Qualitative research on self-management behaviors in patients with chronic heart failure undergoing cardiac resynchronization therapy
10.3760/cma.j.cn115682-20200513-03315
- VernacularTitle:慢性心力衰竭心脏再同步化治疗患者自我管理行为的质性研究
- Author:
Binghan LIU
1
;
Tieying SHI
;
Fanglin LI
Author Information
1. 大连医科大学附属第一医院护理部，大连 116011
- Keywords:
Chronic heart failure;
Cardiac resynchronization therapy;
Self-management behavior;
Influencing factors;
Qualitative research
- From:
Chinese Journal of Modern Nursing
2020;26(29):4007-4011
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To understand the factors that affect the self-management behavior of patients with cardiac resynchronization therapy (CRT) and to provide reference for the development of patients' self-management behavior nursing measures and personalized nursing programs.Methods:The convenient sampling method was used to select 15 chronic heart failure patients who underwent CRT in the cardiology department in a ClassⅢ Grade A general hospital in Dalian from June to December 2019 as the research objects. The phenomenological research method in qualitative research was used to conduct semi-structured interviews with patients, and the data was analyzed by the Colaizzi 7-step analysis method.Results:The two themes of hindering factors and promoting factors of self-management behavior of patients after the first operation of CRT were summarized. Hindering factors included the misunderstanding of health outcomes after CRT, the ignorance of the ability to recognize postoperative symptoms, postoperative learned helplessness and decreased postoperative social connectedness. Promoting factors included perceived postoperative benefit, positive self-adjustment of emotions and rebuilding confidence in future life.Conclusions:The self-management behavior of patients after CRT is affected by multiple factors, and comprehensive evaluation should be made from the aspects of symptoms, physiology, psychology and society to improve the self-management ability of patients after CRT for the first time.
