Kline Kay Setter, Scott Linda D, Britton Agnes S
Kirkhof College of Nursing, Grand Valley State University, Grand Rapids, MI, USA.
Home Healthc Nurse. 2007 Sep;25(8):502-10. doi: 10.1097/01.NHH.0000289104.60043.7d.
This study examined the effects of 2 home healthcare nursing approaches--supportive-educative and mutual goal setting--on self-management for patients with heart failure. Both approaches are specifically related to participants' understanding of heart failure and self-efficacy in managing the condition. An experimental, longitudinal, repeated-measures design was used with a sample of 88 participants. Although no significant difference was demonstrated in participants' understanding of heart failure, the supportive-educative group showed a significantly increased self-efficacy in managing heart failure symptoms.
本研究考察了两种居家医疗护理方法——支持性教育和共同目标设定——对心力衰竭患者自我管理的影响。这两种方法都与参与者对心力衰竭的理解以及管理病情的自我效能感密切相关。采用了实验性、纵向、重复测量设计，样本为88名参与者。尽管在参与者对心力衰竭的理解方面未显示出显著差异，但支持性教育组在管理心力衰竭症状方面的自我效能感显著提高。
