首页|跨理论模型为向导的健康教育应用在诺欣妥治疗慢性心衰患者期间的干预效果

跨理论模型为向导的健康教育应用在诺欣妥治疗慢性心衰患者期间的干预效果

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目的:探讨跨理论模型(TTM)为向导的健康教育在诺欣妥治疗慢性心衰(CHF)患者中的应用研究。方法:选取 2021 年 7 月—2023 年 3 月在本院确诊的86 例慢性CHF患者,随机分为观察组(n=43)和对照组(n=43)。所有患者均接受诺欣妥治疗,对照组患者治疗期间采用常规护理,观察组患者治疗期间采用TTM为向导的健康教育,干预3个月。比较两组认知水平[心衰知识问卷(AHFKT)、自我效能感量表(GSES)、CHF自我管理量表]、负担量表(ZBI)、心功能和运动耐力、生活质量。结果:干预后,观察组AHFKT评分、GSES评分和自我管理能力得分均高于对照组(P<0。05);观察组ZBI各维度得分均低于对照组(P<0。05);观察组LVESD和LVEDD内径均低于对照组,LVEF和 6 min步行距离高于对照组(P<0。05);观察组MLHFQ各维度得分及总分均低于对照组(P<0。05)。结论:CHF患者经诺欣妥治疗期间,应用TTM为向导的健康教育可有效提高患者对疾病的认知、改善患者的心功能和生活质量。
Intervention Effect of Health Education Guided by Transtheoretical model in Patients with Chronic Heart Failure During the Nuoxintuo Treatment
Objective:To explore the application of health education guided by transtheoretical model(TTM)in patients with chronic heart failure(CHF)during the nuoxintuo treatment.Methods:A total of 86 patients with chronic CHF diagnosed in our hospital from July 2021 to March 2023 were randomly divided into observation group(n=43)and control group(n=43).All patients were treated with noricept.The patients in the control group were treated with routine nursing during the treatment period.The patients in the observation group were treated with TTM-guided health education during the treatment period,and the intervention lasted for 3 months.The cognitive level[heart failure knowledge questionnaire(AHFKT),self-efficacy scale(GSES),CHF self-management scale],burden scale(ZBI),cardiac function and exercise endurance,quality of life were compared between the two groups.Results:After intervention,the AHFKT score,GSES score and self-management ability score of the observation group were higher than those of the control group(P<0.05);the scores of each dimension of ZBI in the observation group were lower than those in the control group(P<0.05);the LVESD and LVEDD diameters of the observation group were lower than those of the control group,and LVEF and 6 min walking distance were higher than those of the control group(P<0.05);the scores of each dimension and total score of MLHFQ in the observation group were lower than those in the control group(P<0.05).Conclusion:During the treatment of CHF patients with noricept,the application of TTM-guided health education can effectively improve the patient's cognition of the disease,improve the patient's heart function and quality of life.

Transtheoretical modelHealth educationNoxintoChronic heart failure

陈军亭、李小静、李英

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平顶山市第一人民医院心内一科,河南 平顶山 467000

跨理论模型 健康教育 诺欣妥 慢性心衰

河南省医学科技攻关计划联合共建项目

LHGJ2018021023

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.(1)
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