强化健康教育对老年慢性心力衰竭患者依从性和自我护理行为的影响

Effect of enhanced health education on compliance and self- care behavior of elderly patients with chronic heart failure

目的:探讨Orem自护理论指导下强化健康教育对老年慢性心力衰竭患者依从性和自我护理行为的影响。方法:将90例老年慢性心力衰竭患者根据其护理方法分为研究组和对照组各45例,对照组行常规健康教育,研究组行以Orem自护理论为指导的强化健康教育。比较两组护理后依从性及护理前后自我护理行为及生活质量变化情况。结果:研究组护理后正确用药、自测体重、自测脉搏等依从性方面均优于对照组(P<0.05);两组护理后自我护理行为与护理前比较均有统计学意义(P<0.05),研究组护理后自我护理行为改善效果与对照组比较差异有统计学意义(P<0.05);研究组护理后生理领域、社会关系领域等生活质量各项评分情况均优于对照组(P<0.05)。结论:老年慢性心力衰竭患者行Orem自护理论指导下强化健康教育,可改善依从性和自我护理行为。

Objective： To explore the effect of enhanced health education on compliance and self- care behavior of elderly patients with chronic heart failure. Methods： 90 elderly patients with chronic heart failure were divided into the study group and the control group（ 45 cases in each group） according to the nursing methods. The patients in the control group received routine health education and the patients in the study group were provided the enhanced health education according to the Orem self- care theory. The compliance,self- care behavior and the change of quality of life of the patients were compared between the two groups before and after nursing care. Results： The compliance of the patients like correctly taking drugs,testing weight and pulse by themselves were better in the study group than the control group after nursing care（ P〈0. 05）; the comparison of the self- care behavior of the patients was significantly different between the two groups before and after nursing care（ P〈0. 05）; the improvement of self- care behavior of the patients and the score of life quality of the patients were superior in the study group to the control group（ P〈0. 05）. Conclusion： Implementation of the enhanced health education according to Orem self- care theory can improve the compliance and self- care behavior of elderly patients with chronic heart failure.