为心力衰竭患者提供息护理的障碍和促进因素:使用COM-B模型和理论领域框架进行混合方法系统审查

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Updated: Sep 18, 2025

03:47

Author Spotlight: Workflow for Integrating POCUS Data into EHR for Managing Heart Failure Patients

Published on: July 12, 2024

881

Mengyun Peng¹, Yifu Lu², Wenping Mo³

¹Soochow University, Suzhou, Jiangsu, China nine_779134944@yahoo.co.jp.

BMJ open

|June 20, 2025

概括

对心力衰竭患者的息护理的障碍包括资源有限,知识缺口和合作不足. 解决这些系统和知识挑战对于改善护理质量至关重要.

科学领域:

息护理研究息护理研究
心脏衰竭管理的管理
医疗保健服务研究医疗服务研究

背景情况:

息治疗 (PC) 可以提高心力衰竭 (HF) 患者的生活质量.
目前在全球范围内,对HF患者的PC使用率非常低.
缺乏对HF患者PC的障碍和促进因素的系统评估.

研究的目的:

系统地确定为心力衰竭患者提供息护理的障碍和促进因素.
为制定有针对性的干预措施提供信息,以改善HF患者的PC接入.

主要方法:

一个混合方法的系统审查,遵循PRISMA指南.
在多个数据库 (PubMed, CINAHL, MEDLINE, PsycINFO, Web of Science) 中进行全面的文献搜索.
包括从医疗保健提供者,患者和护理人员那里报告障碍/促进者的定性和定量研究;使用COM-B模型和TDF分析.

主要成果:

包括48项研究,确定了289个障碍和88个促进者.
主要障碍集中在"环境背景和资源" (77.2%),"知识" (91.8%) 和"社会影响" (58.7%).
在这些领域中, Facilitators 的报告频率较低,突出显著的挑战.

结论:

对于HF患者来说,PC存在重大障碍,特别是资源限制,知识缺陷和跨学科合作不足.
需要有针对性的干预措施来解决系统性问题,并增强有关HFPC的知识.
改善PC整合需要解决影响其交付的环境,知识和社会因素.

关键词:

心脏衰竭是因为心脏衰竭.抚慰性护理抚慰性护理系统审查是系统的审查.

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