Woda Aimee, Belknap Ruth Ann, Haglund Kristin, Sebern Margaret, Lawrence Ashley
Marquette University College of Nursing, Milwauke, WI 53201, USA.
Marquette University College of Nursing, Milwauke, WI 53201, USA.
Heart Lung. 2015 Jan-Feb;44(1):33-8. doi: 10.1016/j.hrtlng.2014.09.001. Epub 2014 Oct 13.
The purpose of this study was to understand the influences of heart failure (HF) self-care among low income, African Americans.
Compared to all other racial groups, African Americans have the highest risk of developing HF, coupled with high mortality and morbidity rates.
Using the photovoice method, participants related important lifestyle factors through photography. The participants and researcher met for reflection and discussion 2 h per week for six weeks.
Four themes emerged: family support gives me the push I need, social interaction lifts me up, improving my mind to lift depression can improve my heart, and it is important but challenging to follow the HF diet.
The findings from this study may assist policy makers, health care professionals, patients, and support systems in understanding the complexity of engaging in HF self-care. This understanding may lead to the development of appropriate patient-centered assessments and interventions.
本研究旨在了解心力衰竭（HF）自我护理对低收入非裔美国人的影响。
与所有其他种族群体相比，非裔美国人患心力衰竭的风险最高，且死亡率和发病率也很高。
采用摄影声音法，参与者通过摄影阐述重要的生活方式因素。参与者和研究人员每周会面进行反思和讨论，每次2小时，共持续六周。
出现了四个主题：家庭支持给予我所需的动力，社交互动振奋人心，改善心境以减轻抑郁可改善心脏状况，遵循心力衰竭饮食很重要但具有挑战性。
本研究结果可能有助于政策制定者、医疗保健专业人员、患者及支持系统了解参与心力衰竭自我护理的复杂性。这种理解可能会促使制定以患者为中心的适当评估和干预措施。
