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首页> 外文期刊>Journal of Nursing Education and Practice >Stimulation to self-care in patients with heart failure: A quasi-experimental study
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Stimulation to self-care in patients with heart failure: A quasi-experimental study

机译：刺激心力衰竭患者的自我保健：一项准实验研究

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Background: Patients with Heart Failure (HF) live with a serious disease, and need long term rehabilitation care. Rehabilitation takes place in the hospital as well as in the primary care setting. Elements in rehabilitation for patients with HF are based on the recommendations from the European Society of Cardiology and focuses on self-care and adherence in general. There are no specific guidelines for primary health care. Focus in this study is when the patient is discharged from the outpatient clinic to a primary care setting. The aim of this study is to test a protocol for individual planning of rehabilitation for HF patients with mild to moderate symptoms and to test the effect of individually prepared rehabilitation plans. Methods: The study design is quasi-experimental. Patients in the control group follow the conventional rehabilitation. For the patients in the intervention group an individual rehabilitation plan was prepared and supplemented with telephone follow up after 4 and 12 weeks. All patients’ health status and self-care behaviors were measured at study inclusion (baseline) and after 4 and 12 weeks. Results: 162 patients were included in the study of which 137 (84.6%) consented to participate. There were no differences in total self-care behavior between the groups at the beginning of the trial (p = .161). After 4 weeks the total score in the control group was 25.3 and in the intervention group the total score was 22.2 (p = .049). After 12 weeks the score in the control group was 26.8, which was similar to the score at the beginning of the trial, and in the intervention group the score was 22.6, which gives a difference in total score of 6.2 (p = .007). Conclusion: A systematic prepared intervention leads to a significant increase in total self-care behavior scores in HF patients.
机译：背景：心力衰竭（HF）患者患有严重疾病，需要长期康复护理。康复不仅在医院而且在初级保健环境中进行。 HF患者康复的要素基于欧洲心脏病学会的建议，并且通常侧重于自我保健和依从性。没有针对初级保健的具体指南。该研究的重点是患者从门诊诊所出院到基层医疗机构。这项研究的目的是测试针对轻度至中度症状的HF患者进行个体康复计划的方案，并测试个体制定的康复计划的效果。方法：研究设计是准实验的。对照组患者遵循常规康复治疗。对于干预组的患者，制定了个人康复计划，并在4周和12周后进行电话随访。在纳入研究时（基线）以及在4周和12周后，测量所有患者的健康状况和自我保健行为。结果：162名患者被纳入研究，其中137名（84.6％）同意参加。在试验开始时，两组之间的总体自我护理行为没有差异（p = .161）。 4周后，对照组的总分是25.3，而干预组的总分是22.2（p = .049）。 12周后，对照组的得分为26.8，与试验开始时的得分相似;在干预组中，得分为22.6，总得分相差6.2（p = .007） 。结论：系统的准备干预可导致HF患者的总体自我护理行为评分显着提高。

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