Stamp Kelly D
Boston College, William F. Connell School of Nursing, Cushing Hall 307 140 Commonwealth Avenue, Chestnut Hill, MA, 02467, USA,
Curr Heart Fail Rep. 2014 Sep;11(3):307-13. doi: 10.1007/s11897-014-0199-3.
The purpose of this review is to evaluate research regarding whether women with heart failure (HF) need a special approach for improving their adherence to self-care. Prior research has sampled mostly white, male populations and these results have been generalized to the population of all HF patients. After age 65, women are at a higher risk than men for developing HF. Once women develop HF they are more likely than men with HF to experience greater symptom burden, re-hospitalizations, social isolation, and higher mortality rates. In this review we will explore barriers and facilitators that women experience when performing self-care, and whether they need individualized interventions or approaches to care that are different from those for male patients with HF. Special approaches such as assessment of social support and self-care counseling when treating women with HF will be discussed, as this may improve women's adherence, thereby slowing the symptom burden and disease progression.
本综述的目的是评估关于心力衰竭（HF）女性患者是否需要特殊方法来提高其自我护理依从性的研究。先前的研究大多以白人男性群体为样本，这些结果被推广到所有HF患者群体。65岁以后，女性患HF的风险高于男性。一旦女性患上HF，她们比男性HF患者更有可能经历更严重的症状负担、再次住院、社会隔离和更高的死亡率。在本综述中，我们将探讨女性在进行自我护理时所经历的障碍和促进因素，以及她们是否需要不同于男性HF患者的个性化干预或护理方法。还将讨论在治疗HF女性患者时的特殊方法，如社会支持评估和自我护理咨询，因为这可能会提高女性的依从性，从而减轻症状负担并减缓疾病进展。
