The effect of self-management on elderly patients with chronic heart failure
自我管理对老年慢性心衰患者的影响

摘要

目的 探究自我管理对于老年慢性心衰患者的影响。方法 在2020年1月~2020年12月期间，邀请110名老年慢性心衰患者参与本次实验。在对患者进行常规的护理干预过程当中，添加自我管理的引导，通过不同时期患者接受干预后的自我效能和自我管理能力评分、干预前后患者运动自我效能和运动能力的评分进行自身前后对比实验。结果 在接受三个月的干预后，患者的自我效能、用药依从性、饮食管理、情绪调控、运动自我效能、6min步行实验、特定活动状态量表等指标均有明显上升，而疾病监测指标当中干预前，干预后一个月和干预后三个月的三次评分分别为6.41±2.51，6.43±2.33，6.51±2.30，虽无明显变化但呈现上升趋势，再住院率呈明显递减趋势。结论 经过自我管理引导后，患者的自我效能和自我管理能力有明显提升，运动自我效能和运动能力也有明显改善。

Abstract

Objective: To explore the effect of self-management on elderly patients with chronic heart failure.
Methods: From January 2020 to December 2020, 110 elderly patients with chronic heart failure were invited to participate in this experiment. In the process of routine nursing intervention for patients, the guidance of self-management was added, and the self-efficacy and self-management ability scores of patients after intervention in different periods, and the scores of patients' exercise self-efficacy and exercise ability before and after intervention were used to conduct self-contrast experiments.
Results: After three months of intervention, the patients' self-efficacy, medication compliance, diet management, emotional regulation, exercise self-efficacy, 6-min walk test, specific activity status scale and other indicators all increased significantly, while the disease monitoring indicators increased significantly. Before the intervention, one month after the intervention and three months after the intervention, the three scores were 6.41±2.51, 6.43±2.33, and 6.51±2.30, respectively. Although there was no significant change, it showed an upward trend, and the readmission rate showed a significant decreasing trend.
Conclusion  : After self-management guidance, patients' self-efficacy and self-management ability have been significantly improved, and exercise self-efficacy and exercise ability have also been significantly improved.