远程护理和心脏衰竭中的自我效能
Farhanaz Narimisa1, Shahrbanoo Karbakhsh, Shiva Pouradeli
1Author Affiliation: Clinical Research Development Unit, Shafa Hospital, Kerman University of Medical Sciences, Kerman, Iran (Ms Narimisa, Ms Karbakhsh and Dr Pouradeli); Cancer Prevention Research Center, Isfahan University of Medical Sciences, Isfahan, Iran (Dr Pouradeli).
Critical care nursing quarterly
|February 25, 2026
概括
通过电话支持的远程护理显著提高了慢性心力衰竭患者的自我效能. 这种干预改善了自我管理,并减少了疲劳和虚弱等关键症状.
科学领域:
- 心脏病学 心脏病学
- 护理科学 护理科学
- 健康管理健康管理
背景情况:
- 慢性心力衰竭 (CHF) 降低了患者的生活质量和自我管理能力.
- 提高自我疗效对于提高心血管疾病患者的治疗坚持和健康结果至关重要.
- 远程护理为远程患者支持和教育提供了一个潜在的解决方案.
研究的目的:
- 评估远程护理,特别是基于电话的培训和随访对慢性心力衰竭患者自我有效性的影响.
- 评估结构化远程干预措施在治疗心血管疾病症状方面的有效性.
主要方法:
- 一项涉及伊朗克尔曼沙法医院55名慢性心力衰竭患者的准实验性研究.
- 干预包括训练有素的护士每周通过电话进行后续呼叫,以获得自我护理指导和支持.
- 干预前后的评估使用了沙利文心脏自效量表.
主要成果:
- 观察到自我效率显著增加,高自我效率从3.6%上升到90.9% (P < .0001).
- 干预后,低自我疗效的患者比例从21.8%下降到1.8%.
- 报告显示,临床症状显著减少,包括虚弱 (P = .016) 和疲劳 (P = .031).
结论:
- 通过远程护理进行结构化的电话跟踪和教育,有效地提高慢性心力衰竭患者的自我效能.
- 远程护理干预可以显著减少与心血管疾病相关的症状.
- 这项研究强调了远程护理作为心力衰竭慢性护理管理的宝贵工具的潜力.
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