以行为转变阶段模式为基础的健康教育对心房颤动合并心力衰竭患者预后的影响

Effect of Health Education Based on Behavior Transition Stage Patterns on the Prognosis of Patients with Atrial Fibrillation Complicated with Heart Failure

目的:探讨以行为转变阶段模式为基础的健康教育对心房颤动合并心力衰竭患者预后的影响。方法:选取2020年10月1日~2022年6月30日收治的75例心房颤动合并心力衰竭患者作为研究对象,采用随机数字表法分为观察组38例和对照组37例,对照组采用常规健康教育,观察组采用以行为转变阶段模式为基础的健康教育;比较两组干预前后健康素养、自我管理能力[采用心力衰竭自我护理指数量表(SCHFI)]、应对方式[采用医学应对问卷(MCMQ)]、运动耐力[采用6分钟步行距离试验(6MWT)],预后情况。结果:干预后,两组健康素养、SCHFI、6MWT评分均高于干预前(P<0.05),且观察组高于对照组(P<0.05);干预后,两组MCMQ中面对得分高于干预前(P<0.05),回避、屈服评分低于干预前(P<0.05),且观察组优于对照组(P<0.05);观察组不良事件总发生率低于对照组(P<0.05)。结论:将以行为转变阶段模式为基础的健康教育应用于心房颤动合并心力衰竭患者中,可提升健康素养、自我管理能力及运动耐力,改善应对方式,减少不良事件的发生。

Objective:To explore the effect of health education based on behavior transition stage patterns on the prognosis of patients with atrial fibrillation complicated with heart failure.Method:Seventy-five patients with atrial fibrillation complicated with heart failure admitted to the hospital from October 2020 to June 2022 were selected as the study subjects,and they were divided into observation group with 38 cases and control group with 37 cases by the random number table method.The control group received routine health education,while the observation group received health education based on a behavior transition stage model.The health literacy,self-management ability using the Self-Care of Heart Failure Index(SCHFI),coping strategies using the Medical Coping Modes Questionnaire(MCMQ),exercise endurance using the 6-minute walking test(6MWT),and prognosis were compare between two groups of patients.Results:After intervention,the health literacy,SCHFI,and 6MWT scores of both groups were higher than those before intervention(P<0.05),and the observation group has higher scores than the control group(P<0.05).After intervention,the face dimension scores of the two groups of MCMQ scores were higher than those before intervention(P<0.05),while the avoidance and surrender scores were lower than those before intervention(P<0.05),and the observation group was better than the control group(P<0.05).The total incidence of adverse events in the observation group was lower than that in the control group(P<0.05).Conclusion:Applying health education based on behavior transition stage patterns to patients with atrial fibrillation and heart failure can enhance health literacy,self-management ability,and exercise endurance,improve coping strategies,and reduce the occurrence of adverse events.