School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109-2029, USA.
Patient Educ Couns. 1994 Jun;23(2):73-82. doi: 10.1016/0738-3991(94)90044-2.
This study compared perceptions of 129 elderly cardiac patients regarding their health status and self-management skills with corresponding assessments by outpatient nursing staff members. Nurse-patient perceptions were most congruent on general questions regarding the heart condition. Differences were most apparent regarding how aware patients were of being asked to follow a regimen for managing their heart problems; what specific components comprised the regimens the patients were to follow; and how much confidence patients had in their ability to comply with specific components of the regimen. Congruence in perceptions of nurses and patients varied by the sex of the patient. Findings suggest that careful and continuous assessment of patients' perceptions about their condition and ongoing instruction regarding specifics of the therapeutic regimen are key elements in efforts to enhance elderly patients' self-management skills.
本研究比较了 129 名老年心脏病患者对其健康状况和自我管理技能的看法，以及门诊护理人员的相应评估。护士和患者对心脏状况的一般问题的看法最为一致。在患者对被要求遵循治疗心脏问题的方案的认识程度、方案中包含的具体内容以及对遵守方案具体内容的能力的信心等方面，差异最为明显。护士和患者的看法的一致性因患者的性别而异。研究结果表明，仔细和持续地评估患者对自身状况的看法，并对治疗方案的具体内容进行持续指导，是增强老年患者自我管理技能的关键要素。
