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基于目标导向的健康教育在慢性心力衰竭患者中的应用效果

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目的:观察基于目标导向的健康教育在慢性心力衰竭患者中的应用效果.方法:选取 2020 年 9 月至 2021 年 9 月该院收治的 86 例慢性心力衰竭患者进行前瞻性研究,按照随机数字表法将其分为对照组和观察组各 43 例.对照组给予常规健康教育,观察组给予基于目标导向的健康教育.比较两组干预前后负性情绪[焦虑自评量表(SAS)、抑郁自评量表(SDS)]评分、应对方式[医学应对问卷(MCMQ)]评分、生命质量[健康调查简表(SF-36)]评分.结果:干预后,两组SAS、SDS评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组面对评分均高于干预前,且观察组高于对照组,两组回避、屈服评分均低于干预前,且观察组低于对照组,差异有统计学意义(P<0.05);两组生理机能、生理职能、躯体疼痛、一般健康状况、精力、社会功能、情感职能、精神健康等各项SF-36 评分均高于干预前,且观察组高于对照组,差异有统计学意义(P<0.05).结论:基于目标导向的健康教育应用于慢性心力衰竭患者,可缓解患者负性情绪和疾病应对方式,提高生命质量,效果优于单纯常规健康宣教.
Application effects of goal-oriented health education in patients with chronic heart failure
Objective:To observe application effects of goal-oriented health education in patients with chronic heart failure.Methods:A prospective study was conducted on 86 patients with chronic heart failure admitted to the hospital from September 2020 to September 2021.According to the random number table method,they were divided into control group and observation group,43 cases in each group.The control group was given routine health education,while the observation group was given the goal-oriented health education.The scores of negative emotion[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],coping style[medical coping mode questionnaire(MCMQ)]and quality of life[the MOS 36-item short form health survey(SF-36)]were compared between the two groups before and after the intervention.Results:After the intervention,the scores of SAS and SDS in the two groups were lower than those before the intervention,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The facing scores of the two groups were higher than those before the intervention,and that in the observation group was higher than that in the control group;the avoidance and yield scores of the two groups were lower than those before the intervention,and those in the observation group were lower than those in the control group;and the differences were statistically significant(P<0.05).Further,the SF-36 scores of physiological function,physiological role,body pain,general health status,vitality,social function,emotional function and mental health in the two groups were higher than those before the intervention,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).Conclusions:The goal-oriented health education in the patients with chronic heart failure can alleviate the negative emotions and the disease coping styles and improve the quality of life.Moreover,it is superior to single routine health education.

Chronic heart failureGuidedHealth educationCoping styleNegative emotionQuality of life

李亮亮

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郑州市中医院心血管内科,河南 郑州 450000

慢性心力衰竭 引导式 健康教育 应对方式 负性情绪 生命质量

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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