与心力衰竭相关的个人和系统相关因素自我护理:系统性审查
Carolyn Kleman1, Stephanie Turrise2, Heidi Winslow3
1College of Health & Human Services School of Nursing, University of North Carolina Wilmington, 601 South College Road, Wilmington, NC, 28403, USA. klemanc@uncw.edu.
BMC nursing
|February 9, 2024
概括
本综述强调了个人因素,如信心和知识作为心力衰竭 (HF) 自理的关键. 系统层面的因素研究较少,但对于解决健康差异至关重要.
科学领域:
- 护理 护理 护理
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 心力衰竭 (HF) 是一个全球性的健康问题,需要有效的患者自我护理以改善结果.
- HF自我护理包括管理病情和提高患者幸福感所必需的行为.
研究的目的:
- 系统地审查和综合影响HF自我护理的个人和系统相关因素.
- 使用社会生态模型框架分析因素,重点关注2015年1月至2021年12月的文献.
主要方法:
- 在主要数据库 (CINAHL Plus,Ovid Nursing,PsychINFO,PubMed) 中进行了全面的文献搜索.
- 纳入标准侧重于对HF患者进行的定量描述性研究,结果是自我护理,不包括2015年之前发表的干预性,定性和综述性文章.
- 在选了1649个初始记录后,包括了90篇文章,其中52篇符合分析的最终标准.
主要成果:
- 个人因素,如自我护理信心,HF知识,教育,健康素养,社会支持,年龄,抑郁症状和认知功能障碍,最常与HF自我护理有关.
- 大多数确定的因素都与社会生态模型中的个人层面有关.
- 在微系统层面确定了有限的因素,在外部系统或宏观系统层面没有报告的因素.
结论:
- 未来的研究应该平衡个人自我护理行为的调查与系统层面的因素.
- 解决系统层面的决定因素对于减轻健康差异和促进心力衰竭管理中的健康公平至关重要.
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Ask the patient about their primary concern and thoroughly explore all reported symptoms.
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Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
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