Department of Cardiology, The Second Affiliated Hospital of Army Medical University, Chongqing 400037, China.
Department of Anesthesiology, Army Medical Center of PLA, Chongqing 400042, China.
Geriatr Nurs. 2024 Jul-Aug;58:446-458. doi: 10.1016/j.gerinurse.2024.06.005. Epub 2024 Jun 22.
self-care is critically important for the long-term management of heart failure (HF) patients, with caregivers playing an important role in promoting self-care. However, adherence to self-care is typically low among HF patients worldwide.
In-depth qualitative interviews were conducted with individuals diagnosed with HF. To structure the interview guide and underpin the analysis, two established behavioral science frameworks, the Behavior Change Wheel (BCW) and the Theoretical Domains Framework (TDF), were used in this study.
A total of 32 participants were included (n = 16 patients, n = 16 caregivers), with themes involving: barriers included: "Self-care with Limited Capability," "Insufficient External Support," "Lack of Motivation for Self-Care." Facilitators included: "Striving to Adapt to Disease Demands," "Adequate External Support," "Positive Health Behaviors and Experiences."
Providing positive support to heart failure patients and their caregivers, along with cultivating intrinsic motivation for behavioral change, can enhance self-care ability.
自我护理对于心力衰竭（HF）患者的长期管理至关重要，护理人员在促进自我护理方面发挥着重要作用。然而，全球 HF 患者的自我护理依从性通常较低。
对诊断为 HF 的个体进行深入的定性访谈。为了构建访谈指南并为分析提供基础，本研究使用了两个已建立的行为科学框架，即行为改变轮（BCW）和理论领域框架（TDF）。
共纳入 32 名参与者（n=16 名患者，n=16 名护理人员），主题包括：障碍包括：“自我护理能力有限”、“外部支持不足”、“缺乏自我护理动机”。促进因素包括：“努力适应疾病需求”、“充足的外部支持”、“积极的健康行为和体验”。
为心力衰竭患者及其护理人员提供积极支持，并培养行为改变的内在动机，可以提高自我护理能力。
