SELF-MANAGEMENT OF THE HEALTH-CARE REGIMEN - A COMPARISON OF NURSES AND CARDIAC PATIENTS PERCEPTIONS

被引:2
作者
DODGE, JA [1 ]
JANZ, NK [1 ]
CLARK, NM [1 ]
机构
[1] UNIV MICHIGAN,SCH PUBL HLTH,1420 WASHINGTON HTS,ANN ARBOR,MI 48109
基金
美国国家卫生研究院;
关键词
HEART DISEASE; SELF-MANAGEMENT; PROVIDER PATIENT; INTERACTION;
D O I
10.1016/0738-3991(94)90044-2
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This study compared perceptions of 129 elderly cardiac patients regarding their health status and self-management skills with corresponding assessments by outpatient nursing staff members. Nurse-patient perceptions were most congruent on general questions regarding the heart condition. Differences were most apparent regarding how aware patients were of being asked to follow a regimen for managing their heart problems; what specific components comprised the regimens the patients were to follow; and how much confidence patients had in their ability to comply with specific components of the regimen. Congruence in perceptions of nurses and patients varied by the sex of the patient. Findings suggest that careful and continuous assessment of patients' perceptions about their condition and ongoing instruction regarding specifics of the therapeutic regimen are key elements in efforts to enhance elderly patients' self-management skills.
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页码:73 / 82
页数:10
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