Objective:To construct a scientific and practical micro-course content framework of cross-cultural nursing hospice care from the perspective of attention, relevance, confidence and satisfaction (ARCS) model.Methods:The research team was established in November 2018. Using Delphi method, 16 experts in cross-cultural nursing, hospice care, nursing management, nursing education and other fields were consulted for 3 rounds of correspondence. According to scores of experts, the index weights were calculated to form micro-course content framework of cross-cultural nursing hospice care from the perspective of ARCS model.Results:The positive coefficient of experts surveyed by the questionnaire was 100%, the average value of expert authority coefficient was 0.81. The determined importance values of the first and second level indexes were all greater than 4.00. The coefficient of variation was 0 to 0.12, which were all less than 0.25 and met the requirements. In the end, a content framework containing 3 first-level indexes of professional concepts, professional knowledge and professional skills and 19 second-level micro-course content framework of cross-cultural nursing hospice care were formed.Conclusions:Based on the perspective of ARCS model, the construction process of content framework of the cross-cultural nursing hospice care micro-course is scientific and the setting is reasonable, which has a good guiding significance for the development of training for hospice care nurses.

Objective:To investigate the self-management of elderly chronic heart failure (CHF) patients and to explore the structural equation modeling (SEM) on the influencing factors of self-management behavior among CHF patients so as to provide a basis for constructing the self-management education plan for elderly CHF patients suitable for the characteristics of our country.Methods:From January 2015 to June 2017, The study selected 6 124 elderly patients in 102 hospitals of 16 provinces, cities and autonomous region from 5 areas, east China, west China, south China, north China and central China by random cluster sampling as subjects. All of patients were investigated with the self-management scale of heart failure patients, heart failure knowledge questionnaire, chronic disease self-efficacy scale, self-concept scale and the medica coping modes questionnaire. AMOS 22.0 was used to construct the model on the influencing factors of self-management behavior among CHF patients.Results:The total score self-management of 6 124 elderly CHF patients was [49.00 (43.00, 54.00) ] with 61.25% for the scoring rate. The SEM on the direct or indirect influencing factors of self-management among elderly CHF patients fitted well. The influencing factors of self-management included the per-capita incomes, works, self-care, nations, religious belief, education levels, heart failure knowledge, self-concept, self-efficacy, coping styles.Conclusions:Self-management of elderly CHF patients are in the below average level influenced by different demographers, cultural background and heart failure knowledge. Medical staff should formulate a systematic and individual self-management education plan for elderly CHF patients based on patients' demographic characteristics, cultural background, heart failure knowledge, self-concept and self-efficacy to improve their self-management.

目的:调查老年慢性心力衰竭(Chronic Heart Failure,CHF)患者自我管理的现状并分析其影响因素.方法:采用随机整群抽样方法,对华东、华西、华南、华北、华中5区域的16个省、直辖市、自治区的102所医院的6124名老年CHF患者进行问卷调查.结果:老年CHF患者自我管理总分为49.00(43.00,54.00)分,得分率为61.25％,处于中等偏下水平.不同年龄、民族、文化程度等对患者自我管理有影响(P<0.05).结论:老年CHF患者自我管理处于中等偏下水平,并受不同年龄、民族、文化程度等因素影响,护理人员应根据不同患者的特点,制订系统化、个性化的老年CHF患者自我管理教育方案.

Objective? To investigate the level of self-management and identify the influencing factors in elderly patients in Inner Mongolia with chronic heart failure(CHF). Methods? By convenience sampling, a total of 1 051 elder patients with CHF from 9 Class Ⅱ & Ⅲ hospitals in 5 cities of Inner Mongolia Autonomous Region were recruited to participate in this study from December of 2015 to July of 2018. The elderly CHF patients were investigated with General Data Questionnaire and Self-management Scale for Heart Failure Patients. Results? The total score of Self-management Scale for Heart Failure Patientsof 1 051 elderly patients with CHF was (47.9±7.7) with a scoring rate of 59.9%. Multivariate linear regression analysis showed that ethnicity,work status and marital status were the influencing factors of self-management level of elderly CHF patients. Conclusions? The self-management status of elderly CHF patients in Inner Mongolia is not ideal. Corresponding intervention measures should be formulated according to the influencing factors of self-management level of elderly CHF patients in Inner Mongolia.

This paper summarizes the application of health coaching in self-management of patients with cardiovascular diseases. Health coaching can help patients with cardiovascular diseases gain the knowledge, skills, tools, and confidence that they need to become active participants in their self-health and enhance their self-management. The form of health coaching includes motivational interview, self-management support and remote home monitoring. Health coaching can enhance the medication adherence among patients with cardiovascular diseases, promote healthy lifestyles and maintain good psychology in patients, and finally strengthen their self-management. Finally, this paper proposes that China should pay more attention to the health coaching, such as establishing the relevant departments of health coaching, strengthening the training and certification of health coaches through the examination of theory and skills, and exploring the establishment of a technical program for health coaching and intervention that is suitable for China, so that patients with cardiovascular diseases can be benefited.