健康信念模式在慢性心力衰竭患者中的应用

Application of the health belief model in the treatment of patients with chronic heart failure

目的:探讨健康信念模式在慢性心力衰竭患者中的应用。方法:将124例慢性心力衰竭患者随机分为干预组和对照组各62例,对照组给予常规健康教育,干预组采用健康信念模式进行健康教育,比较两组干预前后脑钠肽(BNP)、左室射血分数(EF)及自我护理行为。结果:两组干预后自我护理行为均优于干预前(P<0.01),两组干预后BNP、EF及自我护理行为比较差异有统计学意义(P<0.01)。结论:应用健康信念模式进行健康教育可改善慢性心力衰竭患者的自我护理行为,提高心功能。

Objective：To explore the application of health belief model to patients with chronic heart failure. Methods ：124 patients with chronic heart failure were randomly divided into the intervention group and the control group （62 cases in each group）. The patients in the control group received routine health education and the patients in the intervention group were given health education according to the health belief model. The brain natriuretic peptide （BNP} ,left ventricular ejection fraction {EF） and self- care behavior were. compared between the two groups before and after the intervention. Results ：The self- care behavior was better after the intervention than that before the intervention in the two groups （P 〈 0.01） ;there were statistically significant differences in the comparison of BNP,EF and self-care behavior between the two groups after the intervention （ P 〈 0.01 ）. Conclusion ： Application of the health belief model to health education can improve the self - care behavior of patients with chronic heart failure so as to improve their heart function.