Centre for Cardiovascular and Chronic Care, University of Technology Sydney, St Vincent's and Mater Health, Sydney, Australia.
Expert Rev Pharmacoecon Outcomes Res. 2013 Jun;13(3):351-9. doi: 10.1586/erp.13.25.
Globally, chronic heart failure is a common, complex syndrome characterized by high levels of healthcare utilization, reduced quality of life and premature mortality. Self-care is a complex decision-making process involving symptom recognition, action and evaluation. The purpose of this article is to define self-care, discuss barriers and facilitators in promoting adherence and summarize the methods available for assessing the individual's capacity to be an active partner in care. The appraisal to undertake self-care will require not only assessment of the individuals' clinical, psychological, social and cultural circumstances, but also the capacity of healthcare providers and healthcare systems to accommodate patients as partners in care.
在全球范围内，慢性心力衰竭是一种常见的、复杂的综合征，其特点是医疗保健利用率高、生活质量降低和过早死亡。自我护理是一个复杂的决策过程，涉及症状识别、行动和评估。本文的目的是定义自我护理，讨论促进依从性的障碍和促进因素，并总结评估个体作为护理积极伙伴能力的可用方法。进行自我护理的评估不仅需要评估个人的临床、心理、社会和文化环境，还需要评估医疗保健提供者和医疗保健系统容纳患者作为护理伙伴的能力。
