基于症状管理策略的健康教育对慢性心力衰竭患者自我护理行为和生活质量的影响  

Effects of health education based on symptom management strategies on self-care behavior and quality of life of patients with chronic heart failure

作　　者：田焕 蔡建平 赵兰兰 张竺 杨巧芳 Tian Huan;Cai Jianping;Zhao Lanlan;Zhang Zhu;Yang Qiaofang(Heart Failure Department,Fuwai Central China Cardiovascular Hospital&Heart Center of Henan Provincial People's Hospital&Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450000,China;Nursing Department,Fuwai Central China Cardiovascular Hospital&Heart Center of Henan Provincial People's Hospital&Central China Fuwai Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]阜外华中心血管病医院,河南省人民医院心脏中心,郑州大学华中阜外医院心力衰竭科,郑州450000 [2]阜外华中心血管病医院,河南省人民医院心脏中心,郑州大学华中阜外医院护理部,郑州450000

出　　处：《中华现代护理杂志》2021年第9期1206-1210,共5页Chinese Journal of Modern Nursing

基　　金：2019年河南省医学科技攻关计划联合共建项目(LHGJ20190769);2019年河南省医学科技攻关计划省部共建项目(SB201901100)。

摘　　要：目的探讨基于症状管理策略的健康教育对慢性心力衰竭患者自我护理行为和生活质量的影响。方法采用便利抽样法,选取2019年5月-2020年5月阜外华中心血管病医院收治的慢性心力衰竭患者300例为研究对象。根据随机数字表法将其分为对照组和观察组各150例,对照组给予常规健康宣教,观察组在对照组基础上应用基于症状管理策略的健康教育。干预前后采用自我护理能力测定量表(ESCA)、明尼芬达心力衰竭患者生活质量测评量表(MLHFQ)比较干预的效果。结果出院后3个月,观察组患者ESCA和MLHFQ总分及各维度得分均高于对照组,差异有统计学意义(P<0.05)。结论基于症状管理策略的健康教育能提高慢性心力衰竭患者自我护理能力和生活质量。Objective To explore the effect of health education based on symptom management strategies on the self-care behavior and quality of life of patients with chronic heart failure.Methods From May 2019 to May 2020,the convenience sampling method was used to select 300 patients with chronic heart failure admitted to Fuwai Central China Cardiovascular Hospital as the research objects.According to the random number table method,patients were divided into control group and observation group,each with 150 cases.Control group was given regular health education,and observation group applied health education based on symptom management strategies on the basis of control group.Before and after intervention,the Exercise of Selfcare Agency Scale(ESCA)and the Minnesota Living with Heart Failure Questionnaire(MLHFQ)were used to compare the effects of the intervention.Results Three months after discharge,the total ESCA score,and the MLHFQ total score and each dimension score of patients in observation group were higher than those of control group,and the differences were statistically significant(P<0.05).Conclusions Health education based on symptom management strategies can improve the self-care ability and quality of life of patients with chronic heart failure.

关 键 词：慢性心力衰竭 症状管理 健康教育 自我护理 生活质量 

分 类 号：R473.5[医药卫生—护理学]