在心力衰竭中,双向自我护理的概况与患者症状负担的一致性和患者症状负担
The Journal of cardiovascular nursing
|August 8, 2025
概括
在心力衰竭 (HF) 两位数中,护理人员的参与影响了患者的症状负担. 了解患者自我护理和护理人员贡献一致性是有效的症状管理的关键.
科学领域:
- 心脏病学 心脏病学
- 老年学是一门学科.
- 护理 护理 护理
背景情况:
- 心力衰竭 (HF) 患者经历的症状可以通过自我护理来管理,护理人员发挥着至关重要的作用.
- 了解患者自我护理和护理人员贡献之间的对齐对于HF二极管的整体疾病管理至关重要.
研究的目的:
- 为了研究患者自我护理和护理人员在心力衰竭 (HF) 病例中的贡献之间的一致性.
- 检查不同类型的双和患者体验的身体症状负担之间的关系.
主要方法:
- 来自MOTIVATE-HF随机对照试验的数据的二次分析 (n=510 dyads).
- 隐藏类混合建模以确定自我护理一致性 (维护,管理,信心) 和症状负担的模式.
- 奇二测试和ANOVA用于确定类之间的比较分析.
主要成果:
- 根据自我护理一致性和症状负担,确定了三种不同的二类.
- 第1类 (17%):护理人员占主导作用,患者的症状负担最高.
- 2类 (7%):患者主导的自我护理,患者的症状负担最低.
- 第三类 (76%):患者和护理人员之间的平衡贡献.
结论:
- 在心力衰竭中存在不同的二类型,其特点是患者自我照顾和护理人员贡献的不同程度.
- 患者自我护理和护理人员支持之间的一致性与患者的症状负担有关.
- 这些发现支持开发针对HF二的有针对性的症状管理干预措施.
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