自我效能理论下健康教育对稳定性劳累型心绞痛患者的影响  

Effect of Health Education Under Self-efficacy Theory on Patients with Stable Exertional Angina Pectoris

作　　者：陈诗仪 任珂珂 赵培 Chen Shiyi;Ren Keke;Zhao Pei(Department of Cardiology,Kaiyuan Branch of The First Affiliated Hospital of Henan University of Science and Technology,Luoyang,Henan,471000,China)

机构地区：[1]河南科技大学第一附属医院开元院区心内科,河南洛阳471000

出　　处：《黑龙江医学》2024年第2期208-211,共4页Heilongjiang Medical Journal

摘　　要：目的:分析自我效能理论下健康教育对稳定性劳累型心绞痛患者的影响。方法:选取2020年3月—2022年3月河南科技大学第一附属医院开元院区心内科收治的91例稳定性劳累型心绞痛患者作为研究对象,随机分为常规组(45例)和教育组(46例)。常规组患者以常规健康教育干预,教育组患者以自我效能理论的健康教育干预,两组患者均干预1个月。比较干预前后两组患者疾病控制能力[患者赋权量表(CES)]、自我护理能力[自我护理能力评分(ESCA)]、健康行为情况[健康促进生活方式量表Ⅱ(HPLPⅡ)]。比较干预期间两组患者心绞痛症状总发生率(胸闷、气短、压榨样疼痛)。结果:干预后,两组CES评分较干预前显著升高,差异有统计学意义(t=2.997、2.324、2.458、2.331、2.698、3.249,P<0.05);干预后,两组患者ESCA评分较干预前显著升高,差异有统计学意义(t=2.642、3.347、2.748、2.765,P<0.05);干预后,两组患者HPLPⅡ评分较干预前显著升高,差异有统计学意义(t=2.543、2.895、2.900、2.639、2.924、2.714,P<0.05);干预后,教育组患者心绞痛症状总发生率显著低于常规组,差异有统计学意义(χ^(2)=5.697,P<0.05)。结论:自我效能理论的健康教育干预稳定性劳累型心绞痛患者可有效提高其疾病控制能力,增改善患者健康行为,有利于降低其心绞痛发作风险。Objective:To analyze the effect of health education under self-efficacy theory on patients with stable exertional angina.Methods:91 patients with stable exertional angina admitted to the hospital from March 2020 to March 2022 were selected as the study subjects and randomly divided into the conventional group(45 cases)and the educational group(46 cases).Patients in the conventional group were intervened with conventional health education,and patients in the education group were intervened with health education on self-efficacy theory,and both groups were intervened for 1 month.The disease control ability(patient empowerment scale[CES]),self-care ability(self-care ability score[ESCA]),and health behaviors(Health Promotion Lifestyle ScaleⅡ[HPLPⅡ])were compared between the two groups before and after the intervention.The total incidence of angina symptoms(chest tightness,shortness of breath,and pressure-like pain)was compared between the two groups during the intervention period.Results:After the intervention,CES score were significantly higher in both groups compared to the pre-intervention period,and the difference was statistically significant(t=2.997,2.324,2.458,2.331,2.698,3.249,P<0.05).After the intervention,ESCA scores were significantly higher in both groups compared to pre-intervention,and the difference was statistically significant(t=2.642,3.347,2.748,2.765,P<0.05).After the intervention,HPLPⅡscores were significantly higher in both groups compared to pre-intervention,and the difference was statistically significant(t=2.543,2.895,2.900,2.639,2.924,2.714,P<0.05).After the intervention,the total incidence of angina symptoms in patients in the education group was significantly lower than that in the conventional group,and the difference was statistically significant(χ^(2)=5.697,P<0.05).Conclusion:Self-efficacy theory of health education intervention for patients with stable exertional angina can effectively improve their disease control,increase improve patients’health behaviors,and contribute to re

关 键 词：自我效能理论 健康教育 稳定性劳累型心绞痛 疾病控制能力 

分 类 号：R54[医药卫生—心血管疾病]