之前定期评估和重新评估患者。他们评估患者行为中的基本/事实信息和障碍，并试图找到患者行为的改进空间。心力衰竭护士用于改善药物依从性和症状监测的干预措施分为增加知识，增加动力和为患者提供实用工具的主题。护士还描述了使用技术为基础的工具，增加社会支持，替代通信，合作伙伴关系的方法，和协调护理，以提高依从性的药物和症状monitoring.CONCLUSION：尽管一个强有力的重点教育策略，护士还报告了其他策略，以增加患者的依从性。护士使用几种策略来提高患者的依从性，这些策略没有纳入指南。这些干预措施需要进行评估，以进一步应用于改善心力衰竭管理引用这篇文章：Jaarsma，T.，Nikolova-Simons，M.，&货车der Wal，M. H.L. (2012（1999年11月至12月）。心力衰竭患者中与药物依从性和症状识别相关的自我护理方面的护士策略：深入研究。Heart & Lung，41（6），583-593. doi：10.1016/j.hrtlng.2012.03.003。
OBJECTIVE: Despite an increasing body of knowledge on self-care in heart failure patients, the need for effective interventions remains. We sought to deepen the understanding of interventions that heart failure nurses use in clinical practice to improve patient adherence to medication and symptom monitoring.METHODS: A qualitative study with a directed content analysis was performed, using data from a selected sample of Dutch-speaking heart failure nurses who completed booklets with two vignettes involving medication adherence and symptom recognition.RESULTS: Nurses regularly assess and reassess patients before they decide on an intervention. They evaluate basic/factual information and barriers in a patient's behavior, and try to find room for improvement in a patient's behavior. Interventions that heart failure nurses use to improve adherence to medication and symptom monitoring were grouped into the themes of increasing knowledge, increasing motivation, and providing patients with practical tools. Nurses also described using technology-based tools, increased social support, alternative communication, partnership approaches, and coordination of care to improve adherence to medications and symptom monitoring.CONCLUSION: Despite a strong focus on educational strategies, nurses also reported other strategies to increase patient adherence. Nurses use several strategies to improve patient adherence that are not incorporated into guidelines. These interventions need to be evaluated for further applications in improving heart failure managementCite this article: Jaarsma, T., Nikolova-Simons, M., & van der Wal, M. H.L. (2012, NOVEMBER-DECEMBER). Nurses' strategies to address self-care aspects related to medication adherence and symptom recognition in heart failure patients: An in-depth look. Heart & Lung, 41(6), 583-593. doi:10.1016/j.hrtlng.2012.03.003.