1.East Hospital Affiliated to Tongji University, Shanghai 200123, China;
2.Pudong New District Gaohang Community Health Service Center of Shanghai City, Shanghai 201208, China
Abstract:Objective To establish a multicultural nursing education scheme for patients with chronic heart failure by applying Delphi method. Methods By using the method of literature information, interview and inpatient pre-survey, multicultural nursing missionary framework was established for senile patients with chronic heart failure. Two rounds of consultation were conducted by well-known experts in the industry. Results The expert positive coefficient was 100%, and the degree of specialist authority was 0.895 (>0.7). The final definition of multicultural care scheme include 10 first-class indexes, 29 second-class indexes and 117 third-class indexes. Conclusion This study can be applied in patients with chronic heart failure to implement individualized nursing education.
[1] McMurray JJ,Adamopoulos S,Anker SD,et al. ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012:the Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association (HFA) of the ESC [J]. Eur J Heart Fail,2012,14(8):803-869.
[2] 尤黎明,吴瑛.内科护理学[M].4版.北京:人民卫生出版社,2006:115-116.
[3] 宋惠琴,苏惠仪,华青霞.优质护理对老年慢性心力衰竭患者的影响分析[J].中国当代医药,2016,23(31):182-184.
[4] 聂福根,欧阳先国,陈勤,等.阿托伐他汀联合曲美他嗪治疗慢性心力衰竭的效果观察[J].中国当代医药,2016, 23(22):144-146.
[5] 王怡君,彭幼清,何佳倩,等.慢性心力衰竭患者健康教育方式的研究进展[J].中华现代护理杂志,2014,20(18):2292-2295.
[6] 陆再英,钟南山.内科学[M].7版.北京:人民卫生出版社,2008:169-170.
[7] 中华医学会心血管病学分会,中华心血管病杂志编辑委员会.慢性心力衰竭诊断治疗指南[J].中华心血管病杂志,2007,35(12):1076-1095.
[8] 吴丽华,汪小华,卢珏,等.30例慢性心力衰竭患者实施自我管理的效果[J].中华护理杂志,2012,47(2):176-178.
[9] 周俊华.定期随访卡对慢性心力衰竭患者再入院率的影响[J].护理学杂志,2009,24(17):15-16.
[10] Smeulders ES,van Haastregt JC,Ambergen T,et al. The impact of a self-management group programme on health behaviour and healthcare utilization among congestive heart failure patients [J]. Eur J Heart Fail,2009,11(6):609-616.
[11] Austin LS,Landis CO,Hanger KH Jr. Extending the continuum of care in congestive heart failure: an interactive technology self-management solution [J]. J Nurs Adm,2012,42(9):442-446.
[12] Nwalie J,Kaan A. An evaluation of virtual heart:internet based heart failure self management[J]. Canad J Cardiol,2012,28:434-435.
[13] Ryan M,Aloe K,Johnson JM. Improving self-management and reducing hospital readmission in heart failure patients [J]. Clin Nurs Spec,2009,23(4):216-221.
[14] Barnason S,Zimmerman L,Hertzog M,et al. Pilot testing of a medication self-management transition intervention for heart failure patients [J]. Western J Nurs Res,2010, 32(7):849-870.
[15] 陈焯然,张洁,陈贤梓.个体化护理干预对社区老年高血压患者自我管理的影响[J].护理学报,2009,16(7):65-66.
[16] 鞠昌萍,孙子林,金晖.不同健康教育模式对糖尿病患者自我管理水平的影响[J].护士进修杂志,2008,23(23):2139-2142.
[17] 张美芬,张利峰,张俊娥,等.肾移植受者出院后自我管理行为与自我效能的相关性研究[J].护士进修杂志,2009, 24(9):778-780.
[18] 仇静波,汪小华,李伟,等.自我管理干预对慢性心力衰竭患者预后影响的meta分析[J].中华护理杂志,2012, 47(10):916-919.
[19] Baker DW,DeWalt DA,Schillinger D,et al. "Teach to goal":theory and design principles of an intervention to improve heart failure self-management skills of patients with low health literacy [J]. J Health Commun,2011,16:73-88.
[20] 王怡君,孟仲莹,杜兆辉,等.高血压病患者跨文化护理健康教育内容框架的构建[J].中华现代护理杂志,2014, 20(20):2468-2472.
[21] 郑桑.中医外科护士核心能力框架的构建[J].中华现代护理杂志,2012,18(15):1778-1780.
[22] 李晓萍,沈翠珍.德尔菲法在护理研究中的应用现状[J].中华现代护理杂志,2012,18(22):2605-2607.
[23] 彭幼清.护理学导论[M].北京:人民卫生出版社,2004:121-129.