Failure To Develop Self-management And Health Education Research Scale

Objective1、To develop heart failure patients’ self-management scale and evaluate its reliability and validity.2、To investigate the current status of self-management in the patients with chronic heart failure and analyze its personalized factors. To provide evidence for self-management health education of individual way.3、To establish a suitable for heart failure patients health education strategies and models, and to evaluate the effect of personalized self-management health guidance.Methods1、In support of evidence-based medicine and self-management of heart failure theory. Based on literature reviews and interviews to establish the items library.To preliminary screening the scale by expert group. Randomly selected30cases of the research object to carry on the preliminary experiments. After two rounds of consultation to determine the predicted scale evaluation by the expert group. Through the160patients investigated, using correlation coefficient and factor analysis method on the scientific tests the items library to determine the final scale.2、 A total of160patients with chronic heart failure were investigated with Heart Failure Self-management Scale, Heart Failure Knowledge Assessment Scale, Patient Information Self-developed Questionnaire, Social Support Rating Scale (SSRS) and Self-Rating Depression Scale (SDS).3、Using the convenience sampling method, hospitalized patients with heart failure were randomly divided into observation group and control group,80cases in each group. Observation group based on preliminary analysis results to develop a personalized health education strategies and patterns for heart failure patients.The control group received routine health education guidance. Finally, to evaluate the effect using scale again.Result1、The Cronbach’s alpha coefficient for the total scale was0.939, the test-retest correlation coefficient was0.878; the content validity index was0.975; the correlation coefficient between each dimension and total questionnaire were from0.571-0.854,the correlation coefficient among the dimensions were from0.203-0.502; factor analysis using principal component analysis France to eigenvalue>1extraction5common factors, the cumulative contribution rate of61.751%.2、heart failure patients’self-management ability are in medium level (96.14±14.37) Between Educations degree, the level of heart failure related knowledge as well as social support degree are moderately positive correlated with the self-management ability, while depression and age are moderately negative correlated.3、After hospitalization health education guidance, observation group’s self-management scale scores and knowledge assessment scale scores were significantly higher than the control group (P<0.01). Compared to before the health education guidance observation group’s self-management scale and knowledge assessment scale score of ascension degree also significantly higher than the control group (P<0.01) Conclusion1、The scale has good reliability and validity, and can be used as the evaluation tool for self-management ability of heart failure patients. Also can provide the basis for patients to take targeted measures of health education.2、The whole self-management ability of Patients with heart failure is not ideal. The self-management level is affected by multiple factors, such as physical, psychological and social factors.3、Personalized self-management of health education guidance during hospitalization can improve the patients’ self-management ability and improve their quality of life.