Luo Yinxia, Qi Xinmei, Tang Oushan
Yinxia Luo, Department of Cardiovascular Internal Medicine, Shaoxing Second Hospital Medical Community General Hospital, Shaoxing, Zhejiang Province 312000, P.R. China.
Xinmei Qi, Department of Cardiovascular Internal Medicine, Shaoxing Second Hospital Medical Community General Hospital, Shaoxing, Zhejiang Province 312000, P.R. China.
Pak J Med Sci. 2024 Dec;40(11):2565-2571. doi: 10.12669/pjms.40.11.10750.
Self-care practices are integral part of heart failure (HF) management. Information-Motivation-Behavioral skills (IMB) model has shown promise in fostering better self-care behaviors, but its efficacy in management of HF patients remains underexplored. This retrospective study investigated the value of IMB model-based nursing intervention for improving self-care, hemodynamic indicators, and quality of life (QOL) of HF patients.
This retrospective study involved 308 HF patients treated at a tertiary care hospital from January 2021 to January 2023. Patients were grouped based on the received nursing care. The intervention group contained patients who received IMB model-based nursing intervention (n=151), and a control group included patients who got routine nursing care (n=157). IMB intervention comprised information delivery, motivation enhancement, and behavioral skills training. Key outcomes included self-care behavior measured by the Self-Care of HF Index (SCHFI), quality of life, assessed by the Minnesota Living with HF Questionnaire (MLHFQ), and hemodynamic parameters including Left Ventricular End-Systolic Diameter (LVESD), Left Ventricular End-Diastolic Diameter (LVEDD), and Left Ventricular Ejection Fraction (LVEF).
IMB model-based nursing intervention was significantly more effective in improving the condition of HF patients than the routine nursing care, including better SCHFI and MLHFQ scores and improved hemodynamic parameters (LVESD, LVEDD, and LVEF) (P<0.05). Variation in different analysis further confirmed the efficacy of the IMB model-based nursing intervention.
IMB model-based nursing intervention significantly improved self-care behavior, QOL, and hemodynamic parameters in HF patients. This mode of nursing care has a potential as a valuable strategy for enhancing HF management.
自我护理措施是心力衰竭（HF）管理的重要组成部分。信息-动机-行为技能（IMB）模型在促进更好的自我护理行为方面已显示出前景，但其在HF患者管理中的疗效仍未得到充分探索。这项回顾性研究调查了基于IMB模型的护理干预对改善HF患者自我护理、血流动力学指标和生活质量（QOL）的价值。
这项回顾性研究纳入了2021年1月至2023年1月在一家三级护理医院接受治疗的308例HF患者。根据接受的护理对患者进行分组。干预组包括接受基于IMB模型的护理干预的患者（n = 151），对照组包括接受常规护理的患者（n = 157）。IMB干预包括信息传递、动机增强和行为技能培训。主要结局包括通过心力衰竭自我护理指数（SCHFI）测量的自我护理行为、通过明尼苏达心力衰竭生活问卷（MLHFQ）评估的生活质量，以及血流动力学参数，包括左心室收缩末期内径（LVESD）、左心室舒张末期内径（LVEDD）和左心室射血分数（LVEF）。
基于IMB模型的护理干预在改善HF患者病情方面明显比常规护理更有效，包括更好的SCHFI和MLHFQ评分以及改善的血流动力学参数（LVESD、LVEDD和LVEF）（P<0.05）。不同分析中的差异进一步证实了基于IMB模型的护理干预的疗效。
基于IMB模型的护理干预显著改善了HF患者的自我护理行为、生活质量和血流动力学参数。这种护理模式有潜力作为一种有价值的策略来加强HF管理。
