心血管康复医学杂志2024,Vol.33Issue(3) :308-313.DOI:10.3969/j.issn.1008-0074.2024.03.11

基于计划行为理论的生活方式干预在心律失常患者康复中的应用价值分析

Application value analysis of lifestyle intervention based on planned behavior theory in rehabilitation of arrhythmic patients

赵影 程春华
心血管康复医学杂志2024,Vol.33Issue(3) :308-313.DOI:10.3969/j.issn.1008-0074.2024.03.11

基于计划行为理论的生活方式干预在心律失常患者康复中的应用价值分析

Application value analysis of lifestyle intervention based on planned behavior theory in rehabilitation of arrhythmic patients

赵影 1程春华1
扫码查看

作者信息

  • 1. 安徽皖北煤电集团总医院有限责任公司心血管内科,安徽宿州 234000
  • 折叠

摘要

目的:探讨以计划行为理论为基础的生活方式干预在心律失常患者中的应用价值.方法:选择本院2020年1月至2023年1月收治的100例心律失常患者进行研究,依据随机数字表法将患者分为对照组(n=50)和实验组(n=50),对照组给予常规护理干预,实验组给予以计划行为理论为基础的生活方式干预,两组均干预3个月.比较两组干预前后心功能、日常生活能力量表(ADL)、自护能力量表(ESCA)、简明健康调查简表(SF-36)评分以及干预依从性.结果:与对照组比较,实验组干预后NYHA Ⅲ级比例(32.00%比8.00%)显著降低(x2=9.000,P=0.003).与对照组比较,实验组干预后 ADL[(68.84±6.43)分比(85.58±5.08)分]、ESCA[(112.94±6.17)分比(144.52±5.25)分]、SF-36 生理功能[(74.05±3.12)分比(83.34±2.89)分]、心理功能评分[(70.30±3.04)分比(82.52±3.08)分]均显著升高(P均=0.001).与对照组比较,实验组干预后总依从率(70.00%比94.00%)显著升高(Z=2.824,P=0.005).结论:基于计划行为理论的生活方式干预可以显著改善心律失常患者心功能、日常生活能力及自护能力,提升患者生活质量及依从性,具有较高应用价值.

Abstract

Objective:To explore the application value of lifestyle intervention based on planned behavior theory in arrhythmic patients.Methods:A total of 100 arrhythmic patients admitted in our hospital from Jan 2020 to Jan 2023 were selected.Patients were divided into control group(n=50)and experimental group(n=50)according to random number table method.The control group received routine nursing intervention,while the experimental group received lifestyle intervention based on planned behavior theory,both groups were intervened for three months.The heart function,scores of activity of daily living scale(ADL),exercise of self-care agency scale(ES-CA),the MOS item short from health survey(SF-36)and intervention compliance were compared between two groups before and after intervention.Results:Compared with control group after intervention,there was significant decrease in percentage of NYHA class Ⅲ(32.00%vs.8.00%)in experimental group(x2=9.000,P=0.003).Compared with control group,there were significant rise in scores of ADL[(68.84±6.43)points vs.(85.58±5.08)points],ESCA[(112.94±6.17)points vs.(144.52±5.25)points],physiological function[(74.05±3.12)points vs.(83.34±2.89)points]and psychological function[(70.30±3.04)points vs.(82.52±3.08)points]of SF-36 in experimental group after intervention(P=0.001 all).Compared with control group,there was signifi-cant rise in overall compliance rate(70.00%vs.94.00%)in experimental group after intervention(Z=2.824,P=0.005).Conclusion:Lifestyle intervention based on planned behavior theory can significantly improve the heart function,ability of daily living,self-care capacity,quality of life and compliance in arrhythmic patients,which has high application value.

关键词

心律失常,心性/心律失常,窦性/护理/康复

Key words

Arrhythmias,cardiac/Arrhythmia,sinus/Nursing care/Rehabilitation

引用本文复制引用

出版年

2024
心血管康复医学杂志
福建省康复医学会 中国康复医学会

心血管康复医学杂志

CSTPCD
影响因子:1.157
ISSN:1008-0074
段落导航相关论文