Schnell Karen N, Naimark Barbara J, McClement Susan E
Cardiac Sciences Program, St. Boniface General Hospital, Manitoba.
Can J Cardiovasc Nurs. 2006;16(1):13-9.
Chronic heart failure is associated with debilitating symptoms, diminished quality of life and frequent hospitalizations. The literature suggests that effective everyday self-care decision-making can improve heart failure outcomes. This article focuses on the qualitative portion of a study of self-care decision-making in community-dwelling individuals attending a heart failure clinic. Semi-structured interviews conducted with 11 participants identified influences that enhance or impede self-care practices and their behavioural responses to them. Content analysis was used to examine predisposing attributes and enabling circumstances described in Connelly's Model of Self-Care in Chronic Illness. These interactive factors were either facilitators or barriers to self-care. The importance of individualizing patient teaching plans and frequent monitoring of factors likely to facilitate self-care were pivotal nursing implications that emerged from this study.
慢性心力衰竭与使人衰弱的症状、生活质量下降和频繁住院有关。文献表明，有效的日常自我护理决策可以改善心力衰竭的预后。本文重点关注对参加心力衰竭诊所的社区居民自我护理决策研究的定性部分。对11名参与者进行的半结构化访谈确定了增强或阻碍自我护理实践的因素以及他们对这些因素的行为反应。内容分析用于检查康奈利慢性病自我护理模型中描述的 predisposing 属性和促成情况。这些交互因素要么是自我护理的促进因素，要么是障碍。个性化患者教学计划的重要性以及对可能促进自我护理的因素进行频繁监测是本研究中出现的关键护理意义。
