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患有心力衰竭的女性面临较高的心理社会风险:一项关于性别如何影响心力衰竭自我护理的系统评价。

Women with heart failure are at high psychosocial risk: a systematic review of how sex and gender influence heart failure self-care.

机构信息

Faculty of Nursing, 3rd Floor Clinical Sciences Building, University of Alberta, Edmonton, Alberta, Canada T6G 2G3.

出版信息

Cardiol Res Pract. 2011 Mar 6;2011:918973. doi: 10.4061/2011/918973.

DOI:10.4061/2011/918973
PMID:21403845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3051283/
Abstract

To improve patient support, it is important to understand how people view and experience Heart Failure (HF) self-care. This systematic review of qualitative studies included all published studies that examine the influence of sex and gender on HF self-care. A systematic search was done for papers (1995-2010) indexed in Ovid MEDLINE, Ovid Medline, Ovid EMBASE, Ovid PsycINFO, CSA Sociological Abstracts, OVID AARP Ageline, EBSCO Academic Search Complete, EBSCO CINAHL, EBSCO SocINDEX, ISI Web of Science: Social Sciences Citation Index and Science Citation Index Expanded, and Scopus. After screening of 537 citations, six qualitative studies identified that differences existed in perceptions of symptoms with women having less family involvement and psychosocial support around self-care. Moreover, women had considerably more negative views of the future, themselves and their ability to fulfill social self-care roles. Women with HF represent a highly vulnerable population and need more support for psychosocial wellbeing and self-care.

摘要

为了改善患者支持,了解人们如何看待和体验心力衰竭(HF)自我护理非常重要。这项对定性研究的系统综述包括所有研究 HF 自我护理中性别影响的已发表研究。系统检索了 1995 年至 2010 年在 Ovid MEDLINE、Ovid Medline、Ovid EMBASE、Ovid PsycINFO、CSA 社会学摘要、OVID AARP Ageline、EBSCO 学术搜索完整、EBSCO CINAHL、EBSCO SocINDEX、ISI Web of Science:社会科学引文索引和科学引文索引扩展以及 Scopus 中索引的论文。在筛选了 537 条引文后,确定了六项定性研究,这些研究表明,女性对症状的认知存在差异,她们在自我护理方面的家庭参与度和心理社会支持较少。此外,女性对未来、自身和履行社会自我护理角色的能力有更负面的看法。HF 女性代表着一个高度脆弱的人群,她们需要更多的支持来促进心理社会幸福感和自我护理。

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Gender-specific barriers and facilitators to heart failure self-care: a mixed methods study.心力衰竭自我护理的性别特定障碍和促进因素:混合方法研究。
Int J Nurs Stud. 2010 Jul;47(7):888-95. doi: 10.1016/j.ijnurstu.2009.12.011. Epub 2010 Jan 15.
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The lived experience of middle-aged women with New York Heart Association class III heart failure: a pilot study.纽约心脏协会III级心力衰竭中年女性的生活体验:一项试点研究。
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The European Heart Failure Self-care Behaviour scale revised into a nine-item scale (EHFScB-9): a reliable and valid international instrument.欧洲心力衰竭自我护理行为量表修订为九项量表(EHFScB-9):一种可靠且有效的国际工具。
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