信息-动机-行为模式干预对慢性心力衰竭患者心理负担和健康信念的影响  

Effects of information-motivation-behavior model intervention on psychological burden and health belief of patients with chronic heart failure

作　　者：杨丽丽[1] 赵思 YANG Lili;ZHAO Si(Department of Cardiovascular Medicine,First Affiliated Hospital of Nanyang Medical College,Nanyang 473000,China;Department of Cardiovascular Medicine,Central Hospital Affiliated to Zhengzhou University)

机构地区：[1]南阳医学高等专科学校第一附属医院心血管内科,473000 [2]郑州大学附属中心医院心血管内科

出　　处：《中国健康心理学杂志》2024年第3期398-403,共6页China Journal of Health Psychology

基　　金：河南省卫生和计划生育委员会(编号:201806468)。

摘　　要：目的:分析信息-动机-行为模式干预对慢性心力衰竭患者心理负担和健康信念的影响。方法:将2022年1月-2023年1月某院收治的80例慢性心力衰竭患者依据入院先后顺序分组。对照组40例予以常规临床干预,观察组40例在此基础上予以信息-动机-行为模式干预。比较两组干预前后的心理负担、健康信念、应对方式、依从性及生活质量。结果:干预后观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分低于对照组(t=-3.390,-4.355;P<0.05),健康信念量表各维度评分高于对照组(t=6.326,10.496,5.166,6.881,5.427;P<0.05),积极应对评分高于对照组,消极应对评分低于对照组(t=6.181,-7.647;P<0.05),用药知识、用药依从意愿及用药依从性评分高于对照组(t=6.412,5.605;P<0.05),生活质量量表(WHOQOL-BREF)各维度评分高于对照组(t=8.389,8.141,11.241,7.734;P<0.05)。结论:信息-动机-行为模式干预可减轻慢性心力衰竭患者的心理负担,提升其健康信念,改善其应对方式及依从性,且有助于患者生活质量的提高。Objective:To analyze the effect of information-motivation-behavior model intervention on psychological burden and health beliefs of patients with chronic heart failure.Methods:A total of 80 patients with chronic heart failure admitted to our hospital from January 2022 to January 2023 were divided into groups according to the order of admission.The 40 patients in thecontrol group was given routine clinical intervention,and the 40 patients in the observation group was given information-motivation-behavior model intervention on this basis.The psychological burden,health belief,coping style,compliance and quality of life of the two groups were compared before and after the intervention.Results:After intervention,the scores of the Self-Rating Anxiety Scale(SAS)and the Self-Rating depression Scale(SDS)in the observation group were lower than those in the control group(t=-3.390,-4.355;P<0.05);the scores of all dimensions of the health belief scale in the observation group were higher than those in the control group(t=6.326,10.496,5.166,6.881,5.427;P<0.05);the score of positive coping in the observation group was higher than that in the control group,while the score of negative coping was lower than that in the control group(t=6.181,-7.647;P<0.05);the scores of medication knowledge,medication compliance intention and medication compliance in the observation group were higher than those in the control group(t=6.412,5.605;P<0.05);the scores of all dimensions of the quality of life scale(WHOQOL-BREF)in the observation group were higher than those in the control group(t=8.389,8.141,11.241,7.734;P<0.05).Conclusion:Information-motivation-behavior model intervention can reduce the psychological burden of patients with chronic heart failure,improve their health beliefs,improve their coping style and compliance,and help improve their quality of life.

关 键 词：慢性心力衰竭 信息-动机-行为模式 心理负担 健康信念 应对方式 依从性 生存质量 

分 类 号：R395.5[哲学宗教—心理学] R749.92[医药卫生—医学心理学]