Contemporary Nursing

Objective: To explore the effect of self-management on elderly patients with chronic heart failure. Methods: From January 2020 to December 2020, 110 elderly patients with chronic heart failure were invited to participate in this experiment. In the process of routine nursing intervention for patients, the guidance of self-management was added, and the self-efficacy and self-management ability scores of patients after intervention in different periods, and the scores of patients exercise self-efficacy and exercise ability before and after intervention were used to conduct self-contrast experiments. Results: After three months of intervention, the patients self-efficacy, medication compliance, diet management, emotional regulation, exercise self-efficacy, 6-min walk test, specific activity status scale and other indicators all increased significantly, while the disease monitoring indicators increased significantly. Before the intervention, one month after the intervention and three months after the intervention, the three scores were 6.41±2.51, 6.43±2.33, and 6.51±2.30, respectively. Although there was no significant change, it showed an upward trend, and the readmission rate showed a significant decreasing trend. Conclusion: After self-management guidance, patients self-efficacy and self-management ability have been significantly improved, and exercise self-efficacy and exercise ability have also been significantly improved.

Self-Management; Elderly Chronic Heart Failure; Impact