设计一种多重行为改变干预,以支持慢性心力衰竭患者的自我管理:一种干预映射方法
The Journal of cardiovascular nursing
|March 15, 2024
概括
一个新的自我管理策略,坚持改善自我管理策略-CHF,是从慢性心力衰竭患者的HIV护理中改编出来的. 初步结果表明,它是可行的和可接受的,以改善药物坚持和身体活动.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 行为科学 行为科学
背景情况:
- 药物不服药和体力活动不足会对慢性心力衰竭 (CHF) 患者的结果产生负面影响.
- 为了应对这些挑战,需要为常规临床护理提供有效的干预措施.
研究的目的:
- 适应最初为人类免疫缺陷病毒 (HIV) 患者开发的"改善自我管理策略" (AIMS),用于慢性心力衰竭 (CHF) 治疗.
- 评估适应的AIMS-CHF干预措施的可接受性和可行性.
主要方法:
- 干预映射框架被用来系统地将AIMS-HIV调整为AIMS-CHF,保留核心组件.
- 调整涉及文献审查,与心血管疾病患者和护士的商,以及材料的预测.
主要成果:
- 适应性干预,AIMS-CHF是一个多行为改变计划,针对CHF患者的药物坚持和体力活动.
- 自主管理和护理组织的关键决定因素在HIV和CHF人群之间被发现是相似的.
- 初步测试表明,AIMS-CHF可能是可行的,对患者和医疗保健提供者都是可以接受的.
结论:
- 使用结构化的协议,AIMS-HIV干预成功地和系统地适应了AIMS-CHF.
- 适应过程关键涉及科学文献,行为理论,以及来自护士和患者的直接投入.
- 需要进一步的研究来测试AIMS-CHF在常规临床实践中的可行性和有效性.
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