Lambrinou Ekaterini, Protopapas Andreas, Kalogirou Fotini
Nursing Department, School of Health Sciences, Cyprus University of Technology, 15 Vragadinou str, 3041, Limassol, Cyprus,
Curr Heart Fail Rep. 2014 Sep;11(3):299-306. doi: 10.1007/s11897-014-0203-y.
The purpose of this review is to discuss the educational challenges faced by health care professionals in the care and management of patients with heart failure (HF). Self-care is a vital component in HF management, and promotion of self-care through education is a fundamental aspect of patient-centered care and supports patients' right to autonomy. The ultimate goal is not simply to convey knowledge, but to promote patients' understanding and to enhance their self-care skills by assuming an active role in their care. As such, health care professionals are confronted with a number of patient-related issues as they strive to provide high-quality education. Beyond assessing patients' individual information needs and preferences, they are tasked with addressing several obstacles that impede patients' ability to engage in self-care. Factors such as cognitive impairment and low health literacy have a major impact on patients' ability to understand, absorb, and recall information. Moreover, the existence of negative beliefs, which are strong determinants of patients' attitudes towards their disease and treatment, may also influence their response to educational messages. Health care professionals must not only identify and overcome these obstacles, but they must act effectively within the limitations of their working environment and of the health care system.
本综述的目的是探讨医疗保健专业人员在心力衰竭（HF）患者的护理和管理中所面临的教育挑战。自我护理是心力衰竭管理的重要组成部分，通过教育促进自我护理是以患者为中心的护理的基本方面，并支持患者的自主权。最终目标不仅仅是传授知识，而是通过让患者在自身护理中发挥积极作用来促进他们的理解并提高他们的自我护理技能。因此，医疗保健专业人员在努力提供高质量教育时面临着一些与患者相关的问题。除了评估患者的个人信息需求和偏好外，他们还肩负着解决几个阻碍患者进行自我护理能力的障碍。认知障碍和健康素养低下等因素对患者理解、吸收和回忆信息的能力有重大影响。此外，消极信念的存在，这是患者对其疾病和治疗态度的强烈决定因素，也可能影响他们对教育信息的反应。医疗保健专业人员不仅必须识别并克服这些障碍，而且必须在其工作环境和医疗保健系统的限制内有效行动。
