护理学报 ›› 2020, Vol. 27 ›› Issue (2): 33-37.doi: 10.16460/j.issn1008-9969.2020.02.033
汪冰清1, 宋永霞1, 何红叶2, 李京京1, 刘杉杉1, 洪静芳1
摘要: 目的 通过对慢性心力衰竭患者自我护理的影响因素进行综述,为临床提高其自我护理水平,制定相应的干预措施提供理论依据。方法 对国内外文献进行检索,对纳入的相关研究内容进行提取与归纳。结果 慢性心力衰竭患者自我护理的影响因素主要包含人口学因素、疾病因素、心理因素、社会因素及其他因素。结论 慢性心力衰竭患者的自我护理受诸多方面影响,未来的研究应进一步考虑这些影响因素的相互作用,为构建干预方案提供理论基础。
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[1] Liu X, Yu H, Pei J, et al.Clinical Characteristics and Long Term Prognosis in Patients with Chronic Heart Failure and Reduced Ejection Fraction in China[J]. Heart Lung Circ,2014, 23(9):818-826. DOI:10.1016/j.hlc. [2] Hasan A, Paul V.Telemonitoring in Chronic Heart Failure[J]. Eur Heart J, 2011, 32(12):1457-1464. DOI:10.1093/eurheartj/ehr005. [3] 胡盛寿,高润霖,刘力生,等.《中国心血管病报告2018》概要[J].中国循环杂志,2019,34(3):209-220. DOI:cnki:sun:zgxh.0.2019-03-002. [4] 曹小彤,徐翠荣,王静静.慢性心力衰竭患者生活质量影响因素的病例对照研究[J]. 护理学报,2017,24(23):5-8. DOI:10.16460/j.issn1008-9969.2017.23.005. [5] Benjamin EJ, Virani SS, Callaway CW,et al.Heart Disease and Stroke Statistics-2018 Update: A Report from the American Heart Association[J]. Circulation, 2018,137(12):e67-e492. DOI:10.1161/CIR.0000000000000558. [6] Bidwell JT, Vellone E, Lyons KS, et al.Determinants of Heart Failure Self-care Maintenance and Management in Patients and Caregivers: A Dyadic Analysis[J]. Res Nurs Health, 2015, 38(5):392-402. DOI:10.1002/nur.21675. [7] Riegel B, Driscoll A, Suwanno J, et al.Heart Failure Self-care in Developed and Developing Countries[J]. J Cardiac Fail,2009,15(6):508-516.DOI:10.1016/j.cardfail.2009.01.009. [8] Cocchieri A, Riegel B, D Agostino F, et al. Describing Self-care in Italian Adults with Heart Failure and Identifying Determinants of Poor Self-care[J]. Eur J Cardiovasc Nurs, 2015, 14(2):126-136. DOI:10.1177/1474515113518443. [9] Riegel B, Jaarsma T, Strömberg A.A Middle-range Theory of Self-care of Chronic Illness[J]. ANS Adv Nurs Sci, 2012, 35(3):194-204. DOI:10.1097/ANS.0b013e318261b1ba. [10] Riegel B, Dickson VV.A Situation-specific Theory of Heart Failure Self-care[J]. J Cardiovasc Nurs, 2008, 23(3):190-196. DOI:10.1097/01.jcn.0000305091.35259.85. [11] Riegel B,Dickson VV, Faulkner KM.The Situation-Specific Theory of Heart Failure Self-Care: Revised and Updated[J]. J Cardiovasc Nurs,2016,31(3):226-235. DOI:10.1097/JCN.0000000000000244. [12] 肖璐,陈燕华,刘建平,等.慢性心力衰竭患者自我护理行为及影响因素的分析[J].广东医学,2017,38(7):1131-1134. DOI:cnki:sun:gayx.0.2017-07-044. [13] Ausili D,Rebora P,Di Mauro S,et al.Clinical and Socio-demographic Determinants of Self-care Behaviours in Patients with Heart Failure and Diabetes Mellitus:A Multicentre Cross-sectional Study[J]. Int J Nurs Stud,2016,63:18-27. DOI:10.1016/j.ijnurstu.2016.08.006. [14] Chriss PM, Sheposh J, Carlson B, et al.Predictors of Successful Heart Failure Self-care Maintenance in the First Three Months After Hospitalization[J]. Heart Lung, 2004, 33(6):345-353. DOI:10.1016/j.hrtlng.2004.03.004. [15] Lee CS, Riegel B, Driscoll A, et al.Gender Differences in Heart Failure Self-care: A Multinational Cross-sectional Study[J]. Int J Nurs Stud, 2009,46(11):1485-1495. DOI: 10.1016/j.ijnurstu.2009.04.004. [16] Riegel B, Dickson VV, Kuhn L, et al.Gender-specific Barriers and Facilitators to Heart Failure Self-care: A Mixed Methods Study[J]. Int J Nurs Stud,2010, 47(7):888-895. DOI:10.1016/j.ijnurstu.2009.12.011. [17] Ni H, Nauman D, Burgess D, et al.Factors Influencing Knowledge of and Adherence to Self-care Among Patients with Heart Failure[J].Arch Intern Med,1999,159(14):1613-1619. DOI:10.1001/archinte.159.14.1613. [18] Lyons KS, Vellone E, Lee CS, et al.A Dyadic Approach to Managing Heart Failure with Confidence[J]. J Cardiovasc Nurs,2015, 30(4 Suppl 1):S64-S71.DOI:10.1097/JCN.0000000000000234. [19] Rockwell JM, Riegel B.Predictors of Self-care in Persons with Heart Failure[J]. Heart Lung, 2001, 30(1):0-25. DOI:10.1067/mhl.2001.112503. [20] 吕菲. 住院慢性心力衰竭患者自我护理能力的影响因素研究[D].济南:山东大学,2011. [21] 刘婷. 慢性心力衰竭住院患者的自我健康管理现况研究[D].唐山:华北理工大学,2017. [22] Cameron J, Worrall-Carter L, Page K, et al.Self-Care Behaviours and Heart Failure: Does Experience with Symptoms Really Make A Difference?[J].Eur J Cardiovasc Nurs, 2010, 9(2):92-100. DOI:10.1016/j.ejcnurse.2009.10.004. [23] Dickson VV, Buck H, Riegel B.Multiple Comorbid Conditions Challenge Heart Failure Self-care by Decreasing Self-efficacy[J]. Nurs Res, 2013, 62(1):2-9. DOI:10.1097/NNR.0b013e31827337b3. [24] Auld JP, Mudd JO, Gelow JM, et al.Patterns of Heart Failure Symptoms are Associated with Self-care Behaviors Over 6 Months[J]. Eur J Cardiovasc Nurs, 2018,17(6):543-551. DOI:10.1177/1474515118759074. [25] Graven LJ, Grant JS, Vance DE, et al.Predicting Depressive Symptoms and Self-care in Patients with Heart Failure[J]. Am J Health Behav, 2015, 39(1):77-87. DOI:10.5993/ajhb.39.1.9. [26] Matsuoka S, Tsuchihashi-Makaya M,Kayane T,et al.Health Literacy Is Independently Associated with Self-care Behavior in Patients with Heart Failure[J]. Patient Educ Couns,2016,99(6):1026-1032. DOI:10.1016/j.pec.2016.01.003. [27] Cameron J, Ski CF, Mclennan SN, et al.Development of the Heart Failure Screening Tool (Heart-FaST) to Measure Barriers that Impede Engagement in Self-care[J]. Eur J Cardiovasc Nurs,2014, 13(5):408-417.DOI:10.1177/1474515113502461. [28] Hjelm CM, Broström A, Riegel B, et al.The Association Between Cognitive Function and Self-care in Patients with Chronic Heart Failure[J].Heart Lung,2015,44(2):113-119. DOI:10.1016/j.hrtlng.2014.12.003. [29] Vellone E, Pancani L, Greco A, et al.Self-care Confidence may be More Important than Cognition to Influence Self-care Behaviors in Adults with Heart Failure: Testing A Mediation Model[J]. Int J Nurs Stud,2016,60:191-199. DOI:10.1016/j.ijnurstu.2016.04.016. [30] 卜晓佳. 慢性心力衰竭患者认知功能及其对自我护理影响的研究[D].北京:北京协和医学院, 2014. [31] Cameron J, Worrall-Carter L, Riegel B, et al.Testing A Model of Patient Characteristics, Psychologic Status, and Cognitive Function as Predictors of Self-care in Persons with Chronic Heart Failure[J].Heart Lung,2009,38(5):410-418. DOI:10.1016/j.hrtlng.2008.11.004. [32] Sedlar N, Lainscak M, Mårtensson J, et al.Factors Related to Self-care Behaviours in Heart Failure: A Systematic Review of European Heart Failure Self-care Behaviour Scale Failure:A Systematic Review of European Heart Failure Self-care Behaviour Scale Studies[J]. Eur J Cardiovasc Nurs, 2017, 16(4):272-282. DOI:10.1177/1474515117691644. [33] Riegel B, Dickson VV,Goldberg LR.Factors Associated with the Development of Expertise in Heart Failure Self-care[J]. Nurs Res, 2007, 56(4):235-243.DOI:10.1097/01.NNR.0000280615.75447.f7. [34] 邵欣. 慢性心力衰竭患者自我护理行为及影响因素的研究[D].北京:中国协和医科大学,2009. [35] Tovar EG, Dekker RL, Chung ML, et al.Self-efficacy Mediates the Relationship of Depressive Symptoms and Social Support with Adherence in Patients with Heart Failure[J]. J Health Psychol, 2016, 11(11):2673-2683. DOI:10.1177/1359105315583369. [36] 曹希. D型人格对慢性心力衰竭患者自我护理行为的影响分析[D].长沙:中南大学,2014. [37] Liu L, Wang X,Cao X,et al.Self-care Confidence Mediates the Relationship Between Type D Personality and Self-care Adherence in Chinese Heart Failure Patients[J]. Heart Lung,2018,47(3):216-221.DOI:10.1016/j.hrtlng.2018.03.006. [38] 刘莉,王秀华,曹希,等.心力衰竭患者自我护理信心在领悟社会支持与自我护理行为间的中介作用[J].中国临床心理学杂志,2017,25(4):734-738.DOI:10.16128/j.cnki.1005-3611.2017.04.031. [39] Gallagher R, Luttik ML.Social Support and Self-care in Heart Failure[J]. J Cardiovasc Nurs,2011,26(6):439-445. DOI:10.1097/jcn.0b013e31820984e1. [40] Nielsen-Bohlman L,Panzer AM,Kindig DA.Health Literacy: A Prescription to End Confusion[J].National Academies Press, 2004, 15(4):389-395. DOI:10.17226/10883. [41] 邹会静. 基于COM--B模型的慢性心力衰竭患者自护行为阻碍与促进因素研究[D].济南:山东大学, 2017. [42] Liu MH, Wang CH, Huang YY, et al.A Correlational Study of Illness Knowledge, Self-care Behaviors, and Quality of Life in Elderly Patients with Heart Failure[J]. J Nurs Res, 2014, 22(2):136-145. DOI:10.1097/jnr.0000000000000024. [43] 马静怡. 老年抑郁、焦虑与认知功能的现状、影响因素及其关系研究[D].太原:山西师范大学,2014. [44] Karimi M, Clark AM.How Do Patients’ Values Influence Heart Failure Self-care Decision-making?: A Mixed-methods Systematic Review[J].Int J Nurs Stud, 2016, 59:89-104. DOI:10.1016/j.ijnurstu.2016.03.010. |
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