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阿曼心力衰竭患者家庭护理人员对自我护理行为的贡献。

Family caregivers' contributions to self-care behaviors among heart failure patients in Oman.

作者信息

Alharrasi Maryam, Alnoumani Huda, Al-Ghassani Amal, Amirtharaj Anandhi, Bin Ali Wafaa, Al-Zakwani Ibrahim, Aldaken Laila, Al Hinai Mahmood, Abu Raddaha Ahmad H

机构信息

Adult Health and Critical Care Nursing Department, College of Nursing, Sultan Qaboos University, Muscat, Oman.

Community Health Nursing Department, Oman College of Health Sciences, Muscat, Oman.

出版信息

PLoS One. 2025 Mar 14;20(3):e0319827. doi: 10.1371/journal.pone.0319827. eCollection 2025.

Abstract

BACKGROUND

Family caregiver's role can be involving patients with heart failure (HF) in each behavior of self-care such as treatment adherence, and healthy eating, which will \ultimately lead to disease control. This study aimed to investigate family caregivers' contributions to self-care behaviors among patients with heart failure in Oman.

METHODS

A descriptive cross-sectional design was used. A convenience sample of 136 family caregivers of patients with HF has completed the family caregivers' demographics characteristics sheet and the Caregiver Contribution to Self-Care of HF Index2 (CC-SCHFI 2).

RESULTS

Caregivers demonstrated low levels of contribution to patients' self-care. The mean and (standard deviation) of caregivers' contribution to maintenance tasks, patients' ability to perceive symptoms, and to patients' ability to manage self-care tasks scored 64.12 (SD = 15.70), 66.78 (SD = 14.72).and 52.26 (SD = 15.98) respectively. Education, exercise, and quality of social support were found to have a statistically significant association with caregivers' contribution to self-care maintenance at a p-value of 0.004, 0.004, 0.004 respectively. While gender, education, marital status, exercise, and quality of social support had statistically significant association with caregivers' contribution to self-care perception at a p-value of 0.003, 0.002, 0.006, < 0.01, and 0.004 respectively. Moreover, gender, education, marital status, exercise, and health compared to 1 year ago had significant association with caregivers' contribution to self-care management at a p-value of 0.009, 0.006, 0.005, <  0.01, 0.007 respectively.

CONCLUSION

Giving attention and support to caregivers can indirectly impact the self-care behaviors of patients with HF and consequently enhance patients' outcomes.

摘要

背景

家庭照顾者的角色可能涉及让心力衰竭(HF)患者参与自我护理的各项行为,如坚持治疗和健康饮食,这最终将有助于疾病控制。本研究旨在调查阿曼家庭照顾者对心力衰竭患者自我护理行为的贡献。

方法

采用描述性横断面设计。选取136名心力衰竭患者的家庭照顾者作为便利样本,他们完成了家庭照顾者人口统计学特征表和《照顾者对心力衰竭自我护理的贡献指数2》(CC - SCHFI 2)。

结果

照顾者对患者自我护理的贡献水平较低。照顾者对维持任务的贡献、患者感知症状的能力以及患者管理自我护理任务的能力的均值(标准差)分别为64.12(标准差 = 15.70)、66.78(标准差 = 14.72)和52.26(标准差 = 15.98)。研究发现,教育程度、运动和社会支持质量与照顾者对自我护理维持的贡献在统计学上具有显著关联,p值分别为0.004、0.004、0.004。而性别、教育程度、婚姻状况、运动和社会支持质量与照顾者对自我护理感知的贡献在统计学上具有显著关联,p值分别为0.003、0.002、0.006、<0.01和0.004。此外,性别、教育程度、婚姻状况、运动以及与1年前相比的健康状况与照顾者对自我护理管理的贡献在统计学上具有显著关联,p值分别为0.009、0.006、0.005、<0.01、0.007。

结论

关注并支持照顾者可间接影响心力衰竭患者的自我护理行为,从而改善患者的治疗效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78ee/11908699/a2f5176998f4/pone.0319827.g001.jpg

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