开发和试点测试一个由护士领导的常识模型,基于自我调节的心力衰竭自我护理计划
1The Nethersole School of Nursing, Faculty of Medicine, The Chinese University of Hong Kong, 8/F, Esther Lee Building, Horse Material Water, Shatin, New Territories, Hong Kong SAR, China.
BMC nursing
|January 24, 2025
概括
这项研究开发了一项由护士领导的心力衰竭 (HF) 自理计划,使用自律的常识模型 (CSM). 试点测试显示,干预改善了患者的感知,自我效能和自我护理行为.
科学领域:
- 护理 护理 护理
- 心脏病学 心脏病学
- 行为科学 行为科学
背景情况:
- 心力衰竭 (HF) 中的自我护理往往是不理想的,需要有效的干预措施.
- 护士主导的计划和自我调节的常识模型 (CSM) 提供了改善患者自我管理的潜力.
- 这项研究的重点是开发和试点测试一种基于CSM的自我护理干预措施,用于患有HF的人.
研究的目的:
- 为心力衰竭患者开发和试点测试护士领导的自我护理干预措施.
- 根据自我监管的CSM评估干预的可行性,可接受性和初步效应.
主要方法:
- 干预设计包括综合文献审查,CSM原则,临床指南和先前的系统审查.
- 一项试点研究采用了一个单盲,双臂,并行组随机对照试验 (RCT),分配为1:1.
- 数据收集在基线和干预后进行,以评估可行性,可接受性和潜在结果.
主要成果:
- 一个经过验证的,护士领导的,理论驱动的HF自我护理计划被成功开发出来.
- 该试点研究招募了26名参与者,他们显示了高的资格率 (79.4%),招聘率 (96.3%) 和保留率 (92.3%).
- 这项干预显著提高了HF患者的疾病感知,自我护理自我有效性和自我护理行为.
结论:
- 由护士领导的CSM自理干预是可行的,可以接受的,并且对患有HF的人来说是有前途的.
- 建议通过大规模混合方法RCT进行进一步调查,以确认干预的有效性.
相关概念视频
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:15Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
01:17Pathophysiology 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
01:24Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
1.5K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
1.5K
01:29Planning Nursing Care II
2.5K
A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.5K
01:24Nursing Process for Patient and Caregiver Teaching II: Planning and Implementation
1.2K
Planning for learning involves the development of a teaching plan. Teaching plans are similar to nursing care plans—both follow the steps of the nursing process. Planning in the teaching process involves setting goals and outcomes. Here, goals identify what a patient needs to achieve to understand a healthcare topic better, whereas the outcomes are the action to be performed by the patient to achieve the goal within a timeframe. For example, if the goal is to educate the patient about...
1.2K