行动导向宣教对慢性心力衰竭患者心功能、健康行为的影响

Effect of Action-Oriented Education on Cardiac Function and Health Behavior in Patients with Chronic Heart Failure

目的探讨行动导向宣教在慢性心力衰竭患者中的应用价值。方法选取河南省胸科医院2021年11月至2022年11月收治的86例慢性心力衰竭者,按随机数字表法分成宣教组、对照组,各43例。对照组行常规护理干预,宣教组基于对照组接受行动导向宣教,持续干预5个月。统计两组疾病认知情况、依从性[服药依从性量表(MMAS-8)]及干预前后心功能[左室收缩末期内径(LVESD)、左心室射血分数(LVEF)、左室舒张末期内径(LVEDD)、6分钟步行试验(6 MWT)]、心理状况[焦虑自评量表(SAS)、抑郁自评量表(SDS)]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)]、生活质量[明尼苏达心力衰竭生活质量表(MLHFQ)]。结果宣教组疾病认知优良率(97.67%)高于对照组(81.40%)(P<0.05);宣教组依从率(100.00%)高于对照组(86.05%)(P<0.05);干预后,宣教组LVEF、6MWT高于对照组,LVEDD、LVESD低于对照组(P<0.05);宣教组干预后SAS、SDS、MLHFQ评分低于对照组,HPLP-Ⅱ评分高于对照组(P<0.05)。结论行动导向宣教可提升慢性心力衰竭患者依从性,增强其健康行为,改善其心功能及生活质量。

Objective To explore the value of action-oriented evangelism in patients with chronic heart failure.Methods Eighty-six cases of chronic heart failure patients were selected from November 2021 to November 2022 in Henan Provincial Chest Hospital,and were divided into the missionary group and the control group by the method of randomized numerical table,each with 43 cases.The control group received routine nursing intervention,and the missionary group received action-oriented missionary education based on the control group,and the intervention was continued for 5 months.The disease awareness and adherence[Morisky medication adherence scale(MMAS-8)],cardiac function[left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),6 minutes walking test(6MWT)],psychological status[self-rating anxiety scale(SAS),self-rating depression scale(SDS)],health behaviors[health promotion lifestyle profile(HPLP-II)]and quality of life[Minnesota living with heart failure questionnaire(MLHFQ)]were counted in both groups before and after the intervention.Results The cognitive excellence rate in education group(97.67%)was higher than that in control group(81.40%)(P<0.05).The compliance rate of education group(100.00%)was higher than that of control group(86.05%)(P<0.05).After intervention,LVEF and 6MWT in education group were higher than those in control group,LVEDD and LVESD were lower than those in control group(P<0.05).The scores of SAS,SDS and MLHFQ in education group were lower than those in control group,and the scores of HPLP-Ⅱwere higher than those in the control group after intervention(P<0.05).Conclusion Action-oriented education can improve patients’compliance,improve their heart function and quality of life.