Application effects of cluster the nursing based on self-efficacy theory in patients with chronic heart failure
Objective:To observe application effects of cluster the nursing based on self-efficacy theory in patients with chronic heart failure(CHF).Methods:A prospective study was conducted on 76 patients with CHF admitted to this hospital from May 2021 to May 2022.According to the random number table method,they were divided into observation group and control group,38 cases in each group.The control group was given routine nursing,while the observation group was given the cluster the nursing based on self-efficacy theory.The scores of psychological resilience[Connor-Davidson resilience scale(CD-RISC)],self-efficacy[general self-efficacy scale(GSES)],negative emotions[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],sleep quality[Pittsburgh sleep quality index(PSQI)]and quality of life[Minnesota heart failure quality of life scale(MLHF)]were compared between the two groups.Results:After the nursing,the scores of CD-RISC and GSES in the two groups were higher than those before the nursing,those in the observation group were higher than those in the control group,and the differences were statistically significant(P＜0.05).The SAS and SDS scores of the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the difference was statistically significant(P＜0.05).The PSQI scores of sleep time,time before falling asleep,sleep quality,daytime dysfunction,sleep disorder,hypnotic drugs and sleep frequency in the two groups were lower than those before the nursing,those in the observation group were lower than time before falling asleep the control group,and the differences were statistically significant(P＜0.05).Further,the MLHF scores of physical activity,emotional status and symptoms in the two groups were lower than those before the nursing,those in the observation group were lower than those in the control group,and the differences were statistically significant(P＜0.05).Conclusions:The cluster nursing based on self-efficacy theory in the CHF patients can improve their psychological resilience and the self-efficacy,reduce the negative emotions,and improve the sleep quality and the quality of life.Moreover,it is superior to routine nursing.
Chronic heart failureSelf-efficacy theoryCluster the nursingPsychological resilienceNegative emotionSleep quality
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