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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Self-care in women with heart failure and the effectiveness of nurse-led educational interventions: a review of the literature
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Self-care in women with heart failure and the effectiveness of nurse-led educational interventions: a review of the literature

机译：心力衰竭妇女的自我保健和护士主导的教育干预措施的有效性：文献综述

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Self-care in women with heart failure and the effectiveness of nurse-led educational interventions: a review of the literature Aims and objectives. The purpose of this review of the literature is to evaluate the research on self-care behaviours of women heart failure patients and whether self-care is improved by the patient's knowledge of the disease, symptoms and treatments. Second, to determine whether nurse-led educational interventions influence self-care behaviours in women. Background. In the past, clinical research has sampled mostly white, male populations, and the results have been generalised to the population. Less is known about self-care behaviours in women with heart failure constituting a gender disparity in knowledge for effective management. Design. Review of the literature. Methods. A search of the English language literature was conducted using CINAHL, Ovid MEDLINE, Cochrane and PubMed databases and supplemented by a hand search of relevant reference lists from 1998 through 2010. Results. Potentially relevant articles were identified (n = 56) by the literature search. A total of 33 articles were excluded because of lack of explanation of gender differences or non-nurse-led educational interventions; 23 original studies were included in the review. Conclusions. There was inadequate research to determine whether nurse-led education improves self-care behaviours in women; however, the evidence shows that many women exhibit poor self-care practices. There is a need for nurse researchers to address this deficit. Relevance to clinical practice. Heart failure symptoms seriously impinge on a woman's ability to live her life, as she would like, regardless of her country of abode. Understanding women's knowledge deficits about heart failure and their self-care behaviours nationally and internationally will aid in developing appropriate nurse-led interventions to increase adherence to proven efficacious regimens, thus improving quality of life and decreas...
机译：患有心力衰竭的妇女的自我保健和护士主导的教育干预措施的有效性：文献目的和目标的综述。这篇文献综述的目的是评估对女性心力衰竭患者的自我保健行为的研究，以及评估患者对疾病，症状和治疗方法的了解是否可以改善自我保健。第二，确定由护士主导的教育干预措施是否影响女性的自我保健行为。背景。过去，临床研究主要是对白人男性人群进行抽样，并将结果推广到该人群。对心力衰竭妇女的自我保健行为知之甚少，这构成了有效管理知识方面的性别差异。设计。文献回顾。方法。使用CINAHL，Ovid MEDLINE，Cochrane和PubMed数据库进行了英语文献检索，并从1998年至2010年手工搜索了相关参考文献清单。结果。通过文献检索确定了潜在相关的文章（n = 56）。由于缺乏对性别差异的解释或非护士主导的教育干预措施，总共33篇文章被排除在外;该评价包括23篇原始研究。结论。没有足够的研究来确定由护士主导的教育是否可以改善女性的自我保健行为;但是，有证据表明，许多妇女的自我保健习惯较差。护士研究人员需要解决这一不足。与临床实践有关。心力衰竭症状严重影响了妇女的生活能力，无论她希望居住在哪个国家（或地区）。在国内和国际上了解妇女关于心力衰竭及其自我保健行为的知识缺陷，将有助于制定适当的以护士为主导的干预措施，以增加对行之有效的治疗方案的依从性，从而改善生活质量和生活水平下降。

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