Application of IARA Intervention Model Combined with Behavioral Trans-formation Theory in Patients with Arrhythmia Radiofrequency Ablation
陈娇 1李海燕 1袁家菊1
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作者信息
1. 济南市第八人民医院心内科,山东 济南 271104
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摘要
目的 探讨心律失常射频消融(radiofrequency ablation,RFA)患者采用会议-遵守-责任-自治(incontro-alleanza-responsabilita-autonomia,IARA)干预模式联合行为转变理论的效果.方法 单纯随机选取2021年9月—2023年9月济南市第八人民医院收治的150例心律失常患者为研究对象,以不同护理方法分成对照组(n=75)和干预组(n=75),两组患者均接受RFA治疗,对照组给予常规护理,干预组给予IARA干预模式联合行为转变理论.比较两组患者的自我护理能力[自我护理能力量表(Exercise of Self-care Agency Scale,ESCA)]、健康行为[健康促进生活方式量表-Ⅱ(Health Promoting Life Style Profile-Ⅱ,HPLP-Ⅱ)]、护理满意度.结果 干预后,两组患者的ESCA评分升高,且干预组高于对照组,差异有统计学意义(P均<0.05);干预后,两组患者的HPLP-Ⅱ评分升高,且干预组高于对照组,差异有统计学意义(P均<0.05);干预组的护理总满意率为97.33%(73/75),高于对照组的88.00%(66/75),差异有统计学意义(χ2=4.807,P<0.05).结论 IARA干预模式联合行为转变理论应用于心律失常RFA患者中,能够提高患者的自我护理能力,改善健康行为,提高护理满意度.
Abstract
Objective To explore the effect of incontro-alleanza-responsabilita-autonomia(IARA)intervention model combined with behavioral transformation theory in patients with arrhythmia radiofrequency ablation(RFA).Methods A total of 150 patients with arrhythmia admitted to the Jinan Eighth People's Hospital from September 2021 to Sep-tember 2023 were simple and conveniently selected as the research objects.They were divided into control group(n=75)and intervention group(n=75)by different nursing method.Patients in two groups both received RFA treatment.The control group was given routine nursing,and the intervention group was given IARA intervention model combined with behavioral transformation theory.The self-care ability[Exercise of Self-care Agency Scale(ESCA)],health be-havior[Health Promoting Life Style Profile-II(HPLP-II)]and nursing satisfaction were compared between the pa-tients in two groups.Results After intervention,the ESCA scores of the patients in two groups increased,and the inter-vention group was higher than the control group,the differences were statistically significant(all P<0.05);after inter-vention,the HPLP-II scores of the patients in two groups increased,and the intervention group was higher than the control group,the differences were statistically significant(all P<0.05);the total nursing satisfaction of the intervention group was 97.33%(73/75),which was higher than 88.00%(66/75)of the control group,and the difference was statisti-cally significant(χ2=4.807,P<0.05).Conclusion The application of IARA intervention model combined with behav-ioral transformation theory in patients with arrhythmia RFA can improve self-care ability of patients,improve health behavior and improve nursing satisfaction.
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