改善冠状动脉旁路移植术患者的健康相关生活质量和促进健康行为的依从性：一项非随机对照试验研究。
Improving health-related quality of life and adherence to health-promoting behaviors among coronary artery bypass graft patients: a non-randomized controlled trial study.
机构信息
Department of Nursing, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali Asr Ave., Niayesh Cross Road, Tehran, Iran.
Department of Basic Sciences, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
Qual Life Res. 2021 Mar;30(3):769-780. doi: 10.1007/s11136-020-02675-3. Epub 2020 Oct 16.
PURPOSE
This study aimed to determine the impact of a healthy lifestyle empowerment program on health-related quality of life and adherence to health-promoting behaviors in coronary artery bypass graft patients.
METHODS
This non-randomized controlled trial was conducted in 2019 on 97 coronary artery bypass graft patients in Iran. Participants were selected by culturally pragmatic and non-randomized method and assigned to healthy lifestyle empowerment program group (HLEPG) (n = 49) and conventional education group (CEG) (n = 48). Data were collected by the 12-item short-form health survey (SF-12) and health-promoting lifestyle profile II (HPLP2), which were administered at baseline and three-month follow-up. The healthy lifestyle empowerment program and conventional education as two interventions were performed for HLEPG and CEG, respectively. Data analysis was performed using the paired t-test, independent t-test, analysis of covariance and linear mixed method at the 0.05 significance level.
RESULTS
In the follow-up, both groups showed a significant increase in the mean score of health-related quality of life (p ≤ 0.001) but this increase was visibly greater in the HLEPG (from 23.47 ± 7.48 to 35.60 ± 5.95) than in the CEG (from 22.93 ± 5.93 to 27.6 ± 4.90). The healthy lifestyle empowerment program also significantly increased the mean score of adherence to health-promoting behaviors in the HLEPG (p ≤ 0.001), whereas no such change was observed in the CEG. The results of the linear mixed model showed that the follow-up scores health-related quality of life and adherence to health-promoting behaviors of the HLEPG were 27.26 and 7.56 units significantly greater than the CEG after HLEP, respectively (p < 0.001).
CONCLUSION
Considering the results of this study, health care providers are recommended to devise and implement healthy lifestyle empowerment programs to improve the health-related quality of life of coronary artery bypass surgery patients.
CLINICAL TRIAL REGISTRATION
Registered at Iranian Registry of Clinical Trials (IRCT20171213037860N1).
目的
本研究旨在探讨健康生活方式赋能计划对冠状动脉旁路移植术患者健康相关生活质量和促进健康行为依从性的影响。
方法
本非随机对照试验于 2019 年在伊朗进行，纳入了 97 例冠状动脉旁路移植术患者。采用文化实用主义和非随机方法选择参与者，并将其分为健康生活方式赋能计划组（HLEPG）（n=49）和常规教育组（CEG）（n=48）。在基线和 3 个月随访时，使用 12 项简明健康调查量表（SF-12）和健康促进生活方式量表 II（HPLP2）收集数据。健康生活方式赋能计划和常规教育分别作为两种干预措施，在 HLEPG 和 CEG 中实施。采用配对 t 检验、独立 t 检验、协方差分析和线性混合方法，在 0.05 水平上进行数据分析。
结果
随访时，两组健康相关生活质量的平均分均显著增加（p≤0.001），但 HLEPG 的增加更为明显（从 23.47±7.48 增加到 35.60±5.95），而 CEG 的增加则不明显（从 22.93±5.93 增加到 27.6±4.90）。健康生活方式赋能计划还显著增加了 HLEPG 对促进健康行为的依从性平均分（p≤0.001），而 CEG 则没有这种变化。线性混合模型的结果显示，在 HLEP 后，HLEPG 的健康相关生活质量和促进健康行为的依从性随访评分分别显著高于 CEG，分别为 27.26 和 7.56 个单位（p<0.001）。
结论
鉴于本研究的结果，建议医疗保健提供者制定并实施健康生活方式赋能计划，以提高冠状动脉旁路移植术患者的健康相关生活质量。
临床试验注册
伊朗临床试验注册中心（IRCT20171213037860N1）。
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