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摘要
AimsThis paper is a report on the effectiveness of a self-management programme based on the self-efficacy construct, in older people with heart failure. %26lt;br%26gt;BackgroundHeart failure is a major health problem worldwide, with high mortality and morbidity, making it a leading cause of hospitalization. Heart failure is associated with a complex set of symptoms that arise from problems in fluid and sodium retention. Hence, managing salt and fluid intake is important and can be enhanced by improving patients%26apos; self-efficacy in changing their behaviour. %26lt;br%26gt;DesignRandomized controlled trial. %26lt;br%26gt;MethodsHeart failure patients attending cardiac clinics in northern Taiwan from October 2006-May 2007 were randomly assigned to two groups: control (n=46) and intervention (n=47). The intervention group received a 12-week self-management programme that emphasized self-monitoring of salt/fluid intake and heart failure-related symptoms. Data were collected at baseline as well as 4 and 12weeks later. Data analysis to test the hypotheses used repeated-measures anova models. %26lt;br%26gt;ResultsParticipants who received the intervention programme had significantly better self-efficacy for salt and fluid control, self-management behaviour and their heart failure-related symptoms were significantly lower than participants in the control group. However, the two groups did not differ significantly in health service use. %26lt;br%26gt;ConclusionThe self-management programme improved self-efficacy for salt and fluid control, self-management behaviours, and decreased heart failure-related symptoms in older Taiwanese outpatients with heart failure. Nursing interventions to improve health-related outcomes for patients with heart failure should emphasize self-efficacy in the self-management of their disease.
- 出版日期2013-11
- 单位长春大学
