慢性心力衰竭患者的症状负担与自我管理之间的关系:一项横截面研究
JinLian Li1, LiQing Feng1, Xing Shui1
1Department of Cardiac Care Unit, the Third Affiliated Hospital, SunYat-Sen University, Guangzhou, People's Republic of China.
Patient preference and adherence
|August 14, 2023
概括
患有慢性心力衰竭 (CHF) 的患者经历了显著的症状负担,较低的自我管理与更糟糕的结果相关. 改善自我管理策略,如药物和症状管理,是减少心血管疾病症状负担的关键.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 护理 护理 护理
背景情况:
- 慢性心力衰竭 (CHF) 是一个重要的全球健康问题.
- 有效的自我管理对于控制CHF症状至关重要,但关于其与症状负担相关的证据有限.
- 这项研究研究了CHF患者的自我管理和症状负担之间的关系.
研究的目的:
- 评估慢性心力衰竭患者的自我管理和整体症状负担之间的相关性.
- 检查自我管理与CHF患者症状负担的特定维度之间的关系.
主要方法:
- 一项涉及128名住院CHF患者的横截面研究.
- 数据采用人口统计,疾病特征,症状负担 (Memorial Symptom Assessment Scale-心力衰竭) 和自我管理 (心力衰竭自我管理量表) 的问卷收集.
- 使用斯皮尔曼相关性和线性回归分析来确定关联.
主要成果:
- 住院的CHF患者表现出高症状负担和中等到低的自我管理水平.
- 在总的自我管理得分和整体症状负担之间发现了显著的负相关性.
- 药物管理,症状管理和对疾病的态度被确定为影响症状负担的关键因素.
结论:
- 心血管疾病患者经常面临相当大的症状负担,自我管理水平低于最佳水平.
- 加强自我管理,特别是药物和症状管理,与心血管疾病的症状负担降低有关.
- 针对自我管理的干预措施可以改善慢性心力衰竭患者的症状控制和生活质量.
更多相关视频
相关概念视频
01:30Heart Failure VII: Nursing Interventions
94
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
94
01:22Heart Failure VI: Adjunct Therapies
16
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
16
01:29Cardiomyopathy VI: Nursing Management
13
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
13
01:17Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
01:30Heart Failure V: Medical Management
13
Medical Management of Acute Decompensated Heart Failure (ADHF)The primary goals of therapy for patients hospitalized with acute decompensated heart failure (ADHF) include:Relieving symptomsOptimizing volume statusSupporting oxygenation and ventilationMaintaining cardiac output (CO) and end-organ perfusionIdentifying and addressing the cause of ADHFPreventing complicationsProviding patient education on factors precipitating HF exacerbationPlanning for dischargeOngoing monitoring and assessment...
13
01:21Rheumatic Heart Disease III: Medical Management
13
Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...
13