知信行健康管理干预在Ⅲ度房室传导阻滞行永久性起搏器术后患者中的应用  

Application of Knowledge,Attitude,Belief and Practice Health Management Intervention in Patients with Third Degree Atrioventricular Block after Permanent Pacemaker

作　　者：高兰芳 GAO Lanfang(The Second Affiliated Hospital of the University of South China,Hengyang 421001,China)

机构地区：[1]南华大学附属第二医院,湖南衡阳421001

出　　处：《中外医学研究》2024年第14期87-90,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨知信行健康管理干预在Ⅲ度房室传导阻滞行永久性起搏器术后患者中的应用。方法:选取2020年6月—2022年10月南华大学附属第二医院收治的92例Ⅲ度房室传导阻滞患者作为研究对象,根据随机数表法将患者分为研究组和参照组,各46例。参照组采用术后常规护理措施,研究组在参照组基础上给予知信行健康管理干预,比较两组干预前后左室射血分数(LVEF)、6分钟步行距离(6MWD)和自我护理水平,评价两组护理依从性,并对两组并发症发生情况进行比较。结果:干预后,两组LVEF和6MWD较干预前改善,且研究组LVEF和6MWD均优于参照组,差异有统计学意义(P<0.05)。干预后,两组自护能力较干预前改善,且研究组自我概念、健康知识程度、自护技能和自护责任感评分高于参照组,差异有统计学意义(P<0.05)。研究组护理总依从率为95.65%,高于参照组的76.09%,差异有统计学意义(χ^(2)=8.265,P=0.016)。研究组并发症发生率为6.52%,低于参照组的23.91%,差异有统计学意义(χ^(2)=5.333,P=0.021)。结论:知信行健康管理干预可提高Ⅲ度房室传导阻滞行永久性起搏器术后患者护理依从性和自护能力水平,改善心功能,减少并发症。Objective:To investigate the application of knowledge,attitude,belief and practice health management intervention in patients with third degree atrioventricular block after permanent pacemaker.Method:Ninety-two patients with third degree atrioventricular block after permanent pacemaker who admitted to the Second Affiliated Hospital of the University of South China from June 2020 to October 2022 were selected as the study objects,and they were divided into the observation group and the reference group according to random number table method,with 46 cases in each group.The control group was given postoperative routine nursing measures,and the observation group was given knowledge,attitude,belief and practice health management intervention,the left ventricular ejection fraction(LVEF),6 minute walking distance(6MWD)and self-care level were compared between two groups before and after intervention,the nursing compliance of two groups was evaluated,and the complications of two groups were compared.Result:After intervention,the LVEF and 6MWD in two groups were improved compared with those before intervention,and the LVEF and 6MWD in the study group were better than those in the reference group,the differences were statistically significant(P<0.05).After intervention,the self-care ability in two groups were improved compared with those before intervention,and the scores of self-concept,health knowledge,self-care skills and selfcare responsibility in the study group were higher than those in the reference group,the differences were statistically significant(P<0.05).The total nursing compliance rate of the study group was 95.65%,which was significantly higher than 76.09% of the reference group,the difference was statistically significant(χ^(2)=8.265,P=0.016).The complication rate of the study group was 6.52%,which was significantly lower than 23.91% of the reference group,and the difference was statistically significant(χ^(2)=5.333,P=0.021).Conclusion:Knowledge,attitude,belief and practice health management can improve t

关 键 词：知信行健康管理 Ⅲ度房室传导阻滞 永久性起搏器 护理依从性 

分 类 号：R473.6[医药卫生—护理学]