Department of Adult Nursing, University of Tokyo Graduate School of Medicine, Tokyo, Japan.
Nurs Health Sci. 2012 Jun;14(2):156-64. doi: 10.1111/j.1442-2018.2011.00673.x. Epub 2012 Feb 17.
This study assessed the need for information regarding heart failure and self-care, developed self-care educational material, and investigated the feasibility of the material. A total of 22 hospitalized heart failure patients (mean age: 63 years) completed a self-administered questionnaire. We found that more than 90% of patients desired information, particularly about heart failure symptoms, time to notify healthcare providers, prognosis, and exercise/physical activity. After examining the eight existing brochures for Japanese heart failure patients, we developed self-care educational material. This was based on heart failure guidelines and on the results of our inquiry regarding information needs. Finally, a pilot study was conducted in nine hospitalized heart failure patients (mean age: 57 years). None of the patients had difficulty reading or understanding the educational material. The self-administrated questionnaire survey revealed that comprehension of the following improved after the educational sessions with the material: heart failure symptoms, medication, weighing, sodium intake, and fluid intake (P < 0.05). In conclusion, heart failure patients have a great need for information about heart failure. Our pilot study suggests that the material was readable and had a beneficial effect on heart failure comprehension.
本研究评估了心力衰竭和自我护理信息需求，编制了自我护理教育材料，并调查了该材料的可行性。共有 22 名住院心力衰竭患者（平均年龄：63 岁）完成了自我管理问卷。我们发现，超过 90%的患者希望获得信息，特别是关于心力衰竭症状、通知医疗保健提供者的时间、预后以及运动/体力活动的信息。在检查了 8 份现有的日本心力衰竭患者手册后，我们根据心力衰竭指南和我们对信息需求的调查结果，编制了自我护理教育材料。最后，在 9 名住院心力衰竭患者（平均年龄：57 岁）中进行了一项试点研究。没有患者在阅读或理解教育材料方面有困难。自我管理问卷调查显示，在使用该材料进行教育课程后，以下内容的理解得到了提高：心力衰竭症状、药物、称重、钠摄入量和液体摄入量（P<0.05）。总之，心力衰竭患者非常需要有关心力衰竭的信息。我们的试点研究表明，该材料易于阅读，并对心力衰竭的理解有积极影响。
