Những khó khăn trong tự chăm sóc của người bệnh suy tim tai bệnh viện Đa khoa tỉnh Nam Định

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Tác giả: Thị Tuyết Mai Đỗ, Thị Thúy Lê, Thị Thúy Nga Nguyễn, Thị Thanh Hương Phạm, Thị Thu Hương Phạm

Ngôn ngữ: vie

Ký hiệu phân loại: 354.597 Public administration of economy and environment

Thông tin xuất bản: Khoa học Điều dưỡng, 2018

Mô tả vật lý: 53-60

Bộ sưu tập: Metadata

ID: 491857

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Chủ đề

Self care of heart failure (HF) is difficult to master, but the reasons why remain unclear. The purpose of this study was to explore how HF influences patients'lives, assess how they perform self care and determine how their life situation impedes HF self care. Qualitative data were obtained from 20 individuals with HF. Data were gathered using structure interviews and analyzed using content analysis. Physical limitation and distress emotions were common. Patients discussed their limitation in following dietary, exercise and medication recommendation, symptoms recognision and reaction. Some adaptation strategies were mentioned. With the number of dificuties these patients face, it is not suprising that self care of HF is typically poor and that readmission rates to be high. Recommendations are provided for an approach to patient education and counseling that uses these findings in practice and further researches.Thực hiện tự chăm sóc của người bệnh suy tim gặp rất nhiều khó khăn, nhưng lý do tại sao vẫn chưa được làm sáng tỏ. Nghiên cứu này được thực hiện với mục tiêu tìm hiểu ảnh hưởng của suy tim đến cuộc sống hàng ngày, việc thực hiện tự chăm sóc và các yếu tố ảnh hưởng đến tự chăm sóc của người bệnh suy tim. Nghiên cứu định tính tiến hành trên 20 người bệnh suy tim. Thông tin được thu thập và phân tích dựa trên bộ câu hỏi có cấu trúc. Hạn chế thể lực, áp lực tâm lý là những vấn đề được nhắc đến nhiều hơn. Người bệnh có những hạn chế trong tuân thủ chế độ dinh dưỡng, tập luyện và thực hiện thuốc, nhận ra các dấu hiệu của bệnh cũng như cách xử trí. Một số cách thức giúp họ thích nghi với bệnh tật đã được đề cập đến. Với những rào cản mà người bệnh suy tim phải đối diện thì không có gì ngạc nhiên khi việc thực hiện tự chăm sóc của họ còn nhiều hạn chế và tỷ lệ tái nhập viện còn cao.

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