知、信、行模式对心衰患者情绪及生活质量的影响

The Influence of Knowledge-attitude-belief Practice on Emotions and Life Qualities in Heart Failure Patients

目的探讨以知、信、行理论模式指导护理和干预的策略对慢性心衰患者的负性情绪及生活质量的影响。方法以我院心内科2018年7月—2019年1月入院的81例慢性心衰患者为研究对象,随机入选干预组40例、对照组41例。两组患者均强化基础疾病治疗;对照组实施常规护理,干预组采用知、信、行理论模式进行全程系统干预和管理。观察对照组与干预组住院期间及出院后6个月焦虑自评量表SAS评分及抑郁自评量表SDS评分情况、SF-36生活质量评价。结果干预组干预治疗后的SAS评分(50.42±16.84 vs. 58.65±13.21,P=0.03)、SDS评分(48.72±12.31 vs. 56.21±11.14,P=0.01)显著低于对照组;干预组生活质量评分明显优于对照组。结论以知、信、行理论模型指导其护理和干预的策略,有利于减轻和缓解慢性心力衰竭病人的焦虑、抑郁心理,提高患者的健康和生活质量。

Objective To investigate the influence of knowledge-attitudebelief practice(KABP)on emotions and life qualities in heart failure patients.Methods 81 consecutive patients with chronic heart failure admitted form July,2018 to Jan,2019 in department of cardiology,Xiamen Cardiovascular Hospital,Xiamen University were recruited in present study.40 patients were randomly enrolled in intervention group and 41 patients were in control group.Intensive treatments on basic disease were practiced in both groups.KAPA was conducted during the whole nursing practice in intervention group while regular nursing model was conducted in the control group.Self-rating anxiety scale(SAS),self-rating depression scale(SDS)and short–form 36 item heath questionnaire(SF-36)were assessed at pre-discharge and 6 months after discharge in both groups.Results SAS score(50.42±16.84 vs.58.65±13.21,P=0.03)and SDS score(48.72±12.31 vs.56.21±11.14,P=0.01)were significantly lower in intervention group compared with control group.The life quality,assessed by SF-36,was much better in intervention group.Conclusion Conducting the KABP in nursing model may relief heart failure patients’anxiety or depression and promote patients’life quality.