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心力衰竭患者学习(L-HF患者研究)

Learning for heart failure patients (The L-HF patient study).

作者信息

Boyde Mary, Tuckett Anthony, Peters Robyn, Thompson David, Turner Catherine, Stewart Simon

机构信息

School of Nursing and Midwifery, The University of Queensland/Princess Alexandra Hospital, Qld, Australia.

出版信息

J Clin Nurs. 2009 Jul;18(14):2030-9. doi: 10.1111/j.1365-2702.2008.02716.x.

DOI:10.1111/j.1365-2702.2008.02716.x
PMID:19638060
Abstract

AIM AND OBJECTIVE

To investigate the learning style and preferences for information delivery of heart failure patients for the purpose of informing the design of educational resources.

BACKGROUND

Patient education is a vital component of heart failure management programmes however the content and delivery of education varies in each programme. Traditionally education programmes for patients have focussed on educational needs as identified by health care providers however research has shown there are discrepancies between patients' and nurses' perceptions of the learning needs of heart failure patients. There is no evidence that educational programmes for heart failure patients are based on identification of patients learning needs or their preferred learning style.

DESIGN

Qualitative.

METHOD

A purposive sample of 12 participants, diagnosed with heart failure and enrolled in a heart failure management programme, participated in semi-structured interviews.

RESULTS

Four themes emerged: knowledge quest (L-loading), barriers to learning (L-inhibitors), facilitators for learning (L-agonists), and meeting educational needs (L-titration). Integral to these themes was the participant's relationship with health care professionals.

CONCLUSION

This study provides unique information regarding the preferred learning modality of heart failure patients and, as such, serves to inform the development of appropriate education resources specifically tailored for this population.

RELEVANCE TO CLINICAL PRACTICE

The development of effective modes of education is likely to further enhance heart failure management programmes service organisation and delivery and improve health outcomes for heart failure patients.

摘要

目的

调查心力衰竭患者的学习风格及对信息传递方式的偏好,以便为教育资源的设计提供参考。

背景

患者教育是心力衰竭管理项目的重要组成部分,但每个项目的教育内容和传递方式各不相同。传统上,针对患者的教育项目侧重于医疗保健提供者所确定的教育需求,然而研究表明,患者和护士对心力衰竭患者学习需求的认知存在差异。没有证据表明针对心力衰竭患者的教育项目是基于对患者学习需求或其偏好学习风格的识别。

设计

定性研究。

方法

从参加心力衰竭管理项目且被诊断为心力衰竭的患者中,有目的地抽取12名参与者进行半结构化访谈。

结果

出现了四个主题:知识探索(L-负荷)、学习障碍(L-抑制剂)、学习促进因素(L-激动剂)和满足教育需求(L-滴定)。这些主题的核心是参与者与医疗保健专业人员的关系。

结论

本研究提供了关于心力衰竭患者偏好学习方式的独特信息,因此有助于为专门针对该人群开发合适的教育资源提供参考。

与临床实践的相关性

开发有效的教育模式可能会进一步加强心力衰竭管理项目的服务组织与提供,并改善心力衰竭患者的健康结局。

相似文献

1
Learning for heart failure patients (The L-HF patient study).心力衰竭患者学习(L-HF患者研究)
J Clin Nurs. 2009 Jul;18(14):2030-9. doi: 10.1111/j.1365-2702.2008.02716.x.
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Card sort: an assessment tool for the educational needs of patients with heart failure.卡片分类法:一种用于评估心力衰竭患者教育需求的工具。
Am J Crit Care. 1999 Sep;8(5):297-302.
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Learning needs of patients with heart failure a descriptive, exploratory study.心力衰竭患者的学习需求:一项描述性、探索性研究。
J Clin Nurs. 2013 Mar;22(5-6):661-8. doi: 10.1111/j.1365-2702.2012.04075.x. Epub 2012 Sep 17.
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Learning needs of congestive heart failure patients.充血性心力衰竭患者的学习需求。
Prog Cardiovasc Nurs. 1998 Spring;13(2):11-6, 33.
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Perceptions of patient education in spinal cord injury rehabilitation.脊髓损伤康复中患者教育的认知
Disabil Rehabil. 2006 Sep 15;28(17):1041-9. doi: 10.1080/09638280500494744.
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Communication in heart failure: perspectives from older people and primary care professionals.心力衰竭中的沟通:老年人和初级保健专业人员的观点
Health Soc Care Community. 2006 Nov;14(6):482-90. doi: 10.1111/j.1365-2524.2006.00636.x.
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Learning needs of patients with congestive heart failure.
Can J Cardiol. 2003 Mar 31;19(4):413-7.
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Learning and support preferences of adult patients with cancer at a comprehensive cancer center.综合癌症中心成年癌症患者的学习及支持偏好
Oncol Nurs Forum. 2002 Jun;29(5):863-7. doi: 10.1188/02.ONF.863-867.
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Home care nurses' knowledge of evidence-based education topics for management of heart failure.家庭护理护士对心力衰竭管理循证教育主题的知识。
Heart Lung. 2011 Jul-Aug;40(4):285-92. doi: 10.1016/j.hrtlng.2010.12.005. Epub 2011 Mar 23.
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[Perception and understanding chronic heart failure by the patient. The impact of therapeutic education on the level of knowledge of patients. About 350 cases].[患者对慢性心力衰竭的认知与理解。治疗教育对患者知识水平的影响。约350例病例]
Arch Mal Coeur Vaiss. 2007 Mar;100(3):163-74.

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