老年慢性心力衰竭患者自我管理教育材料的研制及评价
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女,硕士,副主任护师,护理部副主任

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吉林省医疗卫生人才专项(JLSWSRCZX2021-090,JLSRCZX2025-105)


Development and evaluation of the self-management education materials for elderly patients with chronic heart failure
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    摘要:

    目的 基于“以患者为中心”的理念,开发符合老年人群需求特点、易于理解的老年慢性心力衰竭患者自我管理教育材料,以提高健康教育效果。方法 基于循证方法,系统检索文献并总结慢性心力衰竭患者自我管理的最佳证据;通过质性访谈了解老年患者对教育材料的需求和偏好;结合最佳证据与患者需求偏好结果,构建老年慢性心力衰竭患者自我管理教育内容体系,并参照患者健康教育材料评估工具对教育材料可理解性及可行动性的要求,将相关证据内容转化为患者易于理解的表达形式;采用焦点小组访谈了解利益相关方对材料的意见并进行迭代修订;采用患者健康教育平面材料评估工具,由外部评审小组成员对材料的可理解性和可行动性进行测试。结果 构建的老年慢性心力衰竭患者自我管理教育材料包括疾病相关知识、口服药管理、症状监测、饮食管理、运动锻炼、生活方式6个方面,教育材料以手册形式呈现,并创作了配套的动画视频。对老年慢性心力衰竭患者自我管理教育材料评价的标准化得分为86.96分,可理解性与可行动性得分分别为83.42、83.12分。结论 研制的老年慢性心力衰竭患者自我管理教育材料的可理解性和可行动性较好,有利于患者理解自我管理教育材料,提高其自我管理能力。

    Abstract:

    Objective Based on the patient-centered concept, to produce self-management education materials for elderly patients with chronic heart failure that meeting their needs and characteristics and easily understanding, so as to enhance the effectiveness of health education.Methods Based on the evidence-based approach, a systematic search and summary of the best evidence for self-management of patients with chronic heart failure were conducted; qualitative interviews were used to understand the needs and preferences of elderly patients with chronic heart failure for educational materials; combining the results of the best evidence summary and patient needs and preferences, a self-management education content system was constructed, and the relevant evidence content was transformed into an easily understanding expression form in accordance with the requirements of the patient education materials assessment tool for understandability and actionability; focus group interviews were used to understand the opinions of stakeholders on the materials and make iterative revisions; the patient education materials assessment tool was adopted by external review panel members to test the understandability and actionability of the materials.Results The self-management education materials for elderly patients with chronic heart failure were constructed, covering six aspects:disease-related knowledge, medication management, symptom monitoring, dietary management, exercise, and lifestyle.The education materials were presented in the form of a manual and accompanied by a set of animated videos.The standardized score for the evaluation of the self-management education materials for elderly patients with chronic heart failure was 86.96, and the standardized scores for comprehensibility and actionability were 83.42 and 83.12 respectively.Conclusion The self-management education materials for elderly patients with chronic heart failure demonstrate good comprehensibility and actionability, it is conducive to patients′ understanding of the materials and enhancing their self-management abilities.

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殷欣,辛文浩,刘卓,黄卫新,任辉,韩闻文,马婧垚,王艳,李虹彦.老年慢性心力衰竭患者自我管理教育材料的研制及评价[J].护理学杂志,2025,(19):1-5

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  • 收稿日期:2025-05-09
  • 最后修改日期:2025-07-03
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  • 在线发布日期: 2025-11-11