首页|基于跨理论模型的延续性护理对老年慢性心力衰竭患者运动恐惧、运动自我效能及运动依从性的影响

基于跨理论模型的延续性护理对老年慢性心力衰竭患者运动恐惧、运动自我效能及运动依从性的影响

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目的 分析以及评价基于跨理论模型的延续性护理对老年慢性心力衰竭患者运动恐惧、运动自我效能及运动依从性的影响及应用价值.方法 随机选取2022年6月—2023年6月临沂市人民医院收治的120例老年慢性心力衰竭患者为研究对象,依据双盲法原则分为观察组和对照组,每组60例,对照组实施延续护理,观察组实施基于跨理论模型的延续护理,对比护理效果及价值.结果 观察组运动恐惧评分低于对照组,运动自我效能评分高于对照组,差异有统计学意义(P均<0.05).观察组在出院后3个月、出院后24周运动依从性好的占比(80.00%、78.33%)高于对照组(48.33%、60.00%),差异有统计学意义(P均<0.05).结论 基于跨理论模型的延续性护理对老年慢性心力衰竭患者的整体价值较高,有助于缓解该类患者运动恐惧,提高运动自我效能及依从性,进而促进其疾病康复、提高机体功能.
Effects of Continuous Nursing Based on Cross-theoretical Model on Exer-cise Fear,Exercise Self-efficacy and Exercise Compliance in Elderly Pa-tients with Chronic Heart Failure
Objective To analyze and evaluate the effect and application value of continuous nursing based on cross-theoretical model on exercise fear,exercise self-efficacy and exercise compliance in elderly patients with chronic heart failure.Methods A total of 120 elderly patients with chronic heart failure admitted to Linyi People's Hospital from June 2022 to June 2023 were randomly selected as the research objects.According to the principle of double-blind method,they were divided into observation group and control group,with 60 cases in each group.The control group was given continuous nursing,while the observation group was given continuous nursing based on cross-theoretical model,and the nursing effect and value were compared.Results After nursing,the exercise fear score of the observation group was lower than that of the control group,and the exercise self-efficacy score was higher than that of the control group,the differences were statistically significant(both P<0.05).The proportion of good exercise compliance in the observation group at 3 months after discharge and 24 weeks after discharge(80.00%,78.33%)was higher than that in the control group(48.33%,60.00%),and the differences were statistically significant(both P<0.05).Conclusion Continuous nursing based on cross-theoretical model has a high overall value for elderly patients with chronic heart failure,which can help alleviate exercise fear,improve exercise self-efficacy and compliance,and pro-mote disease recovery and improve body function.

ElderlyChronic heart failureCross-theoretical modelExercise fearCompliance

密其芳、冷敏

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青岛大学护理学院,山东 青岛 266000

临沂市人民医院心血管内科,山东 临沂 276000

老年 慢性心力衰竭 跨理论模型 运动恐惧 依从性

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(20)