冠心病患者的自我护理轨迹:一个纵向的观察性研究
Brynja Ingadóttir1, Margrét Hrönn Svavarsdóttir2, Corrine Y Jurgens3
1Faculty of Nursing and Midwifery, University of Iceland and Landspitali - the National University Hospital of Iceland, Eiriksgata 34, 101 Reykjavik, Iceland.
European journal of cardiovascular nursing
|April 23, 2024
概括
确定了两种冠状动脉心脏病 (CHD) 自己护理轨迹,两者都是不理想的. 参加心脏康复预测了更有利的自我护理轨迹,改善了患者的生活质量 (QoL).
科学领域:
- 心脏病学 心脏病学
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 冠心病 (CHD) 需要患者持续自我照顾,以有效管理他们的病情.
- 识别自我护理行为中的独特模式对于了解患者的结果和生活质量 (QoL) 至关重要.
研究的目的:
- 确定心脏病患者自我护理行为的独特轨迹.
- 检查这些轨迹与患者的QOL之间的关系.
- 预测哪些基线特征与不同的自我护理轨迹有关.
主要方法:
- 一项涉及430名心血管疾病患者的前性纵向观察性研究的二次分析.
- 潜增长混合模型被用来确定六个月的自我护理轨迹.
- 调查问卷评估了自我照顾,焦虑,抑郁,健康素养和生活质量.
主要成果:
- 确定了两个自我护理轨迹:"不充分和恶化" (57.2%) 和"不充分但保持" (42.8%).
- "不充分和恶化的"组具有显著较低的QoL和较不有利的基线特征.
- 不参加心脏康复和老年预测将其纳入"不充分和恶化的"轨迹.
结论:
- 两种已识别的自我护理轨迹都不够理想,突出了改善患者支持的需要.
- 心脏康复治疗的出席率是更有利的"不足但保持"轨迹的重要预测指标.
- 建议针对与更好的自我护理和生活质量相关的因素进行干预,例如康复.
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