Rakhshan Mahnaz, Hassani Parkhideh, Ashktorab Tahereh, Majd Hamid Alavi
School of Nursing & Midwifery, Shahid Beheshti University of Medical Science, Tehran, Iran.
Int J Nurs Pract. 2013 Jun;19(3):318-25. doi: 10.1111/ijn.12073.
This study was designed to explore the relationship between illness perceptions and educational intervention based on the Leventhal's model in pacemaker patients. Fifty-one consecutive patients who were admitted for implantation of permanent cardiac pacemaker were recruited to receive an educational intervention, which consisted of two sessions delivered in the hospital and clinic, respectively. Participants completed a pacemaker-specific Brief Illness Perception Questionnaire (BIPQ) twice, one prior to educational intervention and the other 10 weeks following the pacemaker implantation. Data regarding the dimensions of cognitive and emotional representations based on the Leventhal's model have demonstrated the relationship between the patients' perception before and after the educational intervention. Overall, after the educational intervention, the patients have considered the illness as having a moderate impact on their life and have known their illness as a chronic condition that was responsive to treatment and influenced by personal behavior. Participants believed they had a good understanding of their illness and had less 'concern' and 'emotional representation'. Based on the results of the present study, pacemaker patients had a more benign view about their illness after educational intervention compared with before this intervention. These explanations might affect the acceptance and treatment seeking and even lead to lower complications.
本研究旨在基于莱文索尔模型探讨起搏器患者的疾病认知与教育干预之间的关系。连续招募了51名因植入永久性心脏起搏器而入院的患者接受教育干预，该干预分别在医院和诊所进行了两次。参与者两次完成特定于起搏器的简短疾病认知问卷（BIPQ），一次在教育干预前，另一次在起搏器植入后10周。基于莱文索尔模型的认知和情感表征维度的数据表明了教育干预前后患者认知之间的关系。总体而言，教育干预后，患者认为疾病对其生活有中度影响，并且知道自己的疾病是一种慢性病，对治疗有反应且受个人行为影响。参与者认为他们对自己的疾病有很好的了解，并且“担忧”和“情感表征”较少。基于本研究结果，与干预前相比，起搏器患者在教育干预后对自己的疾病有更良性的看法。这些认知可能会影响接受治疗和寻求治疗的行为，甚至导致较低的并发症。
