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照料者教育对改善心力衰竭患者自我护理和降低再入院率的随机对照试验

Improvement in Heart Failure Self-Care and Patient Readmissions with Caregiver Education: A Randomized Controlled Trial.

机构信息

College of Nursing, University of Kentucky, Lexington, KY, USA.

出版信息

West J Nurs Res. 2023 May;45(5):402-415. doi: 10.1177/01939459221141296. Epub 2022 Dec 8.

Abstract

Caregivers support heart failure (HF) self-care with little HF education. The purpose of this study was to evaluate the effectiveness of a caregiver-only educational intervention aimed at improving caregiver self-efficacy, perceived control, and HF knowledge, as well as patient self-care and 30-day cardiac readmission. In total, 37 patients and their caregivers were randomly assigned to a control condition or a caregiver-only educational intervention with telephone follow-up. Outcomes included patient 30-day cardiac readmission, patient self-care, caregiver self-efficacy, caregiver perceived control, and caregiver HF knowledge. Linear mixed model, Kaplan-Meier, and Cox regression analyses were used to determine the effects of the intervention on outcomes. Self-care maintenance ( = 0.002), self-care management ( = 0.005), 30-day cardiac readmission ( = 0.003), and caregiver perceived control ( < 0.001) were significantly better in the intervention group. The results suggest that interventions targeting caregiver HF education could be effective in improving HF patients' 30-day cardiac readmissions, patient self-care, and caregiver perceived control.

摘要

照顾者在对心力衰竭 (HF) 患者进行护理时提供的支持很少,且HF 教育也不足。本研究旨在评估一种仅针对照顾者的教育干预措施的效果,该措施旨在提高照顾者的自我效能感、感知控制和 HF 知识,以及患者的自我护理和 30 天心脏再入院率。共有 37 名患者及其照顾者被随机分配到对照组或仅针对照顾者的教育干预组,并进行电话随访。研究结果包括患者 30 天心脏再入院、患者自我护理、照顾者自我效能感、照顾者感知控制和照顾者 HF 知识。线性混合模型、Kaplan-Meier 和 Cox 回归分析用于确定干预对结果的影响。干预组在自我护理维持( = 0.002)、自我护理管理( = 0.005)、30 天心脏再入院率( = 0.003)和照顾者感知控制( < 0.001)方面显著更好。结果表明,针对照顾者 HF 教育的干预措施可能有效改善 HF 患者的 30 天心脏再入院率、患者自我护理和照顾者感知控制。

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