Objective:To construct a self-volume management program in elderly patients with chronic heart failure and and evaluate its application effectiveness,so as to improve their self-care ability.Methods:Based on the Theory of Planned Behavior,the program of self-volume management for elderly patients with chronic heart failure was constructed with Delphi method,including behavioral attitude,subjective norms,perceived behavioral control,behavioral intention to generation.Elderly patients with chronic heart failure admitted to a tertiary grade A hospital in Beijing from June 2022 to January 2023 was selected by convenient sampling.Those were admitted from June to September 2022 were set as the control group(n=47),and they were with routine nursing care.Those were admitted from October 2022 to January 2023 were set as the intervention group(n=44),and they were with routine nursing care combined with self-volume management.Self-care ability,volume-related indicators,and the incidence of adverse cardiovascular events were compared between the two groups after 3 months.Results:After 3 months,the self-care ability score of the patients in intervention group was lower than that of the control group(P<0.001),and the decrease in brain natriuretic peptide levels and weight loss was greater than that of the control group(P<0.001).The left ventricular end diastolic diameter of the the patients in intervention group decreased,while the control group expanded,the trend of changes in the two groups was statistically different(P=0.036).There was no statistically significant difference in the incidence of cardiovascular adverse events between the two groups(P=0.138).Conclusion:The self-volume management programs constructed in this study are benefit to improve the self-management ability and volume management effects of elderly patients with chronic heart failure,and can provide a reference for self-volume management in this population.
关键词
老年/慢性心力衰竭/容量管理/自我管理/计划行为理论/方案构建
Key words
elderly/chronic heart failure/volume management/self management/Theory of Planned Behavior/program construction
维普
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