基于健康信念模式的健康教育对永久性心脏起搏器植入术患者自我效能感及心理状态的影响  

Effect of health education based on health belief model on self-efficacy and psychological state of patients undergoing permanent pacemaker implantation

作　　者：李娜[1] LI Na(First Department of Cardiology,Anhui Wanbei Coal and Electricity Group General Hospital,Suzhou Anhui 234000,China)

机构地区：[1]安徽皖北煤电集团总医院心内一科,安徽宿州234000

出　　处：《临床与病理杂志》2021年第6期1369-1375,共7页Journal of Clinical and Pathological Research

摘　　要：目的:探讨基于健康信念模式的健康教育对永久性心脏起搏器植入术患者自我效能感及心理状态的影响。方法:选择安徽皖北煤电集团总医院2018年1月至2020年9月收治的接受永久性心脏起搏器植入术患者120例为研究对象,随机均分为对照组与实验组,对照组给予常规健康教育,实验组给予基于健康信念模式的健康教育。观察两组患者自我效能感、心理韧性程度、心理状态、总并发症发生率及护理满意度。结果:干预后,实验组自我效能感量表(General Self-Efficacy Scale,GSES)和Connor-Dav idson韧性量表(Connor-Davidson Resilience Scale,CD-RISC)评分均高于对照组,差异均有统计学意义(均P<0.05);干预后,实验组焦虑自评量表(Self-rating Anxiety Scale,SA S)及抑郁自评量表(Self-rating Depression Scale,SDS)评分均低于对照组,差异均有统计学意义(均P<0.05);干预期间,实验组患者并发症总发生率低于对照组,差异有统计学意义(P<0.05);实验组患者满意度高于对照组,差异有统计学意义(P<0.05)。结论:基于健康信念模式的健康教育可以提高患者自信心,改善患者负面情绪,同时降低患者术后并发症的出现,提升患者满意度。Objective:To explore the influence of health education based on health belief model on self-efficacy and psychological state of patients undergoing permanent pacemaker implantation.Methods:A total of 120 patients who received permanent cardiac pacemaker implantation in our hospital from January 2018 to September 2020 were selected and randomly divided into a control group(n=60)and an experimental group(n=60).The control group was given conventional health education,while the experimental group was given health education based on health belief model.The self-efficacy,psychological resilience,psychological state,total complication rate and nursing satisfaction of the 2 groups were observed.Results:After the intervention,the scores of General SelfEfficacy Scale(GSES)and Connor-Davidson Resilience Scale(CD-RISC)in the experimental group were higher than those in the control group(P<0.05).After the intervention,the scores of Self-rating Anxiety Scale(SAS)and Self-rating Depression Scale(SDS)in the experimental group were lower than those in the control group(P<0.05).During the intervention period,the total incidence of complications(urinary retention,pneumothorax,local bleeding,abdominal distension,and limb pain on the operation side)in the experimental group was lower than that in the control group(P<0.05).The satisfaction of patients in the experimental group was higher than that in the control group(P<0.05).Conclusion:Health education based on health belief model can improve patients’self-confidence,improve patients’negative emotions,reduce postoperative complications,and improve patients’satisfaction.

关 键 词：健康教育 健康信念模式 永久性心脏起搏器 自我效能 心理状态 

分 类 号：R473.5[医药卫生—护理学]