健康信念对冠脉介入治疗病人的影响

Effect of health belief on patients with coronary interventional therapy

目的探讨依据健康信念模式对冠脉介入治疗病人制定护理计划，观察病人依从和生存质量（SAQ）的变化。方法将64例冠脉介入治疗病人随机分为实验组和对照组各32例。对照组病人采用常规护理，实验组采用依据健康信念模式制定的护理计划进行护理。结果干预后实验组的依从性较对照组明显提高；两组SAQ5个方面的得分均较干预前有较大幅度提高，但在生存质量总分、活动能力受限情况、治疗方法满意度和对疾病主观感受方面实验组较对照组提高幅度更大，差异有统计学意义。结论依据健康信念模式制定的护理计划能明显提高病人的依从性，提高生存质量。

Objective To draft nursing intervening programmes for patients with coronary heart disease in interventional therapy on the basis of the Health Belief Model （ HBM）, and estimate it＇ s clinical effect by measuring the change of compliance and the Quality of life （QOL） . Methods A total of 64 patients were randomly selected and divided into two groups： the experiment group was treated on the basis of the HBM, and the control group was treated with routine nursing. Results The patient compliance improved much more in experimental group than that in control group. The scores of SAQ were higher after intervention than that before internation both in experiment and control group, while the scores in experimental group were higher than those in control group in terms of quality of life, immobility, satisfaction on therapy and subjective feeling on disease, the differences were significant （P 〈 0.01 ）. Conclusions Nursing programmes on the basis of the HBM can improve the QOL and compliance of patients.