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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >Whose job is it? Gender differences in perceived role in heart failure self-care
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Whose job is it? Gender differences in perceived role in heart failure self-care

机译：这是谁的工作？心力衰竭自我护理中感知角色的性别差异

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Aim. To describe gender differences in perceived role in heart failure (HF) self-care and to explore how an individual's perception of their role influences self-care behaviours. Specifically, two hypotheses were tested: (1) there are gender-specific differences in perceived self-care roles in HF and (2) there are differences in self-care secondary to a patient's perceived role.Background. Gender differences in roles are ubiquitous in all societies. Rarely have these roles been examined as they contribute to performance of self-care in adults with chronic illnesses.Methods. Secondary analysis of three mixed methods studies (n = 99) of adults with chronic heart failure. Data were collected between 2006-2008.Conclusions. Two dominant perceived roles in self-care were identified: (1) active and (2) passive. These were further categorised according to the degree of independence described by participants in self-care decision making: (1) primary responsibility (27%), (2) collaboration (22%) and (3) reliant upon direction from others (51%).Relevance to clinical practice. Clinicians are encouraged to assess the individual's perceived role in HF self-care as part of the self-care education process. Understanding patient perceptions of their role may help guide education, which may be particularly useful for those patients most likely to defer to others for HF management advice.
机译：目标。描述在心力衰竭（HF）自我护理中感知角色的性别差异，并探讨个人对其角色的感知如何影响自我护理行为。具体而言，测试了两个假设：（1）在心衰中，自我感知的自我护理角色存在性别差异，（2）与患者感知的角色无关的自我护理差异。在所有社会中，角色的性别差异无处不在。很少对这些作用进行检查，因为它们有助于成人慢性病患者的自我保健。成人慢性心力衰竭的三种混合方法研究（n = 99）的二级分析。数据收集于2006-2008年之间。确定了自我护理中两个主要的感知角色：（1）主动和（2）被动。根据参与者在自我护理决策中所描述的独立程度，将其进一步分类：（1）主要责任（27％），（2）合作（22％）和（3）依赖于他人的指导（51％） ）。与临床实践有关。鼓励临床医生评估个人在HF自我护理中的感知作用，这是自我护理教育过程的一部分。了解患者对其作用的认识可能有助于指导教育，这对于最有可能屈从于他人的心衰治疗建议的患者尤其有用。

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