Division of Cardiology, University Clinic of Respiratory and Allergic Diseases Golnik, Golnik 36 SI-4204 Golnik, Slovenia.
Eur J Heart Fail. 2011 Feb;13(2):115-26. doi: 10.1093/eurjhf/hfq219. Epub 2010 Dec 10.
Guidelines on heart failure (HF) stress the importance of lifestyle advice, although there is little evidence that such recommendations improve symptoms or prognosis. Patients experience symptoms of different intensities which impair their daily activities and reduce the quality-of-life. To cope with their clinical condition, many patients seek advice about lifestyle and self-management strategies when in contact with medical care providers, particularly specialized HF services. Self-care management is an important part of HF treatment, thus health professionals working with patients with HF have recognized the need for more specific recommendations on lifestyle advice. The present paper summarizes the available evidence, promotes self-care management, and aims to provide practical advice for health professionals delivering care to HF patients. It also defines avenues of research to optimize self-care strategies in a number of key areas to derive further benefits.
心力衰竭(HF)指南强调生活方式建议的重要性,尽管几乎没有证据表明此类建议能改善症状或预后。患者会经历不同强度的症状,这些症状会影响他们的日常活动并降低生活质量。为了应对他们的临床状况,许多患者在与医疗保健提供者接触时会寻求有关生活方式和自我管理策略的建议,特别是专门的 HF 服务。自我护理管理是 HF 治疗的重要组成部分,因此与 HF 患者合作的健康专业人员已经认识到需要针对生活方式建议提供更具体的建议。本文总结了现有证据,促进了自我护理管理,并旨在为向 HF 患者提供护理的健康专业人员提供实用建议。它还确定了研究途径,以优化在多个关键领域的自我护理策略,从而获得更多益处。