护理人员对心力衰竭的贡献 自我护理:更新的系统性审查
The Journal of cardiovascular nursing
|February 2, 2024
概括
非正式的护理人员对心力衰竭 (HF) 的自我护理维护,监测和管理做出了重大贡献. 这份最新的审查揭示了不断变化的角色,并确定了理解护理人员活动和需求的关键差距.
科学领域:
- 护理 护理 护理
- 老年学是一门学科.
- 公共卫生 公共卫生
背景情况:
- 关于非正式照顾者对心力衰竭 (HF) 自己照顾的贡献的先前系统审查需要更新.
- 这对于推动HF患者自我护理的研究,实践和政策至关重要.
研究的目的:
- 为了确定非正式照顾者从事的特定的HF自我照顾活动.
- 为了确定这些护理人员活动是否随着时间的推移而演变.
- 确定科学文献中关于护理人员参与HF自我护理的现有空白.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 搜索了主要的数据库:PubMed,CINAHL,EMBASE和Cochrane CENTRAL. 在这些数据库中进行了搜索.
- 包括专注于非正式,无偿照顾HF成年患者的研究,使用自我照顾理论进行基准测试.
主要成果:
- 从2,154份初步报告中分析了64项研究.
- 照顾者活动在自我照顾维护方面最为突出 (91%),其次是监测 (54%) 和管理 (46%).
- 直接的患者护理活动比间接的活动更频繁;随着时间的推移,自我护理领域的变化各不相同. 确定的差距包括不清楚的活动描述和监测和沟通的不足.
结论:
- 新发现的护理人员活动建议更新慢性疾病的自我护理理论.
- 研究应该集中在定义特定的护理人员任务,量化负担和解决护理人员教育需求上.
- 承认非正式护理人员的"隐藏工作"对于政策和实践改进至关重要.
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