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基于患者健康行为互动模型的慢性心力衰竭患者自我护理行为干预方案的构建与应用

Construction and application of a self-care behavior intervention scheme for chronic heart failure patients based on interaction model of client health behavior.

作者信息

Feng Zhi-Fen, Cheng Fang, Shen Wen-Jia, Salvador Jordan Tovera, De Ala Minerva Bravo, Nery Mary Ann Cabansag, Zhang Lei, Huang Xin-Yue, Liu Shan

机构信息

School of Nursing and Health, Henan University, Kaifeng, China.

Nursing Education Department, College of Nursing, Imam Abdulrahman Bin Faisal University, Dammam, Eastern Province, Saudi Arabia.

出版信息

Sci Rep. 2025 Aug 24;15(1):31119. doi: 10.1038/s41598-025-17169-w.

Abstract

This study aimed to explore the impact and the effectiveness of interventions based on the Interaction Model of Client Health Behavior on the self-care behavior of chronic heart failure patients. Using convenience sampling, 80 chronic heart failure patients who met the inclusion and exclusion criteria were selected from the Cardiovascular Department of a tertiary hospital in Henan Province from January to June 2023. The first and second wards were randomly assigned to control and intervention groups, with the first ward serving as the control group and the second ward as the intervention group, each consisting of 40 cases. The control group received routine care, and the intervention group was subjected to a self-care behavior intervention scheme based on Interaction Model of Client Health Behavior. The intervention lasted for three months. Then, various indicators of the patients were assessed. The intervention group had significantly higher self-care behavior levels than the control group, significantly lower levels of disease perception than the control group, and the quality of life scores of the intervention group was lower than that of the control group. The difference in readmission rates between the two groups was statistically significant. The intervention scheme based on Interaction Model of Client Health Behavior can enhance self-care behavior in chronic heart failure patients, improve their disease perception, ameliorate their quality of life, and further decline readmission due to disease recurrence or complications.

摘要

本研究旨在探讨基于患者健康行为互动模型的干预措施对慢性心力衰竭患者自我护理行为的影响及效果。采用便利抽样法,于2023年1月至6月从河南省某三级医院心血管内科选取80例符合纳入及排除标准的慢性心力衰竭患者。将第一和第二病房随机分为对照组和干预组,第一病房为对照组,第二病房为干预组,每组各40例。对照组接受常规护理,干预组实施基于患者健康行为互动模型的自我护理行为干预方案。干预持续三个月。然后,对患者的各项指标进行评估。干预组的自我护理行为水平显著高于对照组,疾病认知水平显著低于对照组,且干预组的生活质量得分低于对照组。两组再入院率的差异具有统计学意义。基于患者健康行为互动模型的干预方案可增强慢性心力衰竭患者的自我护理行为,改善其疾病认知,改善生活质量,并进一步降低因疾病复发或并发症导致的再入院率。

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