Cox健康行为互动模式在心绞痛男性吸烟患者中的应用研究  

Study of the Cox health behavior interaction model in male smoking patients with angina pectoris

作　　者：张雪梅 王新霞[2] 张敏[3] 张芳[3] ZHANG Xuemei;WANG Xinxia;ZHANG Min;ZHANG Fang(School of Nursing,Binzhou Medical University,Shandong,Yantai 264003,China;Cardiovascular Medicine Department,Binzhou Medical University Hospital,Shandong,Binzhou 256600,China;Department of Nursing,Binzhou Medical University Hospital,Shandong,Binzhou 256600,China)

机构地区：[1]滨州医学院护理学院,山东烟台264003 [2]滨州医学院附属医院心血管内科,山东滨州256600 [3]滨州医学院附属医院护理部,山东滨州256600

出　　处：《中国医药科学》2023年第17期144-147,151,共5页China Medicine And Pharmacy

摘　　要：目的 探讨Cox健康行为互动模式(Cox-IMCHB)在心绞痛男性吸烟患者中的应用效果。方法 采用便利抽样法选取2021年10月至2022年3月在滨州医学院附属医院心内科收治的86例心绞痛男性吸烟患者作为研究对象,随机分为对照组(n=43)和观察组(n=43),对照组采取常规的健康教育,观察组在常规护理的基础上,实施Cox-IMCHB进行健康教育。比较两组干预前后尼古丁依赖程度[尼古丁依赖评估表(FTND)]、心绞痛发生情况[西雅图心绞痛量表(SAQ)]、血脂水平。结果 观察组FTND评分低于对照组(P <0.05);观察组SAQ中疾病认知程度、躯体受限程度、心绞痛发作情况、心绞痛稳定状态、治疗满意度评分高于对照组(P <0.05);观察组总胆固醇(TC)、三酰甘油(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)水平明显优于对照组(P <0.05)。结论 将Cox-IMCHB应用于心绞痛男性吸烟患者中,可以降低患者尼古丁依赖程度,降低血脂水平,减轻心绞痛发作情况,提高患者生活质量,值得临床推广。Objective To explore the effectiveness of the Cox health behavior interaction model(Cox-IMCHB)in male smoking patients with angina pectoris.Methods A total of 86 male smoking patients with angina pectoris admitted to the Department of Cardiology of Binzhou Medical University Hospital from October 2021 to March 2022 were selected for the study using a convenience sampling method and were randomly divided into a control group(n=43)and an experimental group(n=43).The control group was given conventional health education,while the experimental group received health education using Cox-IMCHB in addition to conventional care.The degree of nicotine dependence(fagerstrom test of nicotine dependence[FTND]),incidence of angina pectoris(Seattle angina scale[SAQ]),and lipid levels before and after the treatment were compared between the two groups.Results FTND score were lower in the experimental group than in the control group(P<0.05).In addition,disease perception,somatic activity,seizures,stability and satisfaction scores in the SAQ were higher in the experimental group than in the control group(P<0.05).The levels of total cholesterol(TC),triglycerides(TG),low-density lipoprotein cholesterol(LDL-C)and high-density lipoprotein cholesterol(HDL-C)in the experimental group were significantly higher than those in the control group(P<0.05).Conclusion The use of Cox-IMCHB in male smoking patients with angina can reduce nicotine dependence,lower blood lipid levels,lessen the incidence of angina and improve the quality of life of patients,which is worthy of clinical promotion.

关 键 词：COX健康行为互动模式 心绞痛 吸烟 尼古丁依赖 

分 类 号：R473.5[医药卫生—护理学]