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辽阳市中心医院特需病房
纸质出版日期:2021,
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郎朗, 于冰, 王丹. 知信行模式联合同质化健康教育模式在冠心病合并心力衰竭患者中的应用[J]. 保健医学研究与实践, 2021,18(6):130-133.
Lang Lang, Yu Bing, Wang Dan. Application of KAP model combined with homogeneous health education model in patients with coronary heart disease combined with heart failure[J]. Health Medicine Research and Practice, 2021,18(6):130-133.
郎朗, 于冰, 王丹. 知信行模式联合同质化健康教育模式在冠心病合并心力衰竭患者中的应用[J]. 保健医学研究与实践, 2021,18(6):130-133. DOI:
Lang Lang, Yu Bing, Wang Dan. Application of KAP model combined with homogeneous health education model in patients with coronary heart disease combined with heart failure[J]. Health Medicine Research and Practice, 2021,18(6):130-133. DOI:
目的探讨知信行模式联合同质化健康教育模式对冠心病合并心力衰竭患者左心室功能及凝血功能的影响。方法选取辽宁省某医院2019年8月—2020年8月收治的120例冠心病合并心力衰竭患者为研究对象
采用随机数字表法分为对照组和观察组
每组60例。对照组患者给予常规护理干预
观察组给予知信行模式联合同质化健康教育模式干预
2组患者均干预14 d。比较2组患者的治疗效果及干预前后左心室功能、凝血功能及生活质量。结果观察组患者治疗总有效率为91.67%
高于对照组的76.67%
差异有统计学意义(χ
2
=5.065
P=0.024)。2组患者干预后左心室室间隔厚度(IVST)、左心室收缩末期容积指数(LVESVI)、左心室舒张末期容积指数(LVEDVI)小于干预前
且观察组小于对照组
差异均有统计学意义(P
<
0.05)。2组患者干预后血浆血浆D-二聚体(D-D)、纤维蛋白原(FIB)水平低于干预前且观察组低于对照组
凝血酶原时间(PT)长于干预前且观察组长于对照组
差异均有统计学意义(P
<
0.05)。2组患者干预后生存质量问卷(QLO-C30)中总体健康、社会功能、认知功能维度评分高于干预前
且观察组高于对照组
差异均有统计学意义(P
<
0.05)。结论知信行模式联合同质化健康教育模式用于冠心病合并心力衰竭患者的干预中
可有效改善患者左心室功能及凝血功能
促进患者康复。
Objective To investigate the effects of the Knowledge-Attitude-Practice(KAP) model combined with the homogenized health education model on the left ventricular function and coagulation function in patients with coronary heart disease combined with heart failure. Methods One hundred and twenty patients with coronary heart disease combined with heart failure admitted to a hospital in Liaoning Province from August 2019 to August 2020 were selected as study subjects and divided into a control group and an observation group using the random number table method
with 60 cases in each group. The patients in the control group were given conventional nursing intervention
while the patients in the observation group were given the intervention of KAP mode combined with homogenized health education mode
and both groups were intervened for 14 days. The treatment efficacy
left ventricular function
coagulation function
and quality of life of the patients in the two groups were compared before and after the intervention. Results The total effective rate of treatment in the observation group was 91.67%
which was higher than that in the control group(76.67%)
and the difference was statistically significant(χ
2
=5.065
P=0.024). In both groups
left ventricular septum(IVST)
left ventricular end-systolic volume index(LVESVI) and left ventricular end-diastolic volume index(LVEDVI) were smaller than before the intervention
and they were smaller in the observation group than in the control group
and the differences were statistically significant(P
<
0.05). The D-D
FIB were lower in the two groups than before the intervention
and lower in the observation group than the control group(P
<
0.05).The PT was longer in the two groups than betore the intervention
and longer in the observation group than the control group(P
<
0.05). The scores in the overall health
social function
and cognitive function dimensions in the Quality-of-Life Questionnaire(QLO-C30) were higher in the two groups than before the intervention
and higher in the observation group than the control group
and the difference was statistically significant(P
<
0.05). Conclusion The KAP model combined with homogeneous health education model intervention for heart failure of coronary heart disease can effectively improve the left ventricular function and coagulation function of patients
thus promoting patients’ recovery.
冠心病心力衰竭同质化健康教育知信行模式左心室功能凝血功能
coronary heart diseaseheart failureHomogeneous health educationKAP modelLeft ventricular functionCoagulation function
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