IARA干预模式联合行为转变理论在心律失常射频消融患者中的应用研究

Application of IARA Intervention Model Combined with Behavioral Transformation Theory in Patients with Arrhythmia Radiofrequency Ablation

目的探讨心律失常射频消融(radiofrequency ablation,RFA)患者采用会议-遵守-责任-自治(incontro-alleanza-responsabilita-autonomia,IARA)干预模式联合行为转变理论的效果。方法单纯随机选取2021年9月—2023年9月济南市第八人民医院收治的150例心律失常患者为研究对象,以不同护理方法分成对照组(n=75)和干预组(n=75),两组患者均接受RFA治疗,对照组给予常规护理,干预组给予IARA干预模式联合行为转变理论。比较两组患者的自我护理能力[自我护理能力量表(Exercise of Self-care Agency Scale,ESCA)]、健康行为[健康促进生活方式量表-Ⅱ(Health Promoting Life Style Profile-Ⅱ,HPLP-Ⅱ)]、护理满意度。结果干预后,两组患者的ESCA评分升高,且干预组高于对照组,差异有统计学意义(P均<0.05);干预后,两组患者的HPLP-Ⅱ评分升高,且干预组高于对照组,差异有统计学意义(P均<0.05);干预组的护理总满意率为97.33%(73/75),高于对照组的88.00%(66/75),差异有统计学意义(χ^(2)=4.807,P<0.05)。结论IARA干预模式联合行为转变理论应用于心律失常RFA患者中,能够提高患者的自我护理能力,改善健康行为,提高护理满意度。

Objective To explore the effect of incontro-alleanza-responsabilita-autonomia(IARA)intervention model combined with behavioral transformation theory in patients with arrhythmia radiofrequency ablation(RFA).Methods A total of 150 patients with arrhythmia admitted to the Jinan Eighth People's Hospital from September 2021 to September 2023 were simple and conveniently selected as the research objects.They were divided into control group(n=75)and intervention group(n=75)by different nursing method.Patients in two groups both received RFA treatment.The control group was given routine nursing,and the intervention group was given IARA intervention model combined with behavioral transformation theory.The self-care ability[Exercise of Self-care Agency Scale(ESCA)],health behavior[Health Promoting Life Style Profile-II(HPLP-II)]and nursing satisfaction were compared between the patients in two groups.Results After intervention,the ESCA scores of the patients in two groups increased,and the intervention group was higher than the control group,the differences were statistically significant(all P<0.05);after intervention,the HPLP-II scores of the patients in two groups increased,and the intervention group was higher than the control group,the differences were statistically significant(all P<0.05);the total nursing satisfaction of the intervention group was 97.33%(73/75),which was higher than 88.00%(66/75)of the control group,and the difference was statistically significant(χ^(2)=4.807,P<0.05).Conclusion The application of IARA intervention model combined with behavioral transformation theory in patients with arrhythmia RFA can improve self-care ability of patients,improve health behavior and improve nursing satisfaction.