Patient Self-management in Chronic Heart Failure - Establishing Concordance Between Guidelines and Practice.
Patient Self-management in Chronic Heart Failure - Establishing Concordance Between Guidelines and Practice.
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DOI：
10.15420/cfr.2015.1.2.128
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发表时间：
2015-10-01
影响因子：
--
通讯作者：
Hare, David L
中科院分区：
文献类型：
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作者：
Toukhsati, Samia R;Driscoll, Andrea;Hare, David L
慢性心力衰竭（CHF）是一种进行性和衰弱性疾病，具有广泛的症状，间歇性地以急性失代偿期为特征。鼓励慢性心力衰竭患者自我管理疾病，例如坚持医疗方案和监测症状，以优化健康结果和生活质量。在这样做的过程中，要求患者与其保健服务提供者就其护理进行合作。然而，患者通常不能很好地自我管理，即使有专家的支持。此外，自我管理干预措施尚未证明对发病率或死亡率有好处。自我管理的社会网络方法考虑到所有资源的可用性和动员，而不仅仅是患者和医疗保健提供者的资源。与电子保健平台结合使用，社交网络方法可提供一种优化未来自我管理方案的手段。
Chronic heart failure (CHF) is a progressive and debilitating disease with a broad symptom profile, intermittently marked by periods of acute decompensation. CHF patients are encouraged to self-manage their illness, such as adhering to medical regimens and monitoring symptoms, to optimise health outcomes and quality of life. In so doing, patients are asked to collaborate with their health service providers with regard to their care. However, patients generally do not self-manage well, even with specialist support. Moreover, self-management interventions are yet to demonstrate morbidity or mortality benefits. Social network approaches to self-management consider the availability and mobilisation of all resources, beyond those of only the patient and healthcare providers. Used in conjunction with e-health platforms, social network approaches may offer a means by which to optimise self-management programmes of the future.