Roussia Soufiane, Muthu Priyalatha, Ilesanmi Rose Ekama
RAK Medical and Health Sciences University, Ras Alkhiama, UAE.
Cardiac Intensive Care Unit, Sheik Shakhbout Medical City, Abu Dhabi, UAE.
SAGE Open Nurs. 2023 Mar 5;9:23779608231160484. doi: 10.1177/23779608231160484. eCollection 2023 Jan-Dec.
To assess the knowledge and practice of self-care management among patients with heart failure (HF) after Roy adaptation theory-guided educational program.
One group quasi-experimental pretest-posttest design of 30 purposively selected patients with HF was conducted. Outcomes were examined under three domains: knowledge, self-care maintenance, and monitoring pre- and post-intervention, using a validated instrument based on four adaptive modes of Roy's theory.
Most of the respondents were male (76.6%) and 56.7% were over 60 years of age. At the pretest, only 16.7% demonstrated adequate knowledge of self-care, and 76.7% reported poor practices in the domains of self-care maintenance and monitoring. Also, 90% scored poorly in self-care management. Knowledge of self-care practices increased at post-test (93.3%). There was a significant difference in knowledge (= 15.79, df = 29, < .001) and practice ( = 9.35, df = 29, < .001) pre- and post-intervention. However, there was no significant association between selected demographic characteristics, knowledge, and self-care practice ( > .05).
Knowledge and practice of self-care management are poor among patients with HF. However, theory-driven practice can enhance care and patients' quality of life.
评估罗伊适应理论指导的教育项目对心力衰竭（HF）患者自我护理管理知识和实践的影响。
采用一组准实验前测-后测设计，对30例有目的地选择的HF患者进行研究。使用基于罗伊理论四种适应模式的有效工具，在干预前和干预后三个领域对结果进行检查：知识、自我护理维持和监测。
大多数受访者为男性（76.6%），56.7%年龄超过60岁。在预测试中，只有16.7%的人表现出足够的自我护理知识，76.7%的人在自我护理维持和监测领域报告实践较差。此外，90%的人在自我护理管理方面得分较低。后测时自我护理实践知识有所增加（93.3%）。干预前和干预后的知识（=15.79，自由度=29，<0.001）和实践（=9.35，自由度=29，<0.001）存在显著差异。然而，所选人口统计学特征、知识和自我护理实践之间没有显著关联（>0.05）。
HF患者自我护理管理的知识和实践较差。然而，理论驱动的实践可以改善护理和患者的生活质量。
