一项评估基于计算机的干预措施以改善心力衰竭患者自我护理能力的初步研究。
A Pilot Study to Evaluate a Computer-Based Intervention to Improve Self-care in Patients With Heart Failure.
出版信息
J Cardiovasc Nurs. 2021;36(2):157-164. doi: 10.1097/JCN.0000000000000782.
BACKGROUND
Cognitive dysfunction contributes to poor learning and impaired self-care (SC) for patients with heart failure.
OBJECTIVES
The aims of this study were to (1) evaluate the feasibility and acceptability of a nurse-led, virtual home-based cognitive training and SC education intervention to support SC and (2) evaluate the relationship between improvements in SC and cognitive change and examine 30-day readmission rates.
METHODS
In this 2-phase pilot study, we used a prospective, exploratory design. In phase 1, recruitment criteria and retention issues threatened feasibility and acceptance. Significant modifications were made and evaluated in phase 2.
RESULTS
In phase 2, 12 participants were recruited (7 women and 5 men). Feasibility was supported. All participants and the study nurse positively evaluated acceptability of the intervention. Median SC scores improved over time. Thirty-day hospital readmission rates were 25%.
CONCLUSION
Phase 1 indicates the intervention as originally designed was not feasible or acceptable. Phase 2 supports the feasibility and acceptability of the modified intervention. Further testing is warranted.
背景
认知功能障碍会导致心力衰竭患者学习困难和自我护理（SC）受损。
目的
本研究旨在（1）评估护士主导的虚拟家庭认知训练和 SC 教育干预措施支持 SC 的可行性和可接受性，以及（2）评估 SC 和认知改善之间的关系，并检查 30 天再入院率。
方法
在这两阶段的试点研究中，我们采用了前瞻性、探索性设计。在第 1 阶段，由于招募标准和保留问题，该研究的可行性和可接受性受到了威胁。在第 2 阶段，我们对其进行了重大修改并进行了评估。
结果
在第 2 阶段，共招募了 12 名参与者（7 名女性和 5 名男性）。该研究可行性得到支持。所有参与者和研究护士均对干预措施的可接受性给予了积极评价。SC 评分中位数随时间推移而改善。30 天内的住院再入院率为 25%。
结论
第 1 阶段表明，最初设计的干预措施不可行或不可接受。第 2 阶段支持经修改的干预措施的可行性和可接受性。需要进一步测试。
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