关于慢性心力衰竭患者在家进行心脏康复的知识,态度和做法
Wumei Xia1, Li Huang1, Yuye Min1
1Jiangxi Provincial People's Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, 330006, China.
Scientific reports
|August 22, 2025
概括
患有慢性心力衰竭 (CHF) 的患者对家庭心脏康复 (HBCR) 的知识很少,但态度和做法适度. 教育干预对于改善HBCR参与来改善CHF管理至关重要.
科学领域:
- 心脏病学
- 公共卫生
- 健康行为
背景情况:
- 慢性心力衰竭 (CHF) 是一个日益严重的公共卫生问题,导致严重的发病率,死亡率和医疗费用.
- 家庭心脏康复 (HBCR) 对于心脏不全症的治疗是有效的,但患者参与度往往低于最佳水平.
- 了解患者的知识,态度和实践 (KAP) 是提高HBCR的关键.
研究的目的:
- 评估心脏不全患者在家进行心脏康复的知识,态度和实践 (KAP).
- 确定KAP组件之间的关系,并探讨在CHF患者中HBCR的潜在调解效应.
主要方法:
- 在江西省人民医院进行的一项涉及591名心血管衰竭患者的横截面研究.
- 使用评估人口信息和HBCR的KAP分数的问卷收集的数据.
- 统计分析包括相关性和调解分析,以检查KAP变量之间的关系.
主要成果:
- 患者的平均知识得分较低 (7. 27±4. 43),但对HBCR的平均态度为29. 18±5. 31和实践得分为34. 57±5. 57.
- 在知识,态度和实践之间发现了显著的正相关性 (所有人P<0.001).
- 知识直接影响着态度和实践,而态度直接影响着实践,而知识则通过态度间接影响着实践.
结论:
- 尽管患者的态度和做法适度,但他们对HBCR的知识存在差距.
- 需要加强针对KAP维度的教育计划,以优化患者参与HBCR.
- 干预措施应侧重于提高知识,以积极影响通过HBCR更好地管理CHF的态度和做法.
相关概念视频
Heart Failure VII: Nursing Interventions
139
The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
139
Restorative Care
2.1K
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,...
2.1K
Heart Failure VI: Adjunct Therapies
27
Additional therapies for treating patients with heart failure (HF) may include procedural interventions, supplemental oxygen, the management of sleep disorders, and nutritional therapy.Procedural InterventionsImplantable Cardioverter-Defibrillator: For patients at risk of life-threatening arrhythmias due to severe left ventricular dysfunction, an Implantable Cardioverter-Defibrillator (ICD) can detect and terminate these arrhythmias, preventing sudden cardiac death and improving survival rates.
27
Cardiomyopathy V: Interprofessional Care
33
Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
33
Cardiomyopathy VI: Nursing Management
35
Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
35
Pathophysiology of Heart Failure
1.8K
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...
1.8K


