Effects of Health Education with Problem-Based Learning Approaches on the Knowledge, Attitude, Practice and Coping Skills of Women with High-Risk Pregnancies in Plateau Areas

Objective: Given the unique cultural background, way of life, and physical environment of the Tibetan Plateau, this study aims to investigate the effects of health education using problem-based learning (PBL) approaches on the knowledge, attitude, practice, and coping skills of women with high-risk pregnancies in this region. Methods: 76 high-risk pregnancy cases were enrolled at Tibet’s Linzhi People’s Hospital between September 2023 and April 2024. 30 patients admitted between September 2023 and December 2023 were selected as the control group and were performed with regular patient education. 46 patients admitted between January 2024 and April 2024 were selected as the observation group and were performed regular patient education with problem-based learning approaches. Two groups’ performance on their health knowledge, attitude, practice and coping skills before and after interventions were evaluated, and patient satisfaction were measured at the end of the study. Results: There was no statistical significance (P P P Conclusions: Health education with problem-based learning approaches is worth promoting as it can help high-risk pregnant women in plateau areas develop better health knowledge, attitude and practice and healthier coping skills. Also, it can improve patient sanctification.

Mothers’ Knowledge, Beliefs, and Practices on Causes and Prevention of Anaemia in Children Aged 6 - 59 Months: A Case Study at Mkuranga District Hospital, Tanzania

Aims: Anaemia in children aged 6 - 59 months is an important public health problem associated with increasing hospital costs, lengths of hospital stay, and development of complications later in life. Due to the significant caregiver roles of mothers, the level of mothers’ knowledge, beliefs and practices are important in addressing anaemia in children. This study investigated knowledge, attitudes, beliefs, and practices of select mothers on anaemia and linked these with known factors for anaemia. Methodology: The case study was conducted at Mkuranga District Hospital, Paediatric Ward between December 2014 and April 2015. A cross-sectional design was used to recruit a convenience sample of 40 mothers whose children had a confirmed diagnosis of anaemia (through routine laboratory testing). Results: Within the sample, the majority of children were male (52.5%);aged 6 - 39 months (87.5%);and had a diagnosis of severe anaemia (75.0%) according to the World Health Organization’s definition. Over one third (35%) of mothers reported a prior history of anemia in their other children, and the majority (55%) had heard about anaemia prior to their child’s hospitalization. Maternal anaemia was reported by 67.5% of mothers. Mothers reported that maternal anemia (17.5%) and feeding practices (32.5%) are known contributing factors to anaemia in children. Mothers reported that anemia could be prevented (55.0%) and cured by herbal preparations (47.5%). In addition, some mothers indicated that anaemia was caused by witchcraft (22.5%) and eating lemons (2.5%). Conclusion: Severe anaemia was high among the studied population which aligned with their hospitalization status. Findings suggested potential gaps in control and management of anemia in children possibly related to low awareness or incorrect knowledge of the relationship between maternal and child anaemia. The findings also highlighted important cultural beliefs related to anaemia. There is an imperative for culturally and socially appropriate knowledge translation and exchange with mothers in order to impact on the prevention and control of anaemia in children in Tanzania.

Knowledge,attitude,and practices toward osteoporosis among Jordanian nurses

Objective:To identify the level of knowledge,attitude,and practice(KAP)toward osteoporosis among Jordanian nurses.Methods:A cross-sectional design was adopted in this study.A convenience sample of 443 Jordanian nurses were recruited from the public and private healthcare settings in Jordan.The assessment tool used in the current study contained 35 items,measuring KAP among Jordanian nurses toward osteoporosis.The correlation Pearson test and regression test were used to analyze data using Statistical Package for Social Sciences,version 21.Results:The total KAP scores were 33.53,37.65,and 22.7,respectively.These results revealed that Jordanian nurses have a moderate level of KAP toward osteoporosis.Conclusions:Jordanian nurses showed a moderate KAP toward osteoporosis,which should be improved as an effective step to reducing the growing incidences of osteoporosis.The lack of KAP holds a serious and growing impact on the Jordanian health sector and patients’health in terms of cost,healthcare resources,and social life.Nurses can play a valuable role in educating patients on bone fracture causes,perceived percentage,risks,and prevention,as well as in helping them with nutrition and lifestyle recommendations.

How knowledge of hepatitis B disease and vaccine influences vaccination practices among parents in Ho Chi Minh City, Vietnam

Objective:To assess the influences of the knowledge of parents about hepatitis B virus(HBV)infection and the benefit of HBV vaccination on the practice of HBV vaccination among children.Methods:A prospective cross-sectional study recruited parents whose children,aged 12-24 months,received HBV vaccination at Commune Health Centers(CHCs)in Ho Chi Minh City from Feb.2016 to Jul.2017.Parents were interviewed using a questionnaire that included 11-item binary knowledge questions and checked their children’s vaccination cards.Results:A total of 768 parents had a mean age of(30.8±5.1)years.The mean knowledge score of the 11-item questions was(7.0±2.4).The knowledge score was positively associated with full and timely HBV vaccination.In addition,children who received complete and timely HBV vaccination were significantly more likely to live in rural areas(Adjusted OR 4.02,95%CI 2.79-5.79,P<0.001).Also,children whose parents received vaccination information from health care providers,and had knowledge about HBV risk,had a higher rate of full and timely HBV vaccination(Adjusted OR 1.60,95%CI 1.13-2.29,and Adjusted OR 1.47,95%CI 1.01-2.13,P all<0.05).Conclusions:Parents possessed a great deal of incorrect knowledge about HBV.More health education from health care providers should target parents living in specific locations and focus on the benefits of HBV vaccine.

Evaluation of the effects of health education interventions for hypertensive patients based on the health belief model

BACKGROUND Hypertension is a major risk factor for cardiovascular disease and stroke,and its prevalence is increasing worldwide.Health education interventions based on the health belief model(HBM)can improve the knowledge,attitudes,and behaviors of patients with hypertension and help them control their blood pressure.AIM To evaluate the effects of health education interventions based on the HBM in patients with hypertension in China.METHODS Between 2021 and 2023,140 patients with hypertension were randomly assigned to either the intervention or control group.The intervention group received health education based on the HBM,including lectures,brochures,videos,and counseling sessions,whereas the control group received routine care.Outcomes were measured at baseline,three months,and six months after the intervention and included blood pressure,medication adherence,self-efficacy,and perceived benefits,barriers,susceptibility,and severity.RESULTS The intervention group had significantly lower systolic blood pressure[mean difference(MD):-8.2 mmHg,P<0.001]and diastolic blood pressure(MD:-5.1 mmHg,P=0.002)compared to the control group at six months.The intervention group also had higher medication adherence(MD:1.8,P<0.001),self-efficacy(MD:12.4,P<0.001),perceived benefits(MD:3.2,P<0.001),lower perceived barriers(MD:-2.6,P=0.001),higher perceived susceptibility(MD:2.8,P=0.002),and higher perceived severity(MD:3.1,P<0.001)than the control group at six months.CONCLUSION Health education interventions based on the HBM effectively improve blood pressure control and health beliefs in patients with hypertension and should be implemented in clinical practice and community settings.

Stroke prevention awareness and treatment knowledge among patients' relatives

BACKGROUND： Recent research indicates that if a stroke can be effectively treated within three hours, prognosis is improved. Therefore, it is necessary to properly educate stroke patients＇ relatives about prevention and treatment. OBJECTIVE： To survey and analyze the present awareness of stroke prevention and treatment knowledge among patients＇ relatives. DESIGN： Cross-sectional study. SETTING： Beijing Hospital and Medical College of Shandong University and Harrison International Peace Hospital, the Affiliated Hospital of Hebei Medical University. PARTICIPANTS： From May 2005 to November 2006, a ＂stroke awareness＂ questionnaire survey was performed in four hospitals, including Harrison International Peace Hospital in Hengshui City （third class, first grade）, Fucheng County People＇s Hospital （second class, first grade）, Zaoqiang County Jiahui Countryside Hospital （first class, first grade） and Hengshui City Electricity Industry Bureau Infirmary. The participants provided confirmed consent. METHODS： The ＂stroke awareness＂ questionnaire included 10 questions： 1 -8 were related to the understanding of stroke, 9 and 10 were related to behavior and attitude towards medical treatment. Demographic information was also collected on each participant, including age, education level, and occupation. Each positive answer accounted for one point. A score of 8 or higher was categorized as ＂good stroke awareness＂. MAIN OUTCOME MEASURES： Scores of stroke awareness. RESULTS： A total of 4 000 ＂stroke awareness＂ questionnaires were printed and distributed. 3 597 copies were completed and 3 468 were included in the study. （1） Relative factors of stroke awareness： The survey demonstrated that the participant＇s age, educational level, occupation, grade of hospital, and the relationship with the patient had a significant effect on their stroke awareness （P 〈 0.05-0.01）. （2） Stroke knowledge： With regard to stroke awareness, 72% subjects did not know the signs indicating the onset of transient ischemic attack; 86%, 72%, and 51% did not know that diabetes, cardiopathy, or smoking and drinking were risk factors for cerebral thrombosis, respectively. With regard to awareness of cerebral thrombosis symptoms almost 60% did not know the symptoms of vertebrobasilar ischemia, such as dizziness, vomiting, and impaired eyesight. With respect to cerebral thrombosis treatment, 27% reported that when a stroke occurs, they would like to see the doctor subsequent to discussion with their families, or they would even wait a few days. They did not regard their condition as an ＂emergency＂. CONCLUSION： Relatives have little knowledge about stroke, but there are significant differences in levels of awareness with respect to occupation and educational levels.

Prediabetes and cardiovascular complications study:Highlights on gestational diabetes, self-management and primary health care

International collaboration on the prediabetes and cardiovascular complications study started in 2013.In 2017,a reflection was reported.Incompleteness of documentation and screening of antenatal cases for gestational diabetes mellitus(GDM)was concerning.Hence,further observations have been made that warrant an update.The objective of this review is to highlight gaps between clinical knowledge and practice in GDM,diabetes self-management and primary health care(PHC)for rural dwellers.We followed a descriptive field notes method.Antenatal records of patients screened for GDM with incomplete documentation were examined to determine incompleteness of data in those that also met the criteria for GDM risk assessment.Experiences on development of a diabetes register and education and notes on behavioural change wheel were also reviewed.Other data included cross-sectional evaluation of activities of daily living at two private hospitals.Up to 29%had high GDM risk factors,which fulfilled selection criteria for laboratory screening.Demographic data was complete in all women;however,incomplete documentation was observed with as much as 98%of basic data.High levels of physical activity were found in the population,and health lectures proved effective in food choices.The workforce need for diabetes care seems underestimated,but this may be better understood with reactivation of PHC services.The observations highlight behavioural change wheel issues on GDM and PHC services that need concerted focus.Two proposals are to advance the use of a‘risk assessment and screening sheet’for GDM screening and enlightenment of stakeholders on the central hub role of PHC in diabetes management.

Raising Awareness about Water Issues:The Role of Water Symbolism and Proverbs

Sustainable water management is one of the global grand challenges of our time. Tackling this challenge through corrective actions would require the participation of the general public, a public with sound awareness of the challenge and commitment. One such awareness raising intervention could be through the use of water symbolism and proverbs, targeted to particular society. Water has the different symbolism and levels of importance to people, depending of their personal characteristics and socio-demographic factors (e.g. gender, age, occupation, residence). Similarly, water proverbs can also demonstrate attitudes towards water among communities, ethnic groups and whole nations. Such meanings and symbolism could help determine attitude and be a powerful tool towards education. In this context, we describe and propose a psychological Health Belief Model (HBM) as a way to explain behaviour and stimulate sustainable water management practice.

健康信念模式信息传播联合运动干预在血液透析伴衰弱患者康复中的应用效果评价

目的评价健康信念模式信息传播联合运动干预在血液透析伴衰弱患者康复中的应用效果。方法采用方便抽样法,选取2022年1—12月合肥市第二人民医院收治的100例血液透析伴衰弱患者为研究对象,按照掷硬币法将其分为对照组和观察组,每组50例。对照组应用常规护理,观察组在对照组基础上应用健康信念模式信息传播联合运动干预。对比2组患者干预前后衰弱状况、躯体功能、骨骼肌质量及体质量指数,采用χ2检验和t检验进行统计分析。结果干预3个月后,观察组中文版蒂尔堡衰弱指标量表得分为(4.51±1.15)分,低于对照组的(5.21±1.24)分(P<0.05);观察组简易机体功能评估得分、握力及步速分别为(9.78±0.86)分、(20.22±1.61)kg和(4.81±1.02)s/4 m,均优于对照组的(8.61±1.13)分、(19.23±2.80)kg、(5.55±1.33)s/4 m(P均<0.05);观察组骨骼肌质量指数、上臂肌围、小腿围和体质量指数分别为(8.01±1.22)kg/m^(2)、(25.86±1.77)cm、(33.61±1.61)cm和(23.84±2.17)kg/m^(2)均高于对照组的(7.35±1.13)kg/m^(2)、(25.01±2.00)cm、(32.74±1.83)cm和(22.66±2.66)kg/m^(2)(P均<0.05)。结论健康信念模式信息传播联合运动干预对衰弱血透患者进行体育锻炼等干预,可显著提高衰弱状态,提高患者躯体功能及肌力情况。

“知识-信念-行为”健康教育模式对妇女产后非意愿妊娠预防效果

目的:探讨“知识-信念-行为”(简称知-信-行)健康教育模式对妇女产后发生非意愿妊娠的预防效果。方法:选取2020年7月-2022年7月在医院住院分娩的产妇1500名为研究对象,采用自愿原则将其分为观察组及对照组,各750例,对照组开展医院常规产后健康宣教,观察组进行产后避孕咨询,并开展基于知-信-行健康教育模式的避孕宣教。于产后42d及产后3,6,12个月进行随访,了解产妇恢复同房、避孕、非意愿妊娠及人工流产情况,比较两组避孕知识掌握情况、健康行为情况(采用健康促进生活方式量表Ⅱ评估)及对产后服务的满意度。结果:除去失访病例,最终纳入观察组731人,对照组718人进行分析。健康宣教后观察组的产后避孕知识知晓情况得分及HPLP-Ⅱ总得分高于对照组(P<0.05);产后42d及产后3、6个月观察组恢复同房率均低于对照组,产后避孕率均高于对照组(均P<0.05);产后12月观察组的非意愿妊娠率3.3%,低于对照组的8.5%,观察组的人工流产率1.8%,低于对照组5.4%(均P<0.05);观察组对产后服务满意度高于对照组(P<0.05)。结论:在产后开展知-信-行健康教育模式的避孕宣教可以提升妇女对避孕知识的掌握度,提高产后避孕率,降低产后1年内的非意愿妊娠率及人工流产率。

基于健康信念模式的健康教育在消化道早癌筛查中的应用效果

目的探讨基于健康信念模式的健康教育在消化道早癌筛查中的应用效果。方法选取87例消化道早癌高危筛查患者,随机分为观察组(n=43)和对照组(n=44)。对照组接受常规的健康教育,观察组应用基于健康信念模式的健康教育,比较2组患者的筛查依从性,干预前后疾病知识掌握情况(包括消化道早癌相关知识、健康行为、筛查相关知识及心理疏导评分)、自我管理能力[自我管理能力测评量表(AHSMSRS)评分]、自护能力[自我护理能力量表(ESCA)评分]、健康行为[健康促进生活方式量表(HPLP-Ⅱ)评分]、负性情绪状况[焦虑自评量表(SAS)和抑郁自评量表(SDS)评分],护理满意度[纽卡斯尔护理服务满意度量表(NSNS)评分]。结果干预后,观察组疾病知识掌握情况各项评分、HPLP-Ⅱ、AHSMSRS和ESCA评分均高于对照组,SAS和SDS评分均低于对照组(P<0.05或P<0.001)。观察组总筛查依从率和总护理满意率均高于对照组(97.67%比81.82%,P<0.05;97.67%比79.55%,P<0.001)。结论将基于健康信念模式的健康教育应用于消化道早癌筛查患者中,能促进患者健康行为的养成,提高患者自护能力、筛查依从性,改善患者负性情绪状况。

回授式健康教育干预对上呼吸道感染发热患儿家长心理健康及知信行水平的影响

目的:探讨回授式健康教育干预对上呼吸道感染发热患儿家长心理健康及知信行水平的影响。方法:选取2020年12月-2021年12月某院收治的120例上呼吸道感染发热患儿,随机分为观察组(60例)和对照组(60例),对照组患儿家长予以常规干预,观察组患儿家长除此之外予以回授式健康教育干预。比较两组患儿家长干预前后心理健康状态、知信行水平、生活质量,干预后患儿临床症状消失时间及家长疾病认知程度、干预满意度。结果:观察组干预后SAS、SDS评分与对照组相比下降幅度更明显(t=-3.852,-6.129;P<0.05);观察组患儿咳嗽、发热、鼻塞、充血症状消失时间与对照组相比更短(t=-18.607,-15.745,-19.737,-19.467;P<0.05),家长疾病认知评分与对照组相比更高(t=40.146,P<0.05);观察组干预后预防知识、预防态度、预防行为评分与对照组相比更高(t=14.660,22.476,5.541;P<0.05);观察组干预后生活质量各评分与对照组相比更高(t=4.899,5.528,4.570,2.863;P<0.05);观察组患儿家长干预满意度为96.67%与对照组的77.50%相比更高(χ^(2)=3.930,P<0.05)。结论:回授式健康教育干预有利于改善其心理健康状态,提高知信行水平、生活质量和干预满意度,同时缓解患儿临床症状,增强家长疾病认知。

基于信息知识信念行为模式的健康教育对脑梗死后遗症期患者失眠状况及生活质量的影响研究

目的研究基于信息知识信念行为模式的健康教育运用于脑梗死后遗症期患者中的价值。方法选择我院2020年6月-2021年9月纳入的脑梗死后遗症期患者94例,按随机数字表法分成两组各47例,研究组开展基于信息知识信念行为模式的健康教育,对照组实施常规健康教育,干预后评价两组依从性,干预前后测评两组睡眠质量、简易智力状态(MMSE)、运动功能(FMA)、神经功能缺损(NIHSS)、语言功能、生活质量(SF-36),比较两组干预结果。结果研究组依从性91.49%高出对照组72.34%(P<0.05)。干预前两组睡眠质量无差异(P>0.05),干预后研究组睡眠质量、睡眠时间、睡眠障碍、睡眠效率评分低于对照组(P<0.05)。干预前两组MMSE、FMA、NIHSS、语言功能无差异(P>0.05),干预后研究组MMSE、FMA、语言功能高出对照组,但NIHSS低于对照组(P<0.05)。干预前两组SF-36无差异(P>0.05),干预后研究组评分均高出对照组(P<0.05)。结论基于信息知识信念行为模式的健康教育效果更为显著,能够提升患者依从性,增强其认知能力以及语言功能,促进运动能力恢复,同时改善睡眠质量,生活质量明显提升。

六西格玛管理联合知信行模式预防护理实习生针刺伤的干预研究

目的:探讨六西格玛管理联合知信行模式对护理实习生针刺伤的干预效果。方法:选取2020年12月—2022年8月我院70名护理实习生为研究对象,将其分为研究组和对照组,各35人,对照组给予常规护理,研究组给予六西格玛管理联合知信行模式,比较两组针刺伤发生阶段、针刺伤发生科室、针刺伤知识了解程度及依从性。结果:研究组急诊重症医学科针刺伤发生率低于对照组,基础知识、态度、行为评分及应用锐器盒、在高危阶段戴手套、针刺伤危害性的了解依从性评分高于对照,差异均有统计学意义(P<0.05)。结论:护理实习生实行六西格玛管理联合知信行模式能够降低急诊重症医学科护理实习生针刺伤发生率,加强护理实习生对针刺伤的了解。

基于KAP理论的大学生网络安全教育研究

为改善大学生网络安全教育现状,提高大学生网络安全教育水平,结合知识-态度-行为(KAP)理论,构建大学生安全教育KAP模型;通过问卷发放和筛选,获取659份有效问卷;采用结构方程模型(SEM)检验网络安全教育对网络安全认知、网络安全态度、网络安全行为的影响,以及可能存在的中介作用影响路径。结果表明:网络安全教育显著影响网络安全认知、网络安全态度、网络安全行为,其中,网络安全认知、网络安全态度起到独立中介及链式中介作用;法律道德教育、知识教育、实践活动、榜样引领均能直接影响网络安全行为,其中,法律道德教育对网络安全行为的影响最强,知识教育次之,实践活动和榜样引领最弱。在具体作用路径方面,法律道德教育主要通过直接效应来影响网络安全行为,知识教育、实践活动、榜样引领主要通过安全认知间接影响网络安全行为。

以格林模式为指导的健康教育在经皮肾镜取石术病人围术期护理中的应用

目的:探讨以格林模式为指导的健康教育在经皮肾镜取石术(PCNL)病人围术期护理中的应用效果。方法:选取泌尿外科2021年9月—2022年9月收治的PCNL病人106例为研究对象,应用随机数字表将病人分为观察组(n=53)和对照组(n=53),对照组行常规健康指导,观察组实施以格林模式为指导的健康教育,两组随访6个月,比较两组手术情况、干预前后预防结石知信行评分、自我护理能力评分及术后复发情况、病人对护理的满意度。结果:两组手术时间、术中出血量、一次取石成功率比较,差异无统计学意义(P>0.05),观察组术后并发症发生率低于对照组(P<0.05),观察组干预后预防结石知信行评分及自我护理能力评分高于对照组(P<0.05)。观察组术后3个月、6个月的结石复发率低于对照组(P<0.05),而观察组护理满意度高于对照组(P<0.05)。结论:以格林模式为指导的健康教育能有效提升PCNL病人预防结石知信行水平及自我护理能力,从而有效预防病人术后并发症及结石复发,提升病人护理满意度。

基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期患者中的应用

目的探究基于知信行模式的3H护理在慢性阻塞性肺疾病急性加重期(AECOPD)患者中的应用价值。方法选取医院2019至2022年收治的73例AECOPD患者作为研究对象,随机分为观察组(n=37)和对照组(n=36)。对照组采用常规护理方式,观察组采用基于知信行模式的3H护理,比较2组患者心理弹性、生活质量、自护能力、自我效能。结果干预后2组患者心理弹性、生活质量、自护能力、自我效能得分较干预前均有升高(P<0.05),且观察组更高(P<0.05);结论相比于应用常规护理,应用基于知信行模式的3H护理对于AECOPD患者而言,更能提升心理韧性、改善生活质量、提升自护能力、提高自我效能,适合在临床推广使用。

基于LERANS模式的健康教育在卒中恢复期患者中的应用效果

目的:观察基于LERANS模式的健康教育在卒中恢复期患者中的应用效果。方法:选取2021年1月至2022年3月该院收治的78例卒中恢复期患者进行前瞻性研究,按照随机数字表法将其分对照组和观察组各39例。对照组实施常规护理,观察组在对照组基础上实施基于LERANS模式的健康教育。比较两组护理前后知信行、自我效能[脑卒中康复自我效能量表(SSEQ)]、生命质量[卒中专用生命质量量表(SS-QOL)]评分,以及护理满意度。结果:护理后,观察组知识、信念、行为等知信行评分和SSEQ、SS-QOL评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为100.00%(39/39),高于对照组的84.62%(33/39),差异有统计学意义(P<0.05)。结论:基于LERANS模式的健康教育应用于卒中恢复期患者可提高知信行、自我效能、生命质量评分和护理满意度,效果优于常规护理。

知信行健康宣教对轮状病毒肠炎患儿家属健康教育知识知晓度的影响研究

研究知信行健康宣教对轮状病毒肠炎患儿家属健康教育知识知晓度的影响。选取2021年6月—2023年10月广西壮族自治区南溪山医院收治的40例轮状病毒肠炎患儿为研究对象。采用随机数字表法将患儿分为两组,分别为对照组(n=20,实施常规宣教)和试验组(n=20,实施知信行健康宣教),比较两组患儿家属知识掌握程度和健康知识水平。结果显示,试验组患儿家属对知识的掌握情况优于对照组(P<0.05);护理前,两组患儿家属的健康知识水平比较,无统计学差异(P>0.05);护理后,试验组患儿家属的健康知识水平评分高于对照组(P<0.05)。研究发现,知信行健康宣教模式可增加轮状病毒肠炎患儿家属对疾病相关知识的了解,促使患儿更快康复。

知信行健康教育护理在冠状动脉旁路移植术患者中的应用效果

目的:观察知信行健康教育护理在冠状动脉旁路移植术(CABG)患者中的应用效果。方法:回顾性分析2021年3月至2022年2月该院收治的92例CABG患者的临床资料,按照护理方法不同将其分为观察组与对照组各46例。对照组实施常规护理,观察组在对照组基础上实施知信行健康教育护理,两组均护理至患者出院。比较两组护理依从率,护理前后应对方式[医学应对问卷(MCMQ)]评分、自护能力[自我护理能力测定量表(ESCA)]评分,护理满意度,以及主要心血管不良事件发生率。结果:观察组护理依从率为95.65%(44/46),高于对照组的78.26%(36/46),差异有统计学意义(P<0.05);护理后,观察组面对评分高于对照组,回避、屈服评分均低于对照组,差异有统计学意义(P<0.05);护理后,观察组自我概念、自我责任感、自我护理技能、健康知识水平等ESCA各维度评分均高于对照组,差异有统计学意义(P<0.05);观察组护理满意度为97.83%(45/46),高于对照组的82.61%(38/46),差异有统计学意义(P<0.05);观察组心脏不良事件发生率为4.35%(2/46),低于对照组的19.57%(9/46),差异有统计学意义(P<0.05)。结论:在常规护理基础上实施知信行健康教育护理可提高CABG患者护理依从率、自护能力评分和护理满意度,改善应对方式评分,降低主要心血管不良事件发生率,效果优于单纯常规护理。