基于健康行为改变整合理论的永久心脏起搏器植入患者自我管理方案的构建及应用研究

罗勤; 廖力; 刘凤刚; 黄华勇; 胡雅静; 尤泽

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基于健康行为改变整合理论的永久心脏起搏器植入患者自我管理方案的构建及应用研究

护理研究 | 更新时间：2022-11-04

- 基于健康行为改变整合理论的永久心脏起搏器植入患者自我管理方案的构建及应用研究
- Construction and application of a self-management program for patients with permanent pacemaker implantation based on integrated theory of health behavior change
- 保健医学研究与实践 2022年19卷第3期页码：37-41
- 作者机构：
  
  1. 南华大学护理学院
  2. 南华大学附属第一医院急诊科
  3. 南华大学附属第一医院心脏介入影像中心
- 作者简介：
- 基金信息：
- DOI：
  中图分类号： R473.6
- 纸质出版日期：2022，
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罗勤, 廖力, 刘凤刚, 等. 基于健康行为改变整合理论的永久心脏起搏器植入患者自我管理方案的构建及应用研究[J]. 保健医学研究与实践, 2022,19(3):37-41.

Luo Qin, Liao Li, Liu Fenggang, et al. Construction and application of a self-management program for patients with permanent pacemaker implantation based on integrated theory of health behavior change[J]. Health Medicine Research and Practice, 2022,19(3):37-41.
罗勤, 廖力, 刘凤刚, 等. 基于健康行为改变整合理论的永久心脏起搏器植入患者自我管理方案的构建及应用研究[J]. 保健医学研究与实践, 2022,19(3):37-41. DOI：

Luo Qin, Liao Li, Liu Fenggang, et al. Construction and application of a self-management program for patients with permanent pacemaker implantation based on integrated theory of health behavior change[J]. Health Medicine Research and Practice, 2022,19(3):37-41. DOI：

摘要

目的探讨基于健康行为改变整合理论的(ITHBC)的永久心脏起搏器植入(PPM)患者自我管理方案的构建及应用效果。方法选取2020年9月—2021年10月衡阳市某医院收治的70例PPM患者为研究对象

采用随机数字表法分为对照组和观察组

每组各35例。对照组患者给予常规管理干预

观察组患者给予基于ITHBC指导构建的PPM患者自我管理方案进行干预

2组均持续干预1个月。比较2组患者干预前、干预后1个月及6个月时的生活质量[起搏器生存质量量表(QLIPP)]、自我管理水平[自我护理能力量表(ESCA)]、自我效能感[一般自我效能量表(CSES)]

比较2组患者干预后的服药依从性[Morisky用药依从性问卷(MMAS-8)]。结果观察组患者服药依从性优良率为97.14%

明显高于对照组的77.14%

差异有统计学意义(χ2=6.248

P=0.012)。干预前

2组患者QLIPP评分比较

差异无统计学意义(P>0.05);干预1个月、6个月时

2组患者QLIPP评分均高于干预前

且观察组均高于对照组

差异均有统计学意义(P<0.05)。干预前

2组患者ESCA及CSES评分比较

差异均无统计学意义(P>0.05);干预1个月、6个月时

2组患者ESCA及CSES评分均高于干预前

且观察组均高于对照组

差异均有统计学意义(P<0.05)。结论基于ITHBC构建的自我管理方案可有效提高PPM患者自我管理能力、生活质量、自我效能感和服药依从性

值得在临床上推广使用。

Abstract

Objective To explore the construction and effects of a self-management program for patients with permanent pacemaker（PPM） implantation based on the integrated theory of health behavior change（ITHBC）. Methods Seventy patients with PPM admitted to a hospital in Hengyang from September 2020 to October 2021 were selected for the study

and were divided into a control group and an observation group using the random number table method

with 35 cases in each group. Patients in the control group were given conventional management interventions

and patients in the observation group were given a self-management program for PPM patients constructed based on ITHBC as a guide for over interventions

and in both groups the intervention continued for 1 month. The quality of life [quality of life instrument for Chinese patients with pacemaker（QLIPP）]

self-management level [using the Exercise of Self-Care Agency（ESCA）]

and self-efficacy [General Self-Efficacy Scale（CSES）] before and after the intervention at 1 month and 6 months were compared between the 2 groups

and the medication adherence after the intervention [Morisky Medication Adherence Scale（MMAS-8） ] was compared between the 2 groups. Results The excellent medication adherence rate of patients in the observation group was 97.14%

which was significantly higher than that of 77.14% in the control group

and the difference was also statistically significant（χ2=6.248

P=0.012）. Before the intervention

there was no statistically significant difference between the QLIPP scores of patients in the 2 groups（P>0.05）; at 1 month and 6 months of the intervention

the QLIPP scores of patients in the 2 groups were higher than before the intervention and higher in the observation group than in the control group

with statistically significant differences（P<0.05）. Before the intervention

there was no statistically significant difference between the ESCA and CSES scores of the 2 groups; at 1 month and 6 months of the intervention

the ESCA and CSES scores of the 2 groups were higher than before the intervention and higher in the observation group than in the control group

with statistically significant differences（P<0.05）. Conclusion The self-management program constructed based on ITHBC can effectively improve the self-management ability

survival quality

self-efficacy and medication adherence of PPM patients

and it is worthy to be promoted in clinical use.

关键词

永久心脏起搏器植入健康行为改变整合理论方案构建自我管理方案

Keywords

Permanent pacemaker implantationIntegrated theory of health behavior changeProgram constructionSelf-management program

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