Theory-guided interventions for Chinese patients to adapt to heart failure:A quasi-experimental study

作     者：Xiyi Wang Leiwen Tang Doris Howell Qi Zhang Ruolin Qiu Hui Zhang Zhihong Ye 王喜益;汤磊雯;Doris Howell;张琪;邱若琳;张慧;叶志弘

作者机构：School of NursingShanghai Jiao Tong UniversityShanghaiChina Department of NursingZhejiang University School of Medicine Sir Run Run Shaw HospitalHangzhouZhejiangChina Lawrence S.Bloomberg Faculty of NursingUniversity of TorontoTorontoCanada 

出 版 物：《International Journal of Nursing Sciences》 (国际护理科学（英文）)

年 卷 期：2020年第7卷第4期

页      面：391-400,I0003页

核心收录：

学科分类：1011[医学-护理学（可授医学、理学学位）] 10[医学] 

基　　金：This work was supported by Health Commission of Zhejiang Province(grant number WKJ-ZJ-1925 and 2019ZD034) The authors thank all investigators and participants who participated in the study 

主　　题：Adaptation Heartfailure Quality of life Roy adaptation model Self-care 

摘      要：Objectives:To examine the effects of the Roy Adaptation Model-based interventions on adaptation in persons with heart ***:A quasi-experimental study was conducted in Hangzhou,China,from March 2018 to November 2019.A convenience sample of 112 participants with heart failure from a multi-campus hospital was *** were allocated into an intervention group(n=55)and a control group(n=57)according to their hospitalized campus.A culturally-tailored care plan intervention based on the Roy Adaptation Model was performed in the intervention *** control group received bedside patient education and a regular booklet for HF home care before *** ultrasound,Minnesota Living with Heart Failure Questionnaire(MLHFQ),a knowledge survey,Self-care Heart failure Index(SCHFI),and Coping and Adaptation Processing Scale-Short Form(CAPS-SF)were used to measure patients’levels of adaptation of physical function,self-concept,role function,and interdependence at baseline and six months after ***:Ninety-one participants with complete data,43 in the intervention group and 48 in the control group,were included in the analysis for the primary endpoints and showed adaptive improvement *** patients in the intervention group completed 60%or more of the given *** the sixth month after discharge,compared with the control group,the intervention group had improved adaptive behaviors showing higher scores of the MLHFQ(70.90±22.45 vs.54.78±18.04),heart failurerelated knowledge(13.79±2.45 vs.10.73±4.28),SCHFI maintenance(57.67±13.22 vs.50.35±10.88),and CAPS-SF(40.23±4.36 vs.38.27±2.60)at the six-month follow-up(P0.05).Conclusions:The findings reported evidence of positive adaptation in patients with heart failure,indicating that the Roy Adaptation Mode