Effectiveness of a Self-Care Program in Improving Symptom Distress and Quality of Life in Congestive Heart Failure Patients: A Preliminary Study_

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	Effectiveness of a Self-Care Program in Improving Symptom Distress and Quality of Life in Congestive Heart Failure Patients: A Preliminary Study
書刊名：	The Journal of Nursing Research
作者：	王筱珮／林麗嬋／李啟明／吳肖琪
作者(外文)：	Wang, Shiao-pei／Lin, Li-chan／Lee, Chii-ming／Wu, Shiao-chi
出版日期：	2011
卷期：	19:4
頁次：	頁257-266
主題關鍵詞：	自我照顧；心臟衰竭；生活品質；症狀困擾；Self-care；Congestive heart failure；Quality of life；Symptom distress；Nursing；Taiwan
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(1) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:1 共同引用:42 點閱:111

背景 : 心衰竭在老年人口的盛行率不斷成長，多數患者會因症狀困擾導致活動功能障礙、生活品質不佳、以及高再住院率，因此心衰竭自我照顧的衛教指導在病患住院過程中是非常重要的，然而出院後卻無法持續追蹤，這是目前台灣照護體系之一大缺失。目的 : 探討心衰竭自我照顧方案的執行，是否能顯著降低心衰竭病患的症狀困擾，提昇功能狀態，改善生活品質，減少再入院及急診的機會。方法 : 採類實驗性研究設計，控制組接受常規照護，實驗組接受常規照護及心衰竭自我照顧方案，個案來源為台北某醫學中心心臟內科一般病房27位診斷為心衰竭之患者，隨機分派到自我照顧計畫組（14人）或控制組（13人）。結果 : 追蹤三個月後，在症狀困擾（p < .01）、六分鐘走步測試（p < .01）和生活品質（Short Form 36台灣版，p < .05），兩組有顯著差異，但在急診使用及再入院率上無顯著差異。結論／實務應用 : 心衰竭自我照顧方案可改善心衰竭症狀、增進活動功能和生活品質，故此計劃在臨床上是可行的，可訓練符合資格的專科護理人員負責病人的照護。

以文找文

Background: Prevalence of heart failure is increasing among older adults. Most heart failure patients experience distressing symptoms that lead to decreased physical functioning, poor quality of life, and a high incidence of rehospitalization. Health education about heart failure self-care (HFSC) is very important during hospitalization for these patients. However, lack of ongoing follow-up after discharge makes evaluation and disease management difficult. This is a significant problem in Taiwan. Purpose: This study was undertaken to determine if participants with heart failure who were managed under the HFSC program had fewer distressing symptoms, better functional status, improved quality of life, and reduced hospital and emergency readmission rates compared with control group participants. Methods: This study used a quasi-experimental design with a control group that received usual care and an intervention group that received usual care plus the HFSC program. Twenty-seven participants were recruited from 2 cardiac general wards at 1 medical center in Taipei City, Taiwan, and were randomized into intervention (n = 14) and control (n = 13) groups. Results: After 3 months, there were significant differences in symptom distress (p G .01), 6-minute walk test results (p G .01), and quality of life (using Short Form 36, Taiwan version, p G .05) between the HFSC and control groups but no significant differences in hospital readmission and emergency department visits. Conclusions/Implications for Practice: The HFSC program for patients with heart failure improved their heart failure symptoms and resulted in increased functional status and better quality of life. HFSC is a workable program in the clinical environment. Advanced nurse practitioners can use HFSC methods and principles to provide improved education and follow-up to heart failure patients.

以文找文

期刊論文
1.	Ni, H.、Nauman, D.、Burgess, D.、Wise, K.、Crispell, K.、Hershberger, R. E.(1999)。Factors influencing knowledge of and adherence to self-care among patients with heart failure。Archives of Internal Medicine，159(14)，1613-1619。
2.	Ware, J. E.、Sherbourne, C. D.(1992)。The MOS 36-item Short-form Health Survey (SF-36): I. Conceptual framework and item selection。Medical Care，30(6)，473-483。
3.	曾旭民、盧瑞芬、蔡益堅(20031200)。國人生活品質評量(Ⅱ)：SF-36臺灣版的常模與效度檢測。臺灣公共衛生雜誌，22(6)，512-518。延伸查詢
4.	Parshall, M. B.、Welsh, J. D.、Brockopp, D. Y.、Heiser, R. M.、Scholler, M. P.、Cassidy, K. B.(2001)。Dyspnea duration, distress, and intensity in emergency department visits for heart failure。Heart & Lung，30，47-56。
5.	Rich, M. W.、Bechkam, V.、Wittenberg, C.、Leven, C. L.、Freedland, K. E.、Carney, R. M.(1995)。A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure。The New England Journal of Medicine，333(18)，1190-1195。
6.	Weintraub, N. L.、Collins, S. P.、Pang, P. S.、Levy, P. D.、Anderson, A. S.、Arslanian-Engoren, C. et al.(2010)。Acute heart failure syndromes: Emergency department presentation, treatment, and disposition: Current approaches and future aims。Circulation，122，1975-1996。
7.	Westlake, C.、Dracup, K.、Creaser, J.、Livingston, N.、Heywood, T.、Huiskes, B. L. et al.(2002)。Correlates of health-related quality of life in patients with heart failure。Heart & Lung，31，85-93。
8.	Yu, D. S. F.、Thompson, D. R.、Lee, D. T. F.(2006)。Disease management programmes for older people with heart failure: Crucial characteristics which improve post-discharge outcomes。European Heart Journal，27，596-612。
9.	Shah, N. B.、Der, E.、Ruggerio, C.、Heidenreich, P. A.、Massie, B. M.(1998)。Prevention of hospitalizations for heart failure with an interactive home monitoring program。American Heart Journal，135(3)，373-378。
10.	Stewart, S.、Horowitz, J. D.(2002)。Detecting early clinical deterioration in chronic heart failure patients post-acute hospitalization - A critical component of multidisciplinary, home-based intervention?。European Journal of Heart Failure，4，345-351。
11.	Vinson, J.M.、Rich, M.W.、Sperry, J.C.、Shah, A. S.、McNamara, T.(1990)。Early readmission of elderly patients with congestive heart failure。Journal of the American Geriatrics Society，38，1290-1295。
12.	Candlish, P.、Watts, P.、Redman, S.、Whyte, P.、Lowe, J.(1998)。Elderly patients with heart failure: A study of satisfaction with care and quality of life。International Journal for Quality in Health Care，10，141-146。
13.	Blyth, F. M.、Lazarus, R.、Ross, D.、Price, M.、Cheuk, G.、Leeder, S. R.(1997)。Burden and outcomes of hospitalization for congestive heart failure。Medical Journal of Australia，167，67-70。
14.	Carlson, B.、Riegel, B.、Moser, D. K.(2001)。Self-care ability of patients with heart failure。Heart & Lung，30，351-359。
15.	Connelly, C. E.(1987)。Self-care and the chronically ill patient。Nursing Clinics of North America，22，621-629。
16.	Dickstein, K.、Cohen-Solal, A.、Filippatos, G.、McMurray, J. J.、Ponikowski, P.、Poole-Wilson, P. A. et al.(2008)。ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: The task force for the diagnosis and treatment of acute and chronic heart failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart。European Heart Journal，29，2388-2442。
17.	Blue, L.、Lang, E.、McMurray, J. J. V.、Davie, A. P.、McDonagh, T. A.、Murdoch, D. R. et al.(2001)。Randomized controlled trial of specialist nurse intervention in heart failure。British Medical Journal，323，715-718。
18.	Donlevy, J.、Pietruch, B.(1996)。The connection delivery model: Reengineering nursing to provide care across the continuum。Nursing Administration Quarterly，20，73-78。
19.	McAlister, F. A.、Stewart, S.、Ferrua, S.、McMurray, J. J. J. V.(2004)。Multidisciplinary strategies for the management of heart failure patients at high risk for admission: A systematic review of randomized trials。Journal of the American College of Cardiology，44，810-819。
20.	Naylor, M. D.、Brooten, D. A.、Campbell, R. L.、Maislin, G.、McCauley, K. M.、Schwartz, J. S.(2004)。Transitional care of older adults hospitalized with heart failure: A randomized, controlled trial。Journal of the American Geriatrics Society，52(5)，675-684。
21.	Frantz, A. K.(2004)。Breaking down the barriers to heart failure patient self-care。Home Healthcare Nurse，22，109-115。
22.	Friedman, M. M.(1997)。Older adults’ symptoms and their duration before hospitalization for heart failure。Heart & Lung，26，169-176。
23.	Grady, K. L.、Jalowiec, A.、White-Williams, C.、Pifarre, R.、Kirklin, J. K.、Bourge, R. C.、Coctanzo, M. R.(1995)。Predictors of quality of life in patients with advanced heart failure awaiting transplantation。The Journal of Heart & Lung Transplantation，14(1)，2-10。
24.	Norberg, E. B.、Boman, K.、Löfgren, B.(2010)。Impact of fatigue on everyday life among older people with chronic heart failure。Australian Occupational Therapy Journal，57，34-41。
25.	Riegel, B.、Carlson, B.(2002)。Facilitators and barriers to heart failure self-care。Patient Education and Counseling，46，287-295。
26.	Stewart, S.、Horowitz, J. D.(2002)。Home-based intervention in congestive heart failure long-term implications on readmission and survival。Circulation，105(24)，2861-2866。
27.	Sulzbach-Hoke, L.M.、Kagan, S. H.、Craig, K.(1997)。Weighing behavior and symptom distress of clinic patients with CHF。MedSurg Nursing，6，288-295。
28.	Hebert, P. L.、Sisk, J. E.、Wang, J. J.、Tuzzio, L.、Casabianca, J. M.、Chassin, M. R. et al.(2008)。Cost-effectiveness of nurse-led disease management for heart failure in an ethnically diverse urban community。Annals of Internal Medicine，149，540-548。
29.	Kasper, E. K.、Gerstenblith, G.、Hefter, G.、Anden, E. V.、Brinker, J. A.、Thiemann, D. R. et al.(2002)。A randomized trial of the efficacy of multidisciplinary care in heart failure outpatients at high risk of hospital readmission。Journal of the American College of Cardiology，39，471-480。
30.	Bennett, S. J.、Huster, G. A.、Baker, S. L.、Milgrom, L. B.、Kirchgassner, A.、Birt, J. et al.(1998)。Characterization of the precipitants of hospitalization for heart failure decompensation。American Journal of Critical Care，7，168-174。
31.	Kutzleb, J.、Reiner, D.(2006)。The impact of nurse-directed patient education on quality of life and functional capacity in people with heart failure。Journal of the American Academy of Nurse Practitioners，18，116-123。
32.	Bittner, V.、Weiner, D. H.、Yusuf, S.、Rogers, W. J.、Mclntyre, K. M.、Bangdiwala, S. I.(1993)。Prediction of mortality and morbidity with a 6-minute walk test in patients with left ventricular dysfunction。Journal of the American Medical Association，270，1702-1707。
33.	Lipkin, D. P.、Scriven, A. J.、Crake, T.、Poole-Wilson, P. A.(1986)。Six minute walking test for assessing exercise capacity in chronic heart failure。British Medical Journal，292，653-655。
34.	Lough,M. A.(1996)。Ongoing work of older adults at home after hospitalization。Journal of Advanced Nursing，23，804-809。
35.	Martens, K. H.(2000)。Home care nursing for persons with congestive heart failure: Description and relationship to hospital readmission。Home Healthcare Nurse，18，404-409。

圖書
1.	Beers,M. H.、Berkow, R.(2000)。Heart failure and cardiomyopathy。The Merck manual of geriatrics。West Point, PA。

其他
1.	Peters-Klimm, F.，Campbell, S.，Hermann, K.，Kunz, C.，Muller-Tasch, T.，Szecsenyi, J.(2010)。Case management for patients with chronic systolic heart failure in primary care: The HICMan exploratory randomized controlled trial，http://www.trialsjournal.com/content/11/1/56， 20110131。
2.	Department of Health, Executive Yuan, Taiwan, ROC.(2010)。2009 statistics cause of death，http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=11397&level_no=4&doc_no=76512， 20110612。
3.	DeWalt, D. A.，Malone, R.M.，Bryant, M. E.，Kosnar, M. C.，Corr, K. E.，Rothman, R. L. et al.(2006)。A heart failure self-management program for patients of all literacy levels: A randomized, controlled trial，http://www.biomedcentral.com/1472-6963/6/30， 20110131。

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	婦癌婦女症狀困擾、社會支持、靈性安適與生活品質之相關性研究
2.	Association between Physical Function and Quality of Life among Older Adults after Coronary Artery Bypass Graft Surgery in Taiwan
3.	Job Demands and the Effects on Quality of Life of Employed Family Caregivers of Older Adults with Dementia: A Cross-sectional Study
4.	都市公園外在或內在環境吸引力：探討對居民身體活動及健康之影響
5.	個案管理模式對心臟衰竭病人自我照顧行為之成效探討
6.	第II型糖尿病病人身體活動與生活品質之探討
7.	站樁氣功改善心臟衰竭病人運動耐力、憂鬱與生活品質之成效
8.	癌症病患接受造血幹細胞移植的症狀困擾與生活品質
9.	新通訊社群軟體於心血管病患進行出院後門診遠距照護之可行性及效益評估：單一醫學中心之前導性研究
10.	性別差異在宗教信仰與健康生活品質關聯性之研究
11.	意義再建構團體對於癌症喪親者的悲傷介入之成效評估研究
12.	精神科護理人員工作壓力與情緒智力對自覺健康生活品質之影響
13.	新診斷癌症病人生活品質之相關因素探討
14.	Living with Chronic Obstructive Pulmonary Disease: The Process of Self-Managing Chronic Obstructive Pulmonary Disease
15.	Fear of Cancer Recurrence and Its Impacts on Quality of Life in Family Caregivers of Patients with Head and Neck Cancers

1.	團體運動處方介入對鄉村老人功能性體適能與健康生活品質之影響
2.	猝睡症患者疾病嚴重度、神經認知功能對生活品質關聯之縱貫研究：階層線性模型分析
3.	活躍老化高齡者學習特質之研究

無相關書籍

無相關著作

1.	Quasi-Experimental Design in Educational Research: Self-Regulated Learning Development on Indonesian Students' Motivational Strategies and Academic Achievement
2.	Emergency Management of Adolescent Self-harm: Patients' Characteristics and Effect of Case Management
3.	Effects of Nursing Instruction on Asthma Knowledge and Quality of Life in Schoolchildren with Asthma
4.	The Comparative Effectiveness Among Institutionalized and Non-Institutionalized Elderly People in Taiwan of Reminiscence Therapy as a Psychological Measure
5.	The Effect of We the People...Project Citizen on the Civic Skills and Dispositions of Taiwanese Senior High School Students
6.	Effects of a Nursing Literature Reading Course on Promoting Critical Thinking in Two-Year Nursing Program Students
7.	The Effect of Phonetic Instruction on Performance of Liturgical Latin Diction for Middle School Mixed Choirs
8.	Innovation Landscape within Family Services Integration: Evidence from Australia
9.	Exploring the Relationships among Person-Organization Fit, Work Engagement and Positive Mental Health in a Longitudinal Study
10.	Impact of an Infectious Disease Pharmaceutical Care Model in an Antibiotic Stewardship Program on Anti-pseudomonal Carbapenem (Imipenem, Meropenem) Consumption: A Pilot Study
11.	Examining Reasons for Post-purchase Satisfaction in Buying Local Brands: When Local Meets Local
12.	Challenges and Opportunities for Estimating Effects with Large-Scale Education Data Sets
13.	Depressive Disorders among Adolescents
14.	Effects of Robot-Assisted Bilateral Arm Training on Upper Extremity Motor Functions in Patients with Stroke: A Literature Review
15.	Research Synthesis and Meta-Analysis in Second Language Learning and Testing

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫