Original Article
National multicenter survey on self-management among elderly chronic heart failure patients
Li Difan, Yin Derong, Huang Wenling, Yang Yipeng, Dai Fumin, Peng Youqing
Published 2019-09-26
Cite as Chin J Mod Nurs, 2019, 25(27): 3451-3456. DOI: 10.3760/cma.j.issn.1674-2907.2019.27.005
Abstract
ObjectiveTo understand the self-management status among elderly chronic heart failure (CHF) patients and to compare the regional differences of self-management.
MethodsBy random cluster sampling, we investigated 6 124 elderly CHF patients from 102 hospitals in five regions, East China (Jiangxi Province, Shanghai Municipality, Zhejiang Province) , West China (Qinghai Province, Xinjiang Uygur Autonomous Region, Shaanxi Province, Gansu Province, Ningxia Hui Autonomous Region, Yunnan Province) , South China (Hainan Province, Guangxi Zhuang Autonomous Region) , North China (Heilongjiang Province, Inner Mongolia Autonomous Region) , Central China (Henan Province, Hubei Province, Hunan Province) . The investigation result statistics were carried out and regional differences were compared.
ResultsThe self-management of elderly CHF patients had a low to medium level with 61.25% (49/80) <80% for the scoring rate. The scores of East China and Central China were higher and the score of West China was low; the regional differences were statistical ( H=59.07, P<0.01) . The score of diet management was highest with 66.67% for the scoring rate (8/12) ; East China had the highest score, and West China had the lowest score; the regional differences were statistical (H=92.49, P<0.01) . The scoring rate of medication management was 65.00% (13/20) with the highest in East China and low in North China and West China; the regional differences were statistical (H=351.10, P<0.01) . Mental/social adjustment management was poor with 60.00% (12/20) for the scoring rate; the scores of Ease China were higher than those of North and West China; the regional differences were statistical (H=8.84, P<0.01) . Symptom management was the worst with 57.14% (16/28) for the scoring rate; the scores of East and Central China were high; the regional differences were also statistical (H=17.62, P<0.01) .
ConclusionsSelf-management of elderly CHF patients needs to be improved. Systematic and targeted health education for different regions should be carried out to improve patients' self-management and to reduce the disease burden.
Key words:
Heart failure; Aged; Multicenter study; Self-management
Contributor Information
Li Difan
School of Medicine, Tongji University, Shanghai 200092, China
Yin Derong
Department of Quality Control, Qinghai Province Cardiovascular and Cerebrovascular Disease Specialist Hospital, Xi'ning 810012, China
Huang Wenling
Emergency Department, the Second Nanjing People's Hospital, Nanning 530031, China
Yang Yipeng
Cardiovascular Department, the Fourth Hospital of Daqing, Daqing 163712
Dai Fumin
Training Center, He'nan Provincial People's Hospital, Zhengzhou 450003
Peng Youqing
Nursing Department, Dongfang Hospital, Affiliated to Tongji University, Shanghai 200120
