Hành vi tự chăm sóc của người bệnh suy tim mạn điều trị ngoại trú tại Bệnh viện Đa khoa tỉnh Sơn La=Self-care behavior of outpatients with chronic heart failure treated at Son La Provincial General Hospital

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Tác giả: Thị Mai Phương Hà, Thị Xuân Lưu, Huy Hoàng Ngô

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học Điều dưỡng, 2024

Mô tả vật lý: tr.125-136

Bộ sưu tập: Metadata

ID: 485933

Thêm vào giỏ

Mục tiêu: Mô tả thực trạng hành vi tự chăm sóc của người bệnh suy tim mạn điều trị ngoại trú tại Bệnh viện đa khoa tỉnh Sơn La năm 2024. Đối tượng và phương pháp nghiên cứu: Nghiên cứu mô tả cắt ngang trên 250 người bệnh suy tim từ tháng 12/2023 đến tháng 8/2024 tại Phòng khám Khoa Nội tim mạch - Bệnh viện Đa khoa tỉnh Sơn La. Sử dụng bộ câu hỏi về hành vi tự chăm sóc Self-care of heart failure index (SCHFI). Kết quả:Điểm trung bình tự chăm sóc của người bệnh suy tim duy trì chăm sóc
quản lý chăm sóc
sự tự tin chăm sóc lần lượt là 61,38 ± 13,65 điểm
62,46 ± 11,65 điểm
62,04± 12,55 điểm. Tỷ lệ người bệnh đạt thực hành tự chăm sóc tương ứng theo 3 lĩnh vực lần lượt là 58,8%
52,4%
41,2%. Kết luận: Thực hành tự chăm sóc của người bệnh còn hạn chế ở cả 3 lĩnh vực: Duy trì chăm sóc, Quản lý chăm sóc và Tự tin chăm sóc, trong đó thấp nhất là ở lĩnh vực tự tin chăm sóc (đặc biệt 21% người bệnh không tự tin tuân thủ giữ gìn để không bị các biểu hiện nặng lên của bệnh suy tim). Nhân viên y tế cần hướng dẫn người bệnh về thực hành tự chăm sóc, cần tập trung vào các nội dung còn yếu và thiếu như: tự theo dõi cân nặng, luyên tập thể dục, phòng ngừa bệnh, cần liên lạc bác sĩ hoặc điều dưỡng khi thấy phù hai chân, mệt mỏi.Objectives: To describe the current status of self-care behavior of chronic heart failure patients treated as outpatients at Son La Provincial General Hospital in 2024. Methods: A cross-sectional descriptive study was conducted on 250 heart failure patients from December 2023 to August 2024 at the Cardiology Clinic - Son La Provincial General Hospital. Using the Self-care of heart failure index (SCHFI) self-care behavior questionnaire. Results:The average self-care scores of heart failure patients in maintenance care
care management
and care confidence were 61.38 ± 13.65 points
62.46 ± 11.65 points
62.04 ± 12.55 points, respectively. The percentage of patients achieving self-care practice in the three areas was 58.8%
52.4%
41.2%, respectively. Conclusion: Patients’ self-care practices were limited in all three areas: Maintenance of care, Management of care and Confidence in care, of which the lowest was in the area of confidence in care (especially 21% of patients were not confident in complying with care to avoid worsening symptoms of heart failure). Health care workers need to guide patients on self-care practices, focusing on weak and missing content such as: self-monitoring of weight, exercise, disease prevention, need to contact doctor or nurse when seeing swelling in both legs, fatigue

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