Nurse training in self-management of patients with cardiovascular diseases: a multicentre observational study

Rachele La Sala; Rita Bruna Dicembrino; Simona Dall’Argine; Monica Baiguera; Lorena Gazzotti; Elena Gubin; Alessia Rondini; Ilaria Mamei

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Nurse training in self-management of patients with cardiovascular diseases: a multicentre observational study

机译：心血管疾病患者自我管理的护士培训：多中心观察性研究

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Background and aim: The therapeutic education and self-management carried out by nurses, are winning elements in cardiovascular secondary prevention, but because they are complex matters, they require special training by the professionals. The target of the study has been to assess the effects in clinical practice of a training program for nurses in the management of patients with cardiovascular diseases, leaning towards a self-oriented patient management and therapeutic patient education. Method: The research utilized a quali-quantitative study to compare the responses of 53 trained nurses (experimental group) and 101 untrained nurses (control group). The instrument used was a self-report structured in two sections: the first, a qualitative kind, was used to investigate the portrayal of nurses regarding self-management; the second, a quantitative kind, included a Likert scale based on 5 points (1=never, 5=always) that investigated the professional nurse’s action in its bio-psycho-socio-relational and clinical activities (La Sala, 2012). Results: The trained nurses’ approach is more oriented towards the psycho-socio-relational dimension, compared to the untrained nurses. A difference also emerged regarding activities of a bio clinical nature, which are performed much more by untrained nurses compared to trained professionals. Conclusions: The health education and self-management skills were used by trained nurses during their care of patients with cardiovascular diseases, stressing the importance for professional nurses to develop an integrated competence, using narrative talks as the main tool in a patient-centred approach.

机译：背景与目的：护士进行的治疗教育和自我管理是心血管二级预防的重要内容，但由于它们很复杂，因此需要专业人员进行专门培训。该研究的目标是评估针对护士进行心血管疾病患者培训的培训计划在临床实践中的效果，并倾向于以自我为导向的患者管理和治疗性患者教育。方法：本研究采用定性研究比较了53名训练有素的护士（实验组）和101名未经训练的护士（对照组）的反应。所使用的工具是一种自我报告，分为两部分：第一部分是定性的，用于调查护士关于自我管理的刻画;第二部分是定性分析。第二种是定量的，包括基于5点的李克特量表（1 =从来没有，5 =总是），调查了专业护士在其生物，心理，社会关系和临床活动中的行为（La Sala，2012）。结果：与未经培训的护士相比，受过培训的护士的方法更加注重心理-社会关系方面。关于生物临床性质的活动也出现了差异，与未经培训的专业人员相比，未经培训的护士执行的活动更多。结论：训练有素的护士在护理心血管疾病患者时使用了健康教育和自我管理技能，强调了专业叙事者发展叙事能力作为以患者为中心的主要手段的综合能力的重要性。

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《Acta bio-medica: Atenei Parmensis》 |2017年第5as期|共9页
作者
Rachele La Sala; Rita Bruna Dicembrino; Simona Dall’Argine; Monica Baiguera; Lorena Gazzotti; Elena Gubin; Alessia Rondini; Ilaria Mamei;
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中图分类医药、卫生;
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Self-managementself-carehealthcare paradigmeducationcardiovascular diseasenurse trainingsecondary prevention.;

机译：自我管理自我护理保健范式教育心血管疾病护士培训二级预防。;

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Nurse training in self-management of patients with cardiovascular diseases: a multicentre observational study

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