行为转变理论的护理干预对冠心病患者的影响分析

Analysis on Effect of Nursing Intervention Based on Behavior Transformation Theory in Patients with Coronary Heart Disease

目的:研究行为转变理论的护理干预对冠心病患者自我效能和生活质量的影响。方法:选取2019年11月-2021年12月南京医科大学附属南京医院(南京市第一医院)心内科收治的88例冠心病患者为研究对象,按照随机数字表法分为观察组和参照组,各44例。参照组实施常规护理干预,观察组实施行为转变理论的护理干预。对比两组患者自我效能和生活质量。结果:干预前,两组自我效能平均分、症状管理及疾病共性评分比较,差异无统计学意义(P>0.05);干预后,观察组自我效能平均分、症状管理及疾病共性评分均高于参照组,差异有统计学意义(P<0.05)。干预前,两组生理领域、社会领域、环境领域、心理领域评分比较,差异无统计学意义(P>0.05);干预后,观察组生理领域、社会领域、环境领域、心理领域评分均高于参照组,差异有统计学意义(P<0.05)。结论:对冠心病患者实施行为转变理论的护理干预,能提高自我效能,改善生活质量。

Objective: To study the effect of nursing intervention of behavior transformation theory on self-efficacy and quality of life of patients with coronary heart disease. Methods: A total of 88 patients with coronary heart disease admitted to the Department of Cardiology of Nanjing Hospital, Nanjing Medical University(Nanjing First Hospital) from November 2019 to December 2021 were selected as the study subjects. According to random number table method, the patients were divided into observation group and reference group, with 44 cases in each group. The reference group received routine nursing intervention, while the observation group received nursing intervention of behavior transformation theory. The self-efficacy and quality of life of the two groups were compared. Results: Before the intervention, there were no significant differences in the average self-efficacy scores, symptom management and disease commonality scores between the two groups(P>0.05). After the intervention, the average self-efficacy scores, symptom management and disease commonality scores in the observation group were higher than those in the reference group, and the difference was statistically significant(P<0.05). Before the intervention, there were no significant differences in the scores of physiological domain, social domain, environmental domain and psychological domain between the two groups(P>0.05).After the intervention, the scores of physiological domain, social domain, environmental domain and psychological domain in the observation group were higher than those in the reference group, and the differences were statistically significant(P<0.05).Conclusion: The implementation of nursing intervention based on behavior transformation theory in patients with coronary heart disease can improve their self-efficacy and improve the quality of life.