应用健康信念模式提高冠状动脉介入治疗患者生存质量的研究

A study on improving the quality of life of patients undergoing coronary interventional therapy by applying the health belief model

目的依据健康信念模式，对冠状动脉介入治疗患者制订护理计划，通过测量患者生存质量的变化结果，评价其临床效果。方法将64例冠脉介入治疗患者随机分为实验组和对照组各32例，实验组应用依据健康信念模式制订的护理计划进行护理，对照组患者仅接受常规护理，比较干预后2组患者的生存质量。结果干预后2组患者生存质量总分、活动能力受限情况、治疗方法满意度和对疾病主观感受得分比较，差异均有统计学意义，P〈0．01，而在心绞痛稳定状态和心绞痛发作情况两方面得分比较，差异无统计学意义，P〉0．05。结论依据健康信念模式制订的护理计划能够显著改善患者的生存质量。

Objective To lay out a course of nursing intervention programmes for patients undergoing coronary interventional therapy on the basis of the health belief model （HBM）, and estimate its clinical effect by measuring the change of quality of life （QOL）. Methods 64 patients were randomly selected and divided into 2 groups,the experimental group was treated with the nursing intervetnion on the basis of the HBM, and the control group was treated with routine nursing measures.The quality of life was compared between the two groups after intervention. Results The total score of QOL the restricted ability of activity, the therapy satis-faction and the subjective feelings of patients to disease of the two groups had significant difference after intervention,P 〈 0.01, but no difference in angina stabilization and occurrence was seen, P 〉 0.05. Conclusions Nursing pmgrammes on the basis of the HBM make the QOL of patients to improve evidently.