主管:国家卫生健康委员会
主办:国家卫生健康委医院管理研究所
中国科技核心期刊(中国科技论文统计源期刊)
中国科学引文数据库(CSCD)核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2026, Vol. 26 ›› Issue (9): 1416-1420.doi: 10.3969/j.issn.1672-1756.2026.09.025

• 专科管理 • 上一篇    下一篇

老年慢性心力衰竭患者容量管理科普手册的研制及初步应用

孙倩倩 夏颖 戴薇 徐南娇 徐迪 侯婷婷   

  1. 南京鼓楼医院心血管内科,210008南京市
  • 出版日期:2026-09-15 发布日期:2026-09-15
  • 通讯作者: 夏颖,本科,副主任护师,护士长,E-mail:NZH201002@163.com
  • 作者简介:孙倩倩,硕士,主管护师
  • 基金资助:
    南京大学中国医院改革发展研究院护理管理类面上课题(NDYGN2024019)

Development and preliminary application of an educational handbook on volume management for elderly patients with Chronic Heart Failure

SUN Qianqian, XIA Ying, DAI Wei, XU Nanjiao, XU Di, HOU Tingting   

  1. Department of Cardiology, Nanjing Drum Tower Hospital, Nanjing, 210008, China
  • Online:2026-09-15 Published:2026-09-15
  • Contact: E-mail:NZH201002@163.com

摘要: 目的:制作基于证据的老年慢性心力衰竭患者容量管理科普手册,助力患者科学规范容量管理。方法:通过半结构化访谈明确患者需求;通过证据检索、专家函询构建科普内容框架体系,在此基础上设计制作科普手册,并制定具体的实施方案。便利选取2025年11月20日至12月31日在南京市某三级甲等医院心内科住院的老年慢性心力衰竭患者(n=52)及其主要照顾者(n=48)为方案应用对象,并对科普手册初步使用满意度进行调查。结果:形成的老年慢性心力衰竭患者容量管理科普手册内容包括6个主题,18个细化主题;制定了包含实施者、时机、流程、回授方法及效果评价的完整实施方案;科普手册初步应用的总体满意度得分为(4.35±0.52)分。结论:老年慢性心力衰竭患者容量管理科普手册具有科学性与实用性,注重老年友好设计及可执行性,用户认可度较高,可为其他健康科普作品的研制提供参考。

关键词: 健康教育;循证护理;老年;慢性心力衰竭;容量管理;科普作品

Abstract: Objective: To develop an evidence-based educational handbook on fluid volume management for elderly patients with Chronic Heart Failure (CHF), thereby assisting patients in managing their fluid intake in a scientific and standardized manner. Methods: Patient needs were identified through semi-structured interviews. An educational content framework was constructed through evidence retrieval and expert consultation, upon which the handbook was designed and produced, and a specific implementation plan was formulated. Elderly patients with CHF (n=52) who were admitted to the cardiology department of a tertiary grade A hospital in Nanjing from November 20, 2025 to December 31, 2025, and their primary caregivers (n=48), were selected as the subjects of the program application. A survey was conducted to assess their initial satisfaction with the use of the handbook. Results: The educational handbook on volume management for elderly CHF patients comprises six main themes and 18 sub-themes; a comprehensive implementation plan was formulated, covering implementers, timing, procedures, the teach-back method and outcome evaluation; the handbook was preliminarily applied with an average overall satisfaction score of (4.35±0.52) points. Conclusion: The educational handbook on volume management for elderly patients with CHF is both scientifically sound and practical. It emphasizes elderly-friendly design and feasibility, and has received a high level of user acceptance; it may serve as a reference for the development of other public health education materials.

Key words: health education; evidence-based nursing; elderly; Chronic Heart Failure; volume management; public health education materials

中图分类号:  R47;R197