跨文化护理理念在老年慢性心力衰竭患者自我管理中的应用进展及启示  

Progress and enlightenment of transcultural nursing concept in self-management of elderly chronic heart failure patients

作　　者：彭幼清[1] Peng Youqing(Nursing Department, Shanghai East Hospital, Tongji University, Shanghai 200120, China)

机构地区：[1]同济大学附属东方医院护理部,上海200120

出　　处：《中华现代护理杂志》2018年第10期1117-1122,共6页Chinese Journal of Modern Nursing

基　　金：国家自然科学基金面上项目（71473178）

摘　　要：本文就跨文化护理理念在国内外老年慢性心力衰竭患者自我管理中的研究现状及应用进展进行回顾，并为我国慢性心力衰竭患者自我管理模式的制定提出了建议与展望。针对我国老年慢性心力衰竭患者多元化的需求，根据我国老年慢性心力衰竭患者自我管理的现状及存在问题，提出应将跨文化护理理念与自我管理相结合；提出应将跨文化护理教育内容与护理人才培养目标相结合；借鉴国外慢性心力衰竭患者跨文化护理理念在自我管理中的应用内容及方式，应注重评估慢性心力衰竭患者自我管理的多元需求，关注患者行为改变的信念；应遵循慢性心力衰竭患者的文化背景，注重强化患者自我管理的动机；同时应基于系统理论构建慢性心力衰竭患者跨文化激励自我管理模式，提升其生存质量。This paper presents a review of the research status and application progress of the transcultural nursing concept in self-management of elderly patients with chronic heart failure both at home and abroad, and puts forward suggestions and prospects for the development of self-management mode in patients with chronic heart failure in our country. According to the diversified needs of elderly patients with chronic heart failure in our country and the current situation of self-management, this paper proposes that the concept of transcuhural nursing should be combined with self-management. It is suggested that the content of transcultural nursing education should be combined with the goal of nurse training. Referring to the application content and mode of transcultural nursing concept in self-management of chronic heart failure patients in foreign countries, it is advised to pay attention to assess the diversified needs of self-management of patients with chronic heart failure, and pay attention to the belief of patients＇ behavior change. The cultural background of the patients with chronic heart failure should be followed, and the motivation of strengthening the self-management of patients should be emphasized. Meanwhile, we should build a transcultural incentive self-management model for patients with chronic heart failure based on systems theory to improve their quality of life.

关 键 词：心力衰竭 老年人 跨文化护理 自我管理 

分 类 号：R473.5[医药卫生—护理学]