埃塞俄比亚心力衰竭患者的经验:一种定性描述性研究
Henok Mulugeta1,2, Peter M Sinclair2, Amanda Wilson2
1Department of Nursing, College of Health Sciences, Debre Markos University, Debre Markos, Amhara Region, Ethiopia.
PloS one
|October 24, 2024
概括
在埃塞俄比亚,患有心力衰竭的人面临着重大挑战,影响日常生活和与健康有关的生活质量. 了解这些经验对于开发有效的干预措施来改善患者福祉至关重要.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 定性研究是指质量研究.
背景情况:
- 心力衰竭 (HF) 是一种慢性疾病,对日常生活产生深远影响.
- 管理HF涉及身体症状,疾病不可预测性和生活方式调整.
- 埃塞俄比亚的高频经验及其对生活质量 (QoL) 的影响仍然未被充分探索.
研究的目的:
- 探索和描述埃塞俄比亚心力衰竭患者的生活经历.
- 了解心力衰竭如何影响他们与健康相关的生活质量.
- 识别心力衰竭管理中的挑战和应对策略.
主要方法:
- 由症状管理理论指导的定性描述性研究设计.
- 来自埃塞俄比亚三级医院的14名参与者的有目的抽样.
- 在NVivo.中使用混合主题分析方法分析的半结构面试.
主要成果:
- 确定了六个关键主题:与HF的旅程,症状经验,对QOL的影响,QOL的感知,症状管理和挑战.
- 疲劳和抑郁是影响身体功能的普遍症状.
- 有效的应对策略包括持续的护理,药物坚持,改变生活方式,社会支持和精神活动.
结论:
- 心力衰竭在埃塞俄比亚显著影响着个人的生活和与健康有关的生活质量.
- 诸如财政困难和药物获取等挑战阻碍了有效管理.
- 医疗保健提供者需要了解患者的经验,以实施多式联络干预措施,以改善质量生活.
相关概念视频
Heart Failure I: Introduction
1
Heart failure refers to a clinical syndrome caused by structural or functional cardiac disorders that prevent the heart from pumping an adequate amount of blood to meet the body's metabolic needs. This condition often arises from myocardial infarction or ischemia, leading to decreased cardiac output, reduced tissue perfusion, impaired gas exchange, fluid volume imbalance, and decreased functional ability.Heart failure can result from disruptions in the mechanisms that regulate cardiac output...
1
Heart Failure V: Nursing Interventions
1
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
1
Heart Failure IV: Classification and Diagnostic Evaluation
1
Heart failure can be classified in various ways, with the most common classifications based on physical activity limitations, disease progression, severity, and treatment strategies.The Functional Classification of Heart Failure divides patients into four categories based on physical activity limitation due to symptom burden.Class I: Patients in this class have cardiac disease but no physical activity limitations. Ordinary activities like walking, climbing stairs, or routine tasks do not cause...
1
Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
Heart Failure VI: Adjunct Therapies
1
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
1
Heart Failure III: Clinical Manifestations
1
Heart failure (HF) manifests primarily as dyspnea, fatigue, and fluid retention, resulting in peripheral and pulmonary edema. Symptoms may vary depending on which ventricle is more affected, left or right.Left-Sided Heart FailureAlso known as left ventricular failure, this condition results from the left ventricle's inability to fill or eject sufficient blood into the systemic circulation. It leads to pulmonary congestion, which occurs when the left ventricle fails to eject blood effectively...
1


