Faculty of Nursing, University of Alberta, , Edmonton, Canada.
Heart. 2014 May;100(9):716-21. doi: 10.1136/heartjnl-2013-304852. Epub 2014 Feb 18.
Disease management interventions for heart failure (HF) are inconsistent and very seldom incorporate the views and needs of patients and their caregivers into intervention design.
To improve intervention effectiveness and consistency, a systematic review identified 49 studies which examined the views and needs of patients with HF and their caregivers about the nature and determinants of effective HF self-care.
The findings identify key drivers of effective self-care, such as the capacity of patients to successfully integrate self-care practices with their preferred normal daily life patterns and recognise and respond to HF symptoms in a timely manner.
Future interventions for HF self-care must involve family members throughout the intervention and harness patients' normal daily routines.
心力衰竭（HF）的疾病管理干预措施不一致，很少将患者及其照护者的意见和需求纳入干预措施设计中。
为了提高干预措施的效果和一致性，一项系统评价确定了 49 项研究，这些研究调查了心力衰竭患者及其照护者对有效心力衰竭自我护理的性质和决定因素的看法和需求。
研究结果确定了有效自我护理的关键驱动因素，例如患者成功地将自我护理实践与他们喜欢的日常生活模式整合起来的能力，以及及时识别和应对心力衰竭症状的能力。
未来的心力衰竭自我护理干预措施必须让家庭成员全程参与干预，并利用患者的日常常规。
