老年慢性心力衰竭患者居家容量管理体验的质性研究
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女,硕士在读,护师

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山东省社会科学规划研究项目(22CSHJ03)


Experience of volume management in home-dwelling elderly patients with chronic heart failure:a qualitative study
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    摘要:

    目的 深入了解老年慢性心力衰竭患者居家容量管理体验,为针对性干预提供参考。方法 依据健康行为改变整合理论拟订容量管理体验访谈提纲,对12例老年慢性心衰患者进行半结构式访谈,分析资料提炼主题。结果 提炼出容量管理认知欠佳(出院后存在认知缺陷,知识寻求行为受阻),心态老化导致管理信念消极(轻视自身价值,个人责任感差异),缺乏容量调节知识与技能(容量平衡维持不佳,容量负荷自我监测不力,容量超负荷识别不足及处理错误),多种社会支持需求(家庭与社会情感支持,社区医院资源支持,远程信息支持与咨询服务)4个主题及10个亚主题。结论 老年慢性心力衰竭患者居家容量管理认知、知识与技能不足,态度消极,缺乏社会支持。医护人员应高度重视,采取针对性干预措施改善其现况。

    Abstract:

    Objective To deeply understand the experience of volume management in home-dwelling elderly patients with chronic heart failure (CHF) and provide information for targeted interventions. Methods The interview outline was developed based on the integrated theory of health behavior change, and semi-structured interviews were conducted with 12 elderly CHF patients to gather their experience of volume management. Results Four themes and ten sub-themes generated:inadequate awareness of volume management (cognitive deficits after hospital discharge, unsuccessful knowledge-seeking behavior), negative beliefs due to psychological aspects of ageing (despising self-value, differences in personal responsibility), lack of knowledge and skills for volume regulation (poor maintenance of volume balance, ineffective self-monitoring of volume load, low identification accuracy of volume overload and handling errors), and social support needs (emotional support from the family and society, resource support from the community and hospital, telehealth support and counseling services). Conclusion Elderly CHF patients have inadequate awareness, knowledge and skills, negative attitudes and insufficient social support in volume management. Medical staff should pay great attention to and take targeted interventions to improve their current situation.

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乔悦,黄霞,贾培培,李霞,莫明慧,郭晓菡,李笑琳.老年慢性心力衰竭患者居家容量管理体验的质性研究[J].护理学杂志,2023,28(4):108-111

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  • 收稿日期:2022-09-20
  • 最后修改日期:2022-10-28
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  • 在线发布日期: 2023-12-29