Mahramus Tara L, Penoyer Daleen Aragon, Sole Mary Lou, Wilson Debra, Chamberlain Lyne, Warrington William
Orlando Regional Medical Center, Florida, USA.
Clin Nurse Spec. 2013 Jul-Aug;27(4):198-204. doi: 10.1097/NUR.0b013e3182955735.
PURPOSE/OBJECTIVE: Patients' self-management of heart failure (HF) is associated with improved adherence and reduced readmissions. Nurses' knowledge about self-management of HF may influence their ability to adequately perform discharge education. Inadequate nurse knowledge may lead to insufficient patient education, and insufficient education may decrease patients' ability to perform self-management. Prior to developing interventions to improve patient education, clinical nurse specialists should assess nurses' knowledge of HF. The purpose of this study was to determine nurses' knowledge of HF self-management principles.
This was a prospective, exploratory, and descriptive online test.
There were 3 patient care settings: tertiary care teaching hospital, community hospital, and home healthcare division.
The sample was composed of 90 registered nurses who worked directly with patients with HF.
Nurses completed an online test of knowledge using the Nurses' Knowledge of Heart Failure Education Principles instrument.
Registered nurses (n = 90) completed the knowledge test instrument; their average score was 71% (SD, 10.8%) (range, 20%-90%). The percentage of correct items on each subscale ranged from 63.9% (SD, 30.0) for medications to 83.3% (SD, 25.0) for exercise. Only 8.9% of respondents achieved a passing score of greater than 85%, and a passing score was not associated with any demographic characteristics.
Overall, nursing knowledge of HF self-management principles was low. Scores from our nurses were similar to those found in other studies.
There is a need to develop interventions to improve nursing knowledge of HF self-management principles. Clinical nurse specialists can be instrumental in developing knowledge interventions for nurses.
目的/目标：心力衰竭（HF）患者的自我管理与更好的依从性及再入院率降低相关。护士对HF自我管理的知识可能会影响其充分开展出院教育的能力。护士知识不足可能导致患者教育不充分，而教育不充分可能会降低患者进行自我管理的能力。在制定改善患者教育的干预措施之前，临床护理专家应评估护士对HF的知识。本研究的目的是确定护士对HF自我管理原则的知识水平。
这是一项前瞻性、探索性和描述性在线测试。
有3个患者护理环境：三级护理教学医院、社区医院和家庭医疗部门。
样本由90名直接护理HF患者的注册护士组成。
护士使用《护士心力衰竭教育原则知识》工具完成一项在线知识测试。
注册护士（n = 90）完成了知识测试工具；他们的平均得分是71%（标准差，10.8%）（范围，20%-90%）。每个子量表上正确项目的百分比从药物治疗的63.9%（标准差，30.0）到运动的83.3%（标准差，25.0）不等。只有8.9%的受访者获得了高于85%的及格分数，及格分数与任何人口统计学特征均无关联。
总体而言，护士对HF自我管理原则的知识水平较低。我们护士的得分与其他研究中的得分相似。
有必要制定干预措施以提高护士对HF自我管理原则的知识水平。临床护理专家在为护士制定知识干预措施方面可发挥重要作用。
