Kato Naoko, Jaarsma Tiny, Ben Gal Tuvia
Department of Social and Welfare Studies, Faculty of Health Sciences, Linköping University, Linköping, Sweden.
Curr Heart Fail Rep. 2014 Sep;11(3):290-8. doi: 10.1007/s11897-014-0201-0.
The number of heart failure (HF) patients living with a left ventricular assist device (LVAD) as destination therapy is increasing. Successful long-term LVAD support includes a high degree of self-care by the patient and their caregiver, and also requires long-term support from a multidisciplinary team. All three components of self-care deserve special attention once an HF patient receives an LVAD, including activities regarding self-care maintenance (activities related both to the device and lifestyle), self-care monitoring (e.g., monitoring for complications or distress), and self-care management (e.g., handling alarms or coping with living with the device). For patients to perform optimal self-care once they are discharged, they need optimal education that focuses on knowledge and skills through a collaborative, adult learning approach.
作为终末期治疗而使用左心室辅助装置（LVAD）的心力衰竭（HF）患者数量正在增加。LVAD的成功长期支持包括患者及其护理人员高度的自我护理，还需要多学科团队的长期支持。一旦HF患者接受LVAD，自我护理的所有三个组成部分都值得特别关注，包括自我护理维持活动（与装置和生活方式相关的活动）、自我护理监测（例如，监测并发症或不适）和自我护理管理（例如，处理警报或应对装置带来的生活问题）。为了让患者出院后能进行最佳的自我护理，他们需要通过协作式成人学习方法，接受侧重于知识和技能的最佳教育。
