系統性護理指導對心臟衰竭患者疾病知識、態度及自我照顧行為之影響

　　　　　目的：探討系統性護理指導對心臟衰竭患者疾病知識、態度及自我照 顧行為之影響。病人與方法：採類實驗設計法(Quasi-experimental design)，在某區 域教學醫院心臟內科門診進行研究。以立意取樣的方式選取心臟衰竭患者為研究 對象，共收得實驗組及控制組各40人。實驗組患者接受研究者自編之「心臟衰 竭患者居家自我照顧行為衛教本」進行系統性護理指導，控制組則無接受系統性 護理指導。以結構式問卷收集前測資料並於一個月後個案回診時間收集後測資 料。結果：顯示使用系統性護理指導措施可增加實驗組患者的疾病知識、改善其 態度及增進其自我照顧行為。結論：研究者配合自編之「心臟衰竭患者居家自我 照顧行為衛教本」進行系統性護理指導方式應可作為未來臨床護理人員提供照護 之參考。(慈濟醫學 2001; 13:105-111)
　　　　　Objective: To evaluate the effect of systematic nursing interventions on knowledge, attitude and self-care behaviors of patients with heart failure (HF). Patients and Methods: A quasi-experimental research design was applied to this study. Subjects were recruited from a cardiac medical outpatient clinic of a regional hospital. A total 80 subjects, which included 40 HF patients in the experimental group and 40 HF patients in the control group, was selected by using a purposed method. The experimental group received systematic nursing interventions by researchers using "The brochure for self-care behaviors of patients with heart failure". The control group received no systematic nursing interventions. Data, such as knowledge, attitude and self-care behavior, were measured by a structured questionnaire. Results: The findings of the study indicated that the systematic nursing interventions increased patients' knowledge, improved their attitude and increased their self-care behaviors. Conclusions: The systematic nursing interventions by "The brochure for self-care behaviors of patients with heart failure" could be supplied in clinics in the future. (Tzu Chi Med J 2001; 13:105-111)