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首页> 外文期刊>Iranian journal of public health. >Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure
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Effect of Health Education Based on Behavioral Change Theories on Self-Efficacy and Self-Management Behaviors in Patients with Chronic Heart Failure

机译:基于行为改变理论的健康教育对慢性心力衰竭患者自我效能和自我管理行为的影响

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Background: We aimed to explore the effect of health education and nursing intervention model based on behavioral change theories on self-efficacy and self-management behaviors in patients with chronic heart failure. Methods: Eighty-six patients with chronic heart failure treated in the First Hospital Affiliated to Harbin Medical University (Harbin, China) from November 2016 to January 2018 were enrolled in this study. The patients were evenly divided into control group and observation group (43 patients in each group), according to the random number table method. Patients in the control group received a routine health education intervention. Patients in the observation group received health education based on behavioral change theories in addition to the routine nursing intervention. The health education included mastering of the disease-related theoretical knowledge, daily self-management and exercising guidance. After 8 weeks of intervention, the self-efficacy level, self-management ability and quality of life were assessed and compared between the two groups. Results: The self-management behavior score in the observation group was higher than those in the control group (P=0.002). The chronic disease general self-efficacy (GSE) score in the observation group was higher than those in the control group (P=0.002). The quality of life (MHL) score was in the observation group was higher than those in the control group. The patient satisfaction score in the observation group was higher than those in the control group (P=0.021). Conclusion: Health education based on behavioral change theories can relieve symptoms of chronic heart failure, and improve patients’ self-efficacy level, self-management ability and patient satisfaction.
机译:背景:我们旨在探讨基于行为改变理论的健康教育和护理干预模型对慢性心力衰竭患者自我效能和自我管理行为的影响。方法:纳入2016年11月至2018年1月在哈尔滨医科大学附属第一医院(中国哈尔滨)治疗的86例慢性心力衰竭患者。根据随机数字表法将患者平均分为对照组和观察组(每组43例)。对照组患者接受常规健康教育干预。观察组患者除常规护理干预外,还根据行为改变理论接受了健康教育。健康教育包括掌握与疾病有关的理论知识,日常自我管理和锻炼指导。干预8周后,评估并比较两组的自我效能水平,自我管理能力和生活质量。结果:观察组的自我管理行为得分高于对照组(P = 0.002)。观察组慢性病一般自我效能感(GSE)评分高于对照组(P = 0.002)。观察组的生活质量(MHL)评分高于对照组。观察组患者满意度得分高于对照组(P = 0.021)。结论:基于行为改变理论的健康教育可以缓解慢性心力衰竭症状,提高患者的自我效能水平,自我管理能力和患者满意度。

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