基于计划行为理论的生活方式干预在心律失常患者康复中的应用价值分析

Application value analysis of lifestyle intervention based on planned behavior theory in rehabilitation of arrhythmic patients

目的:探讨以计划行为理论为基础的生活方式干预在心律失常患者中的应用价值。方法:选择本院2020年1月至2023年1月收治的100例心律失常患者进行研究,依据随机数字表法将患者分为对照组(n=50)和实验组(n=50),对照组给予常规护理干预,实验组给予以计划行为理论为基础的生活方式干预,两组均干预3个月。比较两组干预前后心功能、日常生活能力量表(ADL)、自护能力量表(ESCA)、简明健康调查简表(SF-36)评分以及干预依从性。结果:与对照组比较,实验组干预后NYHAⅢ级比例(32.00%比8.00%)显著降低(χ^(2)=9.000,P=0.003)。与对照组比较,实验组干预后ADL[(68.84±6.43)分比(85.58±5.08)分]、ESCA[(112.94±6.17)分比(144.52±5.25)分]、SF-36生理功能[(74.05±3.12)分比(83.34±2.89)分]、心理功能评分[(70.30±3.04)分比(82.52±3.08)分]均显著升高(P均=0.001)。与对照组比较,实验组干预后总依从率(70.00%比94.00%)显著升高(Z=2.824,P=0.005)。结论:基于计划行为理论的生活方式干预可以显著改善心律失常患者心功能、日常生活能力及自护能力,提升患者生活质量及依从性,具有较高应用价值。

Objective:To explore the application value of lifestyle intervention based on planned behavior theory in arrhythmic patients.Methods:A total of 100 arrhythmic patients admitted in our hospital from Jan 2020 to Jan 2023 were selected.Patients were divided into control group(n=50)and experimental group(n=50)according to random number table method.The control group received routine nursing intervention,while the experimental group received lifestyle intervention based on planned behavior theory,both groups were intervened for three months.The heart function,scores of activity of daily living scale(ADL),exercise of self-care agency scale(ESCA),the MOS item short from health survey(SF-36)and intervention compliance were compared between two groups before and after intervention.Results:Compared with control group after intervention,there was significant decrease in percentage of NYHA class III(32.00%vs.8.00%)in experimental group(χ^(2)=9.000,P=0.003).Compared with control group,there were significant rise in scores of ADL[(68.84±6.43)points vs.(85.58±5.08)points],ESCA[(112.94±6.17)points vs.(144.52±5.25)points],physiological function[(74.05±3.12)points vs.(83.34±2.89)points]and psychological function[(70.30±3.04)points vs.(82.52±3.08)points]of SF-36 in experimental group after intervention(P=0.001 all).Compared with control group,there was significant rise in overall compliance rate(70.00%vs.94.00%)in experimental group after intervention(Z=2.824,P=0.005).Conclusion:Lifestyle intervention based on planned behavior theory can significantly improve the heart function,ability of daily living,self-care capacity,quality of life and compliance in arrhythmic patients,which has high application value.