Gilmour Jean, Strong Alison, Hawkins Mona, Broadbent Rachel, Huntington Annette
School of Nursing, Massey University, Wellington, NZ.
Hawkes Bay DHB, Hastings, NZ.
Nurs Prax N Z. 2013 Nov;29(3):5-17.
Heart failure is a chronic debilitating disease with significant hospitalisation rates. Information and education are foundational elements in making the lifestyle changes required for effective self-management of the symptoms of heart failure. This paper reports a study of medical nurses' education activities with heart failure patients in terms of the topics they addressed and the educational resources they found most useful. A random sample of 540 medical ward nurses were surveyed in 2009 using a postal questionnaire. The response rate was 47% (234 medical ward nurses who cared for patients with heart failure). Quantitative data were analysed using descriptive statistics, qualitative data through a content analysis approach. The majority of respondents (66.7%) cared for patients with heart failure several times each week. The total time spent on educational activities by most respondents (70.6%) was estimated as 20 minutes or less over the hospitalisation. Printed material was the most commonly used education resource although 35 respondents also referred to online information and 84 nurses did not use educational material at all. The most frequent education topics discussed were medication, signs and symptoms and general information about heart failure. Psychological factors and prognosis information were the topics least discussed with patients. Respondent suggestions to improve patient access to heart failure information included more printed information in wards such as pamphlets in various languages, information about useful websites and having key resources available in te reo Māori. The heart failure educator was identified as an important resource for both nurses and patients. The study highlighted the limited time many respondents spent on educational activities and the need for readily available educational resources to optimise patient heart failure education opportunities.
心力衰竭是一种慢性衰弱性疾病，住院率很高。信息和教育是做出有效自我管理心力衰竭症状所需生活方式改变的基础要素。本文报告了一项关于内科护士针对心力衰竭患者开展的教育活动的研究，涉及他们所讨论的主题以及他们认为最有用的教育资源。2009年，通过邮政问卷对540名内科病房护士进行了随机抽样调查。回复率为47%（234名在内科病房护理心力衰竭患者的护士）。定量数据采用描述性统计进行分析，定性数据通过内容分析方法进行分析。大多数受访者（66.7%）每周多次护理心力衰竭患者。大多数受访者（70.6%）在患者住院期间用于教育活动的总时间估计为20分钟或更少。印刷材料是最常用的教育资源，不过有35名受访者也提及了在线信息，84名护士根本没有使用教育材料。讨论最频繁的教育主题是药物治疗、体征和症状以及关于心力衰竭的一般信息。心理因素和预后信息是与患者讨论最少的主题。受访者关于改善患者获取心力衰竭信息途径的建议包括在病房提供更多印刷信息，如多种语言的宣传册、有用网站的信息以及提供毛利语的关键资源。心力衰竭教育者被认为是护士和患者的重要资源。该研究强调了许多受访者在教育活动上花费的时间有限，以及需要有现成的教育资源来优化患者心力衰竭教育机会。
