患者对心力衰竭症状识别和自我管理的解释:使用维涅特:一项试点研究
Natany da Costa Ferreira Oberfrank1, Erica Watkinson1, Harleah Buck1
1The University of Iowa College of Nursing, Iowa City, IA, USA.
Western journal of nursing research
|January 6, 2025
概括
新的心力衰竭自我护理片段显示出评估患者知识的前景. 认知面试表明,对管理身体和心理症状的理解能力良好,可靠性适度.
科学领域:
- 心脏病学 心脏病学
- 医学教育 医学教育
- 健康心理学 心理健康心理学
背景情况:
- 心力衰竭 (HF) 呈现出相当大的症状负担和高住院率.
- 有效的自我管理,包括症状识别和行为改变,对于HF患者来说至关重要.
- 当前的教育方法往往不足以满足高压患者的自我护理需求.
研究的目的:
- 为了评估新型心力衰竭自我护理片段的可理解性.
- 评估HF患者中这些细节的评价者间可靠性.
- 完善一种仪器,以测量对高频率肺炎症状识别和自我管理的知识.
主要方法:
- 进行了认知访谈,对5名高血压患者 (65岁以上) 进行了认知访谈.
- 视频片段和采访问题被分析为可理解性.
- 评估者之间的可靠性是使用科恩的卡帕和百分比协议来评估的.
主要成果:
- 患者表现出可接受的初步理解能力,理解了76%的心理和83%的物理标签项目.
- 观察到适度的评价者间可靠性,科恩的kappa值为0.39 (心理) 和0.43 (物理).
结论:
- 心力衰竭自我护理小贴士显示出评估患者知识的工具的潜力.
- 认知采访有效地评估了对未来研究的图片解释.
- 进一步开发和验证这些图片是有必要的.
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