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基于彭德健康促进模式的关爱项目对慢性心力衰竭患者家庭照顾者照顾负担的影响:一项准实验研究。

The effect of a caring program based on the Pender's health promotion model on caregiver burden in family caregivers of patients with chronic heart failure: A quasi-experimental study.

作者信息

Khaninezhad Loghman, Valiee Sina, Moradi Yousef, Mahmoudi Mokhtar

机构信息

Student Research Committee, Kurdistan University of Medical Sciences, Sanandaj, Iran.

Clinical Care Research Center, Research Institute for Health Development, Kurdistan University of Medical Sciences, Sanandaj, Iran.

出版信息

J Educ Health Promot. 2024 Aug 29;13:303. doi: 10.4103/jehp.jehp_1024_23. eCollection 2024.

Abstract

BACKGROUND

The Pender's Health Promotion Model is a comprehensive solution to improve health and reduce the risk of chronic conditions. This study aimed to determine the effect of a care program based on the Pender's Health Promotion Model on the caregiving burden of family caregivers of patients with chronic heart failure.

METHODS

This semi-experimental study with a control group was conducted at the Imam Khomeini Heart Clinic in Saqqez in 2022-2023. In this study, 90 family caregivers from patients with chronic heart failure were randomized to intervention and control groups. Data were collected through a demographic information questionnaire and the Caregiver Burden Inventory (CBI) prior to and 50 days after the intervention. Data were analyzed using independent -test, Chi-square, and paired -test in SPSS V 25. A significance level of 5% was considered.

RESULTS

The results of this study indicated that the control and intervention groups were homogeneous in terms of demographic characteristics ( = 0.643). The findings also showed a statistically significant difference in the mean scores of all dimensions of caregiving burden between the two groups after the intervention, such that the overall mean score of caregiving burden in the intervention group had a significant reduction ( < 0.0001).

CONCLUSION

The present study demonstrated that a care program based on the Pender's Health Promotion Model can reduce the caregiving burden of family caregivers of patients suffering from chronic heart failure. Additionally based on health policies, this program can play an effective role in improving the quality of life of families with chronic heart failure patients and reducing their medical costs as a comprehensive solution for improving health and reducing the risk of chronic diseases.

摘要

背景

彭德健康促进模型是改善健康状况和降低慢性病风险的综合解决方案。本研究旨在确定基于彭德健康促进模型的护理计划对慢性心力衰竭患者家庭照顾者护理负担的影响。

方法

2022年至2023年在萨盖兹的伊玛目霍梅尼心脏诊所进行了这项有对照组的半实验性研究。在本研究中,90名慢性心力衰竭患者的家庭照顾者被随机分为干预组和对照组。在干预前和干预50天后,通过人口统计学信息问卷和照顾者负担量表(CBI)收集数据。在SPSS V 25中使用独立样本t检验、卡方检验和配对样本t检验对数据进行分析。显著性水平设定为5%。

结果

本研究结果表明,对照组和干预组在人口统计学特征方面具有同质性(P = 0.643)。研究结果还显示,干预后两组在护理负担各维度的平均得分上存在统计学显著差异,干预组的护理负担总体平均得分显著降低(P < 0.0001)。

结论

本研究表明,基于彭德健康促进模型的护理计划可以减轻慢性心力衰竭患者家庭照顾者的护理负担。此外,基于健康政策,该计划作为改善健康和降低慢性病风险的综合解决方案,可以在提高慢性心力衰竭患者家庭的生活质量和降低其医疗成本方面发挥有效作用。

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