心衰竭病人自我照顧的影響因素

有效的自我照顧行為對協助心衰竭的病人和家庭成員學習成功地與心衰竭共同生活是非常重要的。影響自我照顧的因素與病人的特性、疾病狀況、心理狀況、社會支持、治療因素及健康照護者有關。心衰竭的處置是要務實的及符合病人的需求，對臨床預後才有正面的影響。我們要了解只有增加知識並不能促進病人的自我照顧或臨床預後，必須清楚的教導自我照顧技巧，才能提升心衰竭病人之自我照顧的效能。於本文就心衰竭的生理與診斷、處置和自我照顧與影響自我照顧的因素做介紹。

關鍵字

心衰竭；自我照顧

並列摘要

Effective self-care behaviour is important to help patients and their families learn to live successfully with heart failure. Factors that may affect self-care include patient characteristics, disease condition, mental status, social support, treatment related issues and healthcare system issues. Interventions must be practical enough for an individual to use independent of outside assistance, flexible enough to respond to the specific and differing needs of heart failure patients, and adequately effective in order to impact clinical outcomes positively. We know that increased knowledge alone is unlikely to improve self-care or clinical prognosis and that effective interventions should clearly achieve improved selfcare efficacy in heart failure patients. In this article, heart failure physiology and diagnosis, interventions, and self-care and factors affecting self-care in heart failure patients are described.

並列關鍵字

heart failure ； self-care

被引用紀錄

龔蘭芳、王淑麗、陳慈徽、陳麗系（2023）。腎臟移植病人術後自我照顧行為與其相關因素探討。高雄護理雜誌，40(2)，1-17。https://doi.org/10.6692/KJN.202308_40(2).0001

李佩錡、王梅貴（2022）。一位主動脈瓣膜狹窄合併心臟衰竭病人之護理經驗。高雄護理雜誌，39(2)，126-137。https://doi.org/10.6692/KJN.202208_39(2).0011

賴琦棉、張朔衽、王玟珊（2016）。一位心衰竭患者接受心臟再同步化治療之護理經驗。彰化護理，23(3)，79-90。https://doi.org/10.6647/CN.23.03.16

尤翠徽（2015）。不同衛教方案對心臟衰竭病人疾病認知、自我照顧及生活品質之成效〔碩士論文，義守大學〕。華藝線上圖書館。https://doi.org/10.6343/ISU.2015.00213

林沛涵、陳盈如、盧婉菁、温慧敏、吳冠彣（2023）。醫病共享決策降低骨科病人術後自我照顧之焦慮。台灣醫學，27(5)，638-647。https://doi.org/10.6320/FJM.202309_27(5).0013

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心衰竭病人自我照顧的影響因素

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