摘要
目的深入探讨慢性心力衰竭患者的自我监测需求，了解其对自我监测的需求，为临床护理健康教育提供建议。方法选取2016年10月-2017年1月某大学附属医院心血管内科病房符合纳入标准的CHF患者9例，对其进行深人访谈，并采用现象资料分析法进行整理分析，形成主题。结果提炼出5个主题，即患者自我监测的知识需求；患者选择合适监测工具的需求；患者自我监测的技能需求；患者自我监测的意愿需求；患者亲情及朋友支持的需求。结论慢性心力衰竭患者需要长期治疗和康复，不仅要改善患者症状、延长生命，还要通过构建多元化健康教育及回访模式、建立专业健康教育团队、构建合理服务支持系统，为CHF患者提供专业服务，满足患者自我病情监测需求，帮助其正确识别症状，提高自护能力和生存质量。
Objective To explore the self-monitoring needs of patients with chronic heart failure, so as to understand their needs for self-monitoring and provide references for clinical nursing healthcare education. Methods From October 2016 to January 2017, totally 9 cases of heart failure patients who met the inclusion criteria in an affiliated hospital were enrolled in this study. In-depth interviews were conducted and analyzed by phenomenological data analysis to form the main topic. Results At last, 5 subjects were extracted, namely, the needs for self-monitoring knowledge, the needs for suitable monitoring tools selection, the needs for self-monitoring skill, the willingness of self-monitoring and the needs for support from affection and friends. Conclusions The long-term treatment and rehabilitation of chronic heart failure patients was not only to improve symptoms and prolong life, but also to build a diversified health education and follow up model, to establish a professional health education team; to construct a rational service support system, to provide professional services for chronic heart failure patients, so as to meet the self-monitoring needs, help with symptom recognition and ultimately improve patients＇ quality of life.
作者
郭海燕
金园园
朱艳
李文婷
吴颖熵
刘娜
彭幼清
Guo Haiyan;Jin Yuanyuan;Zhu Yah;Li Wenting;Wu Yingyu;Liu Na;Peng Youqing(CCU, Shanghai East Hospital, Tongji University, Shanghai 200120, China;Tongji University School of Medicine, Shanghai 200092, China;Nursing Department, Shanghai East Hospital, Tongfi University, Shanghai 200120, Chin)
出处
《中华现代护理杂志》
2018年第10期1155-1158,共4页
Chinese Journal of Modern Nursing
基金
围家自然科学基金面上项目（71473178）
关键词
心力衰竭
质性研究
自我监测需求
Heart failure
Oualitative research
Self-monitoring needs
