基于健康信念模式的心脏康复对胃癌合并冠心病患者生活质量及自我管理行为的影响

Effect of Heart Rehabilitation Based on Health Belief Model on Quality of Life and Self-management Behavior of Patients with Gastric Cancer Combined with Coronary Heart Disease

背景近年来胃癌合并冠心病患者数量越来越多,而心脏康复可明显提升冠心病患者的心脏功能、改善生活质量,但其对胃癌合并冠心病患者的影响尚未明确。目的探讨基于健康信念模式的心脏康复对胃癌合并冠心病患者生活质量及自我管理行为的影响。方法选取2019年1月至2020年10月在河北工程大学附属医院住院的胃癌合并冠心病患者120例为研究对象。采用不平衡指数最小分配原则,将患者分为干预组和对照组,每组60例。对照组接受常规治疗和护理干预,干预组在对照组的基础上实施基于健康信念模式的心脏康复。比较两组患者一般资料及干预前后中国心血管病人生活质量评定问卷(CQQC)评分、冠心病自我管理行为量表(CSMS)评分。结果干预后,干预组患者体力、病情、一般生活、医疗状况、社会心理状况、工作状况得分及CQQC总分高于对照组(P<0.05)。干预后,干预组患者一般生活管理、疾病知识管理、不良嗜好管理、治疗依从性管理、症状管理、情绪认知管理、急救管理得分及CSMS总分高于对照组(P<0.05)。结论基于健康信念模式的心脏康复可改善胃癌合并冠心病患者的生活质量及自我管理行为。

Background In recent years,the number of gastric cancer patients with coronary heart disease is increasing,and cardiac rehabilitation can significantly improve the cardiac function and quality of life of patients with coronary heart disease,but its impact on gastric cancer patients with coronary heart disease is not clear.Objective To explore the effect of heart rehabilitation based on health belief model on quality of life and self-management behavior of patients with gastric cancer combined with coronary heart disease.Methods A total of 120 patients with gastric cancer combined with coronary heart disease who were hospitalized in Affiliated Hospital of Hebei Engineering University from January 2019 to October 2020 were selected as the research objects.The patients were divided into intervention group and control group according to the principle of minimum distribution of imbalance index,with 60 cases in each group.The control group received conventional treatment and nursing intervention,and the intervention group implemented heart rehabilitation based on the health belief model on the basis of the control group.The general information,and China Questionnaire of Quality of Life in Patients with Cardiovascular Diseases(CQQC)score and Coronary Self-management Scale(CSMS)score before and after intervention were compared between the two groups.Results After intervention,the scores of physical strength,illness,general life,medical status,psychosocial status,work status,and CQQC total score of patients in the intervention group were higher than those in the control group(P<0.05).After intervention,the scores of general life management,disease knowledge management,bad habits management,treatment compliance management,symptom management,emotional cognition management,emergency management management,and CSMS total score of the intervention group were higher than those of the control group(P<0.05).Conclusion Heart rehabilitation based on health belief model can improve the quality of life and self-management behavior of patients with gastric cancer combined with coronary heart disease.