与印度心力衰竭患者的自我护理行为相关的因素:系统性审查
Prima J J D'Souza1, Mitchelle S Lewis1, Ganesh Paramasivam2
1Department of Fundamentals of Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Journal of education and health promotion
|September 22, 2025
概括
有效的自我护理对于印度心力衰竭患者至关重要. 知识和支持等因素有助于自我护理,而低教育和财务问题阻碍了自我护理,影响了患者的结果.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 卫生政策 卫生政策
背景情况:
- 自我护理对于管理心力衰竭 (HF) 和改善患者结果至关重要.
- 许多因素可以阻碍HF患者的有效自我护理行为,从而对生活质量产生负面影响.
研究的目的:
- 系统地审查和识别影响心力衰竭患者自我护理行为的因素,特别是在印度背景下.
主要方法:
- 从2012年1月到2024年9月,在六个主要数据库 (PubMed,CINAHL,Scopus,ProQuest,Web of Science,Embase) 进行了系统的文献搜索.
- 根据PRISMA指南,分析了符合纳入标准的七项相关研究,并使用Joanna Briggs研究所的偏见风险工具进行了批判性评估.
- 数据使用叙事方法合成,以确定影响因素.
主要成果:
- 自我照顾的有利因素包括高自我效能,疾病知识,情境意识,财政支持,医疗保险,家庭支持,意志力和对医疗保健的信心.
- 阻碍因素包括低教育程度,不够的HF知识,对健康信息的理解不足,医疗保健提供者的互动有限,健康素养低,自我效率低,财务限制,负面情绪和缺乏结构化护理计划.
结论:
- 调查结果突出了印度卫生政策的关键需求,以加强患者教育,确保可获得的医疗保健,并为HF患者提供足够的财政支持.
- 加强这些政策对于改善自我护理的坚持至关重要,最终会导致更好的临床结果和心力衰竭患者的生活质量提高.
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