慢性心力衰竭病人自我护理状况的调查
An investigation on status quo of self - care in patients with chronic heart failure
田芳英 ,何仲,李改珍
Tian Fangying , He Zhong ,Li Gaizhen (Second Hospital of Shanxi Medical University , Shanxi 030001 China)
摘要 :[目的 ]了解慢性心力衰竭病人
自我护理状况.[方法]应用慢性心力
衰竭自我护理量表 ,对90 例慢性心力
衰竭病人的自我护理维持、自我护理
决策及自我护理评估状况进行调查.
[结果]慢性心力衰竭病人自我护理维
持较好的为遵医嘱服药 (70. 0 %) ,但
对症状识别率较差.[结论]慢性心力
衰竭病人自我护理状况在中等水平以
上 ,健康教育时要教会病人识别心力
衰竭症状 ,并采取综合措施.
关键词 :心力衰竭 ,慢性 ;自我护理 ;评估Abstract:Objective : to know the status quo of self - care in patients with
chronic heart failure. Method : a total of 90 patients with chronic heart failure
were investigated on the maintenance , decision - making and assessment
of self - care by filling out self - care scales designed for them. Result : the
item chronic heart failure patients could maintain better of self - care was tak2
ing drugs following physician's order (70 %) . But patients had poor ability to
identify different symptoms. Conclusion : chronic heart failure patients have a
moderate level or above of self - care. Nurses would tell them how to distin2
guish symptom of heart failure as they provided health education for patients.
And comprehensive measures should be taken for them.
Key words :heart failure ,chronic ;self - care ;assessment
中图分类号 :R473. 5 文献标识码 :C 文章编号 :1009 - 6493(2005) 2A - 0205 - 03
自我护理是一个积极的认知过程 ,
在这个过程中病人为了提高健康、阻止
疾病发展、识别和参与治疗健康偏差而
采取的一系列行为1
,分为自我护理维
持和自我护理管理两部分.自我护理维
持指遵从正确的健康行为如合理的饮
食、正确的锻炼和遵医嘱服药等 ,即依从
性 ;自我护理管理包括能识别自我健康
微妙的变化、评估症状和体征出现的重
要性、正确对待出现的症状及体征和监
测治疗的效果这一系列全面的、复杂的
过程2
.慢性心力衰竭的复杂症状、高

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