Division of Cardiovascular Medicine, The Medical College of Wisconsin, Milwaukee, WI, USA.
College of Nursing, University of Wisconsin Milwaukee, Milwaukee, WI, USA.
West J Nurs Res. 2022 Apr;44(4):375-382. doi: 10.1177/0193945921997428. Epub 2021 Mar 12.
Heart failure (HF) is a growing public health problem. Self-management (SM) of HF is an important component of chronic disease management. Guided by the Individual and Family Self-Management Theory (IFSMT), we examined the associations among complexity of condition, self-regulation, and self-efficacy mediation of SM behaviors in a population of HF outpatients. A cross-sectional design was used. Seventy-three outpatients with HF were enrolled. Simple and multiple linear regressions were run for each outcome variable. Only self-regulation was significantly associated with SM behavior. Complexity of condition was not significantly associated with SM behavior. There was no mediation by self-efficacy. Future nursing interventions should explore self-regulation in HF to provide a clearer understanding of the processes used to change health behavior. SM may be particularly useful in HF with preserved ejection fraction (EF), where there is no proven pharmacological treatment.
心力衰竭（HF）是一个日益严重的公共卫生问题。HF 的自我管理（SM）是慢性病管理的重要组成部分。本研究以个体和家庭自我管理理论（IFSMT）为指导，在 HF 门诊患者人群中，考察了病情复杂性、自我调节与自我效能对 SM 行为的中介作用。采用横断面设计，共纳入 73 例 HF 门诊患者。对每个结局变量进行简单和多元线性回归。只有自我调节与 SM 行为显著相关。病情复杂性与 SM 行为无显著相关性。自我效能无中介作用。未来的护理干预措施应探索 HF 中的自我调节，以更清楚地了解用于改变健康行为的过程。SM 在射血分数保留的 HF（HFpEF）中可能特别有用，因为目前尚无有效的药物治疗方法。
