【摘要】 慢性心力衰竭是各种心脏病的终末期表现，具有高致残、高致死和高复发的特点。随着人口老龄化的加速及生活方式的改变，老年人群心力衰竭患者数量在持续上升。老年慢性心力衰竭患者由于长期反复发作呼吸困难、乏力及水肿等症状而严重影响身心健康和生活质量，因此患者管理好自身症状具有非常重要的意义。症状管理自我效能是成功管理自身症状能力的信念或信心，会对患者症状管理行为产生积极影响，是提升自我管理能力的关键。目前我国老年慢性心衰患者的症状管理自我效能较低，亟待提升其水平。本文通过对老年慢性心力衰竭患者症状管理自我效能的现状、理论基础、测评工具和干预措施进行综述，以期为临床医护人员制订针对性措施，提高老年慢性心力衰竭患者的症状管理自我效能，促进疾病管理提供参考。更多还原

【Abstract】 Chronic heart failure is the end-stage manifestation of various heart diseases, which is characterized by high disability, high death and high recurrence.With the acceleration of population aging and the change of lifestyle, the number of people with heart failure in the elderly population continues to rise.Elderly patients with chronic heart failure seriously affect their physical and mental health and quality of life due to long-term recurrent symptoms such as dyspnea, fatigue and edema, so it is very important for patients to manage their own symptoms.Symptom management self-efficacy is the belief or confidence in the ability to successfully manage their own symptoms, which will have a positive impact on patients’ symptom management behavior and is the key to improving self-management ability.However, at present, the symptom management self-efficacy of elderly patients with chronic heart failure in China is low, and it is urgent to improve its level.The present situation, theoretical basis, assessment tools and intervention measures of symptom management self-efficacy in elderly patients with chronic heart failure were reviewed in this paper, in order to provide reference for clinical staff to formulate targeted measures to improve symptom management self-efficacy in elderly patients with chronic heart failure and promote disease management.更多还原