Abstract:

With the increase in the number of patients with heart failure and the improvement of medical care，the prevalence of patients with end-stage heart failure is increasing. Due to the limited donor supply for heart transplantation，the implantation of left ventricular assist devices has become a major alternative treatment option for patients with end-stage heart failure. Patients with left ventricular assist device have to face potential heart failure and long-term self-care related to left ventricular assist devices. It is of great significance to comprehensively evaluate the level of self-care behavior of patients with left ventricular assist devices and to formulate targeted self-care guidance programs to improve their prognosis. This article reviewed the concept and connotation，assessment tools，current status，influencing factors and intervention of self-care of patients with left ventricular assist devices，in order to provide theoretical basis and practical guidance for improving the self-care level of patients with left ventricular assist devices，so as to improve the quality of life and improve the prognosis of patients.

Key words: Heart Failure, Left Ventricular Assist Device, Self-Care, Nursing Care, Review

摘要：

随着心力衰竭患者的增多和医疗护理水平的改善，终末期心力衰竭患者的数量逐年增加。由于心脏移植的供体有限，植入左心室辅助装置成为终末期心力衰竭患者的一种主要替代治疗选择。左心室辅助装置植入患者术后面临着与潜在心力衰竭、左心室辅助装置等相关的长期自我照护问题，全面评估左心室辅助装置植入患者术后自我照护行为水平，并制订针对性自我照护指导方案对改善患者预后具有重要意义。该文从左心室辅助装置植入患者术后自我照护的内涵、测量工具、现状、影响因素和干预措施5个方面进行综述，以期为提高左心室辅助装置植入患者术后自我照护水平、生命质量，改善患者预后提供理论基础。

关键词: 心力衰竭, 左心室辅助装置, 自我照护, 护理, 综述