Li Xiao, Chen Chen, Qu Mo-Ying, Li Zhi, Xu Ying, Duan Xue-Fei, Chen Xi, Zhang Qing, You Gui-Ying
Xiao Li, MD Lecturer and Researcher, Department of Cardiac Surgery, West China Hospital, Sichuan University, Chengdu, China. Chen Chen, BM MD student, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Mo-Ying Qu, BN Researcher, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Zhi Li, BN Researcher, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Ying Xu, BN Researcher, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Xue-Fei Duan, BN Researcher, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Xi Chen, MD Researcher, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Qing Zhang, MD Professor, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China. Gui-Ying You, BN Professor, Department of Cardiology, West China Hospital, Sichuan University, Chengdu, China.
J Cardiovasc Nurs. 2017 Jul/Aug;32(4):357-364. doi: 10.1097/JCN.0000000000000349.
Self-care is critical for postdischarge heart failure (HF) patients. Short message service (SMS) is a promising way to promote HF self-care.
The aim of this study is to investigate knowledge status in Chinese HF patients, as well as the acceptance of SMS as a way to improve self-care.
A survey using a self-developed questionnaire was conducted in patients with decompensated HF 2 days before discharge.
A total of 540 patients completed the survey. Among them, only 69.8% and 63.3% of patients were aware of their HF status and medication regimen, respectively. A total of 95.6% patients were willing to receive SMS. Patient himself/herself, caregiver, or both patient and caregiver were almost equally selected as the preferred receiver of SMS. Educational and/or reminder SMS was considered "very helpful" by 50.2% of the patients as a way of promoting self-care, similar to that of telephone education and brochure education. "Take your medicine", "avoid getting flu," and "keep follow-up" were regarded as the most important self-care contents, whereas "weigh yourself every day" and "restrict fluid intake" were considered the least important.
As a way of promoting HF self-care, SMS intervention combining educational and reminder function might be well accepted by HF patients in China. The status of HF, medication, weight control, and fluid restriction should be emphasized during the practice. Caution should be drawn as the survey was not tested elsewhere. Further clinical trials would be conducted to examine the effect of SMS intervention on self-care behaviors and outcomes of HF patients.
自我护理对出院后心力衰竭（HF）患者至关重要。短信服务（SMS）是促进HF自我护理的一种有前景的方式。
本研究旨在调查中国HF患者的知识状况，以及对将短信作为改善自我护理方式的接受程度。
在失代偿性HF患者出院前2天使用自行编制的问卷进行调查。
共有540例患者完成调查。其中，分别只有69.8%和63.3%的患者知晓自己的HF病情和用药方案。共有95.6%的患者愿意接收短信。患者本人、照料者或患者与照料者均几乎被同等选为短信的首选接收者。50.2%的患者认为教育和/或提醒短信作为促进自我护理的一种方式“非常有帮助”，这与电话教育和宣传册教育类似。“服药”“避免患流感”和“坚持随访”被视为最重要的自我护理内容，而“每天称体重”和“限制液体摄入”被认为是最不重要的。
作为促进HF自我护理的一种方式，兼具教育和提醒功能的短信干预可能会被中国的HF患者广泛接受。在实践过程中应强调HF病情、用药、体重控制和液体限制等方面。由于该调查未在其他地方进行测试，故应谨慎对待。将开展进一步的临床试验以检验短信干预对HF患者自我护理行为及结局的影响。
