一项系统性审查,以确定心力衰竭成年人的社会隔离或孤独的评估工具
Scott William1,2, Julee McDonagh1,2, Sabine M Allida1,2
1Centre for Chronic and Complex Care Research, Blacktown Hospital, Western Sydney Local Health District, Blacktown, NSW Australia.
NPJ cardiovascular health
|March 10, 2025
概括
在心力衰竭患者中,社会隔离和孤独的评估有所不同. 加利福尼亚大学洛杉矶孤独度表是孤独的常见指标,而社交接触频率则衡量了孤立. 改进的工具可以提高患者的护理.
科学领域:
- 心脏病学和公共卫生
- 慢性疾病的心理社会方面.
背景情况:
- 社会隔离和孤独是心力衰竭管理中的重要问题.
- 目前对心力衰竭患者中这些心理社会因素的评估方法尚不清楚.
- 了解评估实践对于制定有针对性的干预措施至关重要.
研究的目的:
- 系统地审查和确定如何评估社会隔离和孤独心力衰竭的成年人.
- 提供当前评估工具和方法的全面概述.
主要方法:
- 按照PRISMA指南进行系统审查,在PROSPERO.中注册.
- 搜索了MEDLINE,CINAHL和Scopus数据库进行定量研究 (开始至2024年3月).
- 包括使用患者报告的仪器评估心力衰竭患者的孤独和/或社会隔离的英语研究;使用Joanna Briggs Institute检查清单评估质量.
主要成果:
- 包括30项研究 (N=529,665),包括队列,截面,RCT和病例控制设计.
- 加利福尼亚大学洛杉矶孤独度表是评估孤独感的最常见工具.
- 网络规模和社交接触频率的综合测量通常用于评估社会隔离.
结论:
- 社会隔离和孤独会对精神和身体健康产生负面影响,降低心力衰竭患者的生活满意度.
- 需要标准化和改进的评估工具来促进有效的干预.
- 加强评估可以改善心力衰竭患者的健康状况和生活质量.
相关概念视频
01:23Assessment of the Cardiovascular System I: Subjective Data
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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
257
01:29Assessment of the Cardiovascular System II: Inspection
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Inspection is the initial step in assessing the cardiovascular system. It involves a detailed visual examination that provides crucial information about a patient's circulatory and cardiac health. This systematic process, conducted from head to toe, helps identify signs of cardiovascular conditions by observing physical appearance, skin and mucous membranes, jugular and carotid pulsations, chest symmetry, and the condition of the extremities.
Head and Neck
Head and Neck
145