Fowler Susan
Visiting Nurses Association of Central Jersey, USA.
Home Healthc Nurse. 2012 Feb;30(2):91-9; quiz 100-1. doi: 10.1097/NHH.0b013e318242c5c7.
The number of individuals diagnosed with heart failure continues to increase, often requiring repeated hospitalizations and readmissions. Patient education is essential for patients to self-manage this chronic illness. This study aims to describe nurses' knowledge of heart failure self-management education principles. Sixty-one nurses working in the community completed a 20-item survey, assessing their knowledge of diet, fluids, weight changes, signs and symptoms of worsening condition, medications, and exercise. Correct responses for individual survey items ranged from 14% to 100% with only 2 of 20 questions answered correctly by all participants. Frequently missed questions focused on notification of the physician regarding blood pressure, dizziness, weight monitoring, and use of salt substitutes. Findings of this study appear to suggest that an education and communication intervention may be effective at improving nurses' knowledge of heart failure education principles because more questions were answered correctly by >90% of nurses, following the intervention.
被诊断为心力衰竭的人数持续增加，常常需要反复住院和再次入院治疗。患者教育对于患者自我管理这种慢性疾病至关重要。本研究旨在描述护士对心力衰竭自我管理教育原则的了解情况。61名在社区工作的护士完成了一项包含20个条目的调查，评估她们在饮食、液体摄入、体重变化、病情恶化的体征和症状、药物以及运动方面的知识。各个调查项目的正确回答率从14%到100%不等，所有参与者中只有20个问题中的2个被全部正确回答。经常答错的问题集中在关于血压、头晕、体重监测以及使用盐替代品时通知医生的方面。本研究结果似乎表明，教育和沟通干预可能有效地提高护士对心力衰竭教育原则的了解，因为在干预之后，超过90%的护士正确回答了更多问题。
