期刊
EUROPEAN JOURNAL OF CARDIOVASCULAR NURSING
卷 9, 期 2, 页码 92-100出版社
ELSEVIER SCIENCE BV
DOI: 10.1016/j.ejcnurse.2009.10.004
关键词
Heart failure; Self-care; Patient education
资金
- NHMRC/NHF
- NH&MRC of Australia
Background: There are many reasons to explain why achievement of optimal self-care can be difficult for many patients with chronic heart failure (CHF). Aim: To investigate differences in self-care skills between patients with and without experience of CHF symptoms. Methods: On the basis of a confirmed diagnosis and treatment for CHF <2 months or >2 months, patients were prospectively designated as novices or experienced. Administration of the Self-Care Heart Failure Index assessed 3 self-care skills: maintenance, management and confidence. A score >70% in each scale is considered adequate self care. Hierarchal regression models were built to test three hypotheses. Results: In 143 elderly patients hospitalised with CHF, novices had lower self-care maintenance (63 +/- 16 vs. 71 +/- 14, p=0.05) and self-care management scores (48 +/- 17 vs. 58 +/- 19, p = 0.003) than experienced patients. Novices were less likely to have adequate self-care maintenance (OR, 0.73; 95% CI 0.5 to 0.9, LR<0.02) and management (OR, 0.3; 95% Cl, 0.1 to 0.8,p=0.02). Patients experienced with CHF had similar confidence levels (66 17 vs. 64 17, p=0.40) to novices. Conclusion: Level of experience is a determinant of self-care skills suggesting this factor should be considered in determining an individual education plan. (C) 2009 Published by Elsevier B.V. on behalf of European Society of Cardiology.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据