老年冠心病患者采取行为转变理论干预的效果及对心功能的影响  

The effect of behavioral change theory intervention on elderly patients with coronary heart disease and its impact on cardiac function

作　　者：郭晓纯 李小清 GUO Xiaochun;LI Xiaoqing(Third Ward,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350108,China;Pulmonary Function Room,the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine,Fujian,Fuzhou 350108,China)

机构地区：[1]福建中医药大学附属第三人民医院三病区,福建福州350108 [2]福建中医药大学附属第三人民医院肺功能室,福建福州350108

出　　处：《中国医药科学》2024年第7期119-122,143,共5页China Medicine And Pharmacy

摘　　要：目的评价老年冠心病患者采取行为转变理论干预的效果及对心功能的影响。方法选取福建中医药大学附属第三人民医院2021年4月至2022年12月收治的80例老年冠心病患者为研究对象。按随机数表法分为观察组(40例)和对照组(40例)。对照组患者进行常规护理,观察组患者实施基于行为转变理论的护理干预,评价两组患者干预前后的安全用药知识、服药依从性和服药行为正确率。结果观察组患者在干预后和干预后1个月的安全用药知识得分、服药依从性得分和服药行为得分均高于对照组,差异有统计学意义(P<0.05)。两组干预前心功能指标水平比较,差异无统计学意义(P>0.05);干预后观察组左室射血分数(LVEF)较对照组低,左室收缩末期内径(LVESD)、左室收缩末期容积(LVESV)较对照组高,差异有统计学意义(P<0.05)。结论基于行为转变理论的护理干预可提高老年冠心病患者的安全用药知识和服药依从性,帮助患者形成较好的服药行为,进而改善患者心功能指标,值得临床借鉴。Objective To evaluate the effect of behavioral change theory intervention on elderly patients with coronary heart disease and its impact on cardiac function.Methods A total of 80 elderly patients with coronary heart disease admitted to the Third Affiliated People’s Hospital of Fujian University of Traditional Chinese Medicine from April 2021 to Decem ber 2022 were selected as the research subjects,and divide into observation group(40 cases)and control group(40 cases)according to the random number table method.The patients in the control group received routine nursing,while the patients in the observation group received nursing interventions based on behavioral change theory.The knowledge of safe medication,medication compliance,and correct rate of medication behavior of the two groups of patients before and after the intervention were evaluated.Results The scores of the knowledge of safe medication,medication compliance,and medication behavior of the observation group were higher than another group after the intervention and one month after the intervention,with differences were statistically significant(P<0.05).After the intervention,the left ventricular ejection fraction(LVEF)of the observation group was lower than that of the control group,while the left ventricular end-systolic diameter(LVESD)and left ventricular endsystolic volume(LVESV)were higher than those of the control group,with significant differences between the groups(P<0.05).Conclusion Nursing interventions based on behavioral change theory can improve the knowledge of safe medication and medication compliance of elderly patients with coronary heart disease,help them form good medication behavior,and thereby improve their cardiac function indicators,which is worth clinical reference.

关 键 词：行为转变理论 服药依从性 服药行为 心功能 

分 类 号：R473.5[医药卫生—护理学]