慢性心不全患者の自宅での心臓リハビリテーションに関する知識,態度,実践
Wumei Xia1, Li Huang1, Yuye Min1
1Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, 330006, China.
Scientific reports
|August 22, 2025
まとめ
慢性心不全 (CHF) の患者は,自宅での心臓リハビリテーション (HBCR) に関する知識が少ないが,適度な態度と慣行を示しています. 教育的な介入は,よりよいCHF管理のためにHBCRの関与を改善するために不可欠です.
科学分野:
- 心臓病科
- 公衆衛生
- 健康 行動
背景:
- 慢性心不全 (CHF) は,著しい罹病率,死亡率,医療費を伴う公衆衛生上の懸念事項である.
- 家庭での心臓リハビリテーション (HBCR) は心臓発作管理に有効ですが,患者の関与はしばしば最適ではありません.
- 患者の知識,態度,実践 (KAP) を理解することは,HBCRの遵守を改善するために不可欠です.
研究 の 目的:
- 心臓不全患者の自宅での心臓リハビリテーション (HBCR) に関する知識,態度,実践 (KAP) を評価する.
- KAPの成分間の関係を特定し,CHFの患者に対するHBCRの文脈で潜在的な仲介効果を探求する.
主な方法:
- 江西省人民病院で行われた心臓発作患者591人を対象とした横断的な研究.
- 人口統計情報とHBCRのKAPスコアを評価するアンケートを使用して収集されたデータ
- 統計分析には,KAPの変数間の関係を調べるための相関と仲介の分析が含まれていた.
主要な成果:
- 患者は,HBCRに関する平均知識スコア (7. 27±4. 43) が低いが,平均態度 (29. 18±5. 31) と実践スコア (34. 57±5. 57) を示した.
- 知識,態度,実践の間で有意な正の相関が認められた (P<0.001 全員).
- 知識は態度と実践に直接影響を及ぼし,態度は実践に直接影響を及ぼし,知識は態度を通して実践に間接的に影響を及ぼした.
結論:
- HBCRに関する知識のギャップは,中等な態度と慣行にもかかわらず,CHFの患者によって示されています.
- HBCRにおける患者の参加を最適化するために,KAPの次元をターゲットにした強化された教育プログラムが必要である.
- 介入は,HBCRによるより良いCHF管理のための態度と慣行に積極的な影響を与えるための知識の改善に焦点を当てるべきです.
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