患有晚期慢性心力衰竭的患者口渴的护士辅导:试点研究前后研究和过程评估的研究方案
Franziska Wefer1,2, Ralph Möhler3, Martin N Dichter4
1Care Development, Care Directorate, Heart and Diabetes Center NRW, University Hospital of the Ruhr University Bochum, Bad Oeynhausen, Germany, Georgstr.11, 32545. fwefer@hdz-nrw.de.
Medizinische Klinik, Intensivmedizin und Notfallmedizin
|December 14, 2023
概括
这项研究开发了一种由护士领导的咨询干预,以帮助患有晚期慢性心力衰竭的住院患者控制口渴. 该干预旨在改善自我护理,并减少这种严重疾病人口的口渴强度.
科学领域:
- 心脏病学 心脏病学
- 护理科学 护理科学
- 健康心理学 心理健康心理学
背景情况:
- 患有晚期慢性心力衰竭 (CHF) 的患者经常经历严重的口渴.
- 病情危急的CHF患者需要有效的自我护理策略来控制症状.
- 心脏移植候选人面临着独特的挑战,包括口渴.
研究的目的:
- 开发和评估以护士为基础的咨询干预.
- 增强住院晚期CHF患者对口渴管理的自我护理能力.
- 评估干预的可行性,初始影响和过程措施.
主要方法:
- 一种混合方法的方法跨越三个阶段:干预开发,可行性测试/培训和试点实施.
- 来自患者访谈和重点小组的定性数据;来自调查和试点前后研究 (n=60) 的定量数据.
- 通过数值评分尺度测量口渴强度;使用描述性统计,内容分析和回归分析分析数据.
主要成果:
- 开发和实施过程是由多种影响因素塑造的.
- 目前正在对以护士为基础的辅导干预进行初步评估.
- 进一步分析将确定干预措施对口渴强度和自我护理的影响.
结论:
- 综合性方法对于开发和实施有效的患者干预措施至关重要.
- 考虑到从开发到评估的所有因素,可以确保干预成功.
- 这项研究为改善晚期慢性心血管疾病患者的口渴管理奠定了基础.
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