College of Nursing Researcher, the Nursing Policy Research Institute, Yonsei University, Seoul.
J Clin Nurs. 2013 Mar;22(5-6):661-8. doi: 10.1111/j.1365-2702.2012.04075.x. Epub 2012 Sep 17.
To assess the learning needs of patients with heart failure in Korea as this information is the cornerstone for developing a programme based on patients' learning needs.
Heart failure is a life-threatening event and a significant cause of morbidity and mortality in Korea. Cardiac educational programmes are intended to prevent the recurrence of heart failure and improve patients' quality of life. However, patients' information requests have historically not been well met by physicians and nurses in Korea.
A descriptive and exploratory study was designed.
We recruited 121 patients with heart failure between the ages of 19-88 years. Self-report questionnaires, which included general characteristics, disease-related characteristics and the Heart Failure Patients' Learning Needs Inventory patient version, were used to gather data.
The only general characteristic that was significantly related to patients' learning needs was their occupation. No disease-related characteristics were related to learning needs. The overall mean learning needs score was 3·78.
Patients' learning needs in Korea are lower than those typically seen in Western countries. Korean patients with heart failure had a low level of knowledge about heart failure and did not recognise the importance of being informed about their disease, which is why Korean patients with heart failure tend to depend on their physicians to make decisions related to their health management. These conditions can negatively affect clinical outcomes.
Although an educational programme for patients with heart failure should be based on the patients' learning needs, heart failure management and education programmes in Korea are not currently developed using a needs-based approach. Therefore, this study will provide a basis for encouraging Korean patients to obtain information about their disease and to guide professionals in developing heart failure management and education programmes.
评估韩国心力衰竭患者的学习需求，因为这些信息是制定基于患者学习需求的计划的基础。
心力衰竭是一种危及生命的事件，也是韩国发病率和死亡率的重要原因。心脏教育计划旨在预防心力衰竭的复发，提高患者的生活质量。然而，在韩国，医生和护士历来无法很好地满足患者的信息需求。
设计了一项描述性和探索性研究。
我们招募了 121 名年龄在 19-88 岁之间的心力衰竭患者。使用自我报告问卷收集数据，问卷包括一般特征、与疾病相关的特征和心力衰竭患者学习需求清单患者版。
唯一与患者学习需求显著相关的一般特征是他们的职业。没有与疾病相关的特征与学习需求相关。总体平均学习需求评分为 3.78。
韩国患者的学习需求低于西方国家通常所见的水平。韩国心力衰竭患者对心力衰竭的知识水平较低，并且没有认识到了解自己疾病的重要性，这就是为什么韩国心力衰竭患者倾向于依赖医生做出与健康管理相关的决策。这些情况可能会对临床结果产生负面影响。
尽管心力衰竭患者的教育计划应该基于患者的学习需求，但韩国的心力衰竭管理和教育计划目前并非基于需求制定。因此，本研究将为鼓励韩国患者获取有关疾病的信息提供依据，并指导专业人员制定心力衰竭管理和教育计划。
