首页|基于知信行模式的健康教育对慢性心力衰竭患者心理弹性和自护能力的影响

基于知信行模式的健康教育对慢性心力衰竭患者心理弹性和自护能力的影响

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目的 探讨基于知信行模式的健康教育对慢性心力衰竭患者的护理效果.方法 将2021年1月至2022年12月河南省胸科医院收治的104例慢性心力衰竭患者随机分为对照组和观察组,各52例.给予对照组常规健康宣教,观察组在此基础上接受基于知信行模式的健康教育,干预时间为3个月.采用心理弹性量表(CD-RISC)进行心理弹性水平评价,采用自我护理能力测定量表(ESCA)进行自护能力评价,同时在健康教育后进行护理满意度评价.结果 健康教育后,两组CD-RISC中各维度评分(包括坚韧性、自强性和乐观性)均升高,且观察组评分高于对照组(P<0.05);两组ESCA中各维度评分(包括自我概念、责任感、自护技能和健康知识)均升高,且观察组评分高于对照组(P<0.05);观察组护理满意度评分高于对照组(P<0.05).结论 慢性心力衰竭患者接受基于知信行模式的健康教育后,可促进心理弹性和自我护理能力提升,有利于病情控制和预后结果.
Effects of Health Education Based on Knowledge-Attitude-Practice Model on Mental Resilience and Self-care Ability in Patients with Chronic Heart Failure
Objective To explore the nursing effect of health education based on knowledge-attitude-practice model on patients with chronic heart failure.Methods A total of 104 patients with chronic heart failure in Henan Chest Hospital from January 2021 to December 2022 were selected and randomly divided into control group and observation group,52 patients in each group.The control group was given routine health education,and the observation group was received health education under the mode of knowledge-attitude-practice on this basis.The intervention time was 3 months.Connor-davidson resilience scale(CD-RISC)was used to evaluate the level of mental resilience,self-care ability was evaluated by exercise of self-care agency scale(ESCA),and nursing satisfaction was evaluated after health education.Results After health education,the scores of CD-RISC in all dimensions(including tenacity,self-reliance and optimism)were increased in both groups,and the scores in observation group were higher(P<0.05).The scores of ESC A in all dimensions(including self-concept,responsibility,self-care skills and health knowledge)were increased in both groups,and the scores in observation group were higher(P<0.05).The nursing satisfaction score of observation group was higher than that of control group(P<0.05).Conclusion Receiving health education under the mode of knowledge-attitude-practice can promote mental resilience and self-care ability,which is beneficial to disease control and prognosis of patients with chronic heart failure.

chronic heart failureknowledge-attitude-practicehealth educationmental resilienceself-care ability

押燕锋、孙成龙、樊淑敏、王焕东

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河南省胸科医院郑州大学附属胸科医院心内科,河南郑州 450000

慢性心力衰竭 知-信-行 健康教育 心理弹性 自护能力

2019年河南医学科技攻关计划联合共建项目

LHGJ20190730

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(18)
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