基于授权理论的干预模式对心肌梗死经皮冠状动脉介入治疗术后患者健康信念、自护行为和预后的影响

Effects of intervention model based on empowerment theory on health belief, self-care behavior and prognosis of patients with myocardial infarction after percutaneous coronary intervention

  • 摘要:
    目的  探讨基于授权理论的干预模式对心肌梗死经皮冠状动脉介入治疗(PCI)术后患者健康信念、自护行为和预后的影响。
    方法  将2021年11月-2023年10月在本院行PCI的500例心肌梗死患者随机分为对照组(n=250)和观察组(n=250)。对照组给予常规干预模式, 观察组给予基于授权理论的干预模式, 2组均干预至出院后1个月。比较2组干预前后健康信念冠心病健康信念量表(CADHBS)、自护能力自我护理能力量表(ESCA)、心功能指标左心室射血分数(LVEF)、6 min步行试验(6MWT)及生活质量中国心血管病人生活质量评定问卷(CQQC)情况; 比较2组干预期间心脏不良事件发生率。
    结果  观察组干预后CADHBS总分及各维度评分和ESCA总分及各维度评分均高于对照组, 差异有统计学意义(P < 0.05)。观察组干预后LVEF及6MWT高于或长于对照组, 差异有统计学意义(P < 0.05)。观察组心脏不良事件总发生率为19.60 %, 低于对照组的28.00 %, 差异有统计学意义(P < 0.05)。观察组干预后CQQC评分高于对照组, 差异有统计学意义(P < 0.05)。
    结论  对心肌梗死行PCI患者实施基于授权理论的干预模式可提高其健康信念及自护能力, 改善心功能, 提高生活质量, 降低心脏不良事件发生率。

     

    Abstract:
    Objective  To explore the effects of intervention model based on empowerment theory on health belief, self-care behavior and prognosis of patients with myocardial infarction after percutaneous coronary intervention (PCI).
    Methods  A total of 500 patients with PCI for myocardial infarction in the hospital from November 2021 to October 2023 were randomly divided into control group (n=250) and observation group (n=250). The control group was given routine intervention mode, the observation group was given intervention mode based on empowerment theory, and both groups were intervened until one month after discharge. Before and after intervention, the health beliefthe Coronary Heart Disease Health Belief Scale (CADHBS), self-care abilitythe Evaluation for Self-care Ability (ESCA), cardiac function indexesleft ventricular ejection fraction (LVEF) and 6 minutes walking test (6MWT) and quality of lifethe Chinese Questionnaire of Quality of Life in Chinese Patients with Cardiovascular Diseases (CQQC) were compared between the two groups; the incidence rate of adverse cardiac events during intervention was compared between the two groups.
    Results  Compared with the control group, the total score of CADHBS and the score of each dimension as well as the total score of ESCA and the score of each dimension in the observation group were significantly higher (P < 0.05). After intervention, the LVEF and 6MWT in the observation group were significantly higher than those in the control group (P < 0.05). The total incidence rate of adverse cardiac events was 19.60 % in the observation group, which was significantly lower than 28.00 % in the control group (P < 0.05). After intervention, the CQQC score in the observation group was significantly higher than that in the control group (P < 0.05).
    Conclusion  For the patients with PCI for myocardial infarction, implementation of intervention model based on empowerment theory can enhance health belief and self-care ability, improve the cardiac function and quality of life, and reduce the incidence rate of adverse cardiac events.

     

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