Neuman理论指导下预对慢性心力衰竭患者自我效能、遵医行为的影响  

Effect of Neuman theory-guided intervention on self-efficacy and compliance behavior in patients with chronic heart failure

作　　者：杨艳[1] 刘永花[1] 徐瑶[1] 徐艳[1] YANG Yan;LIU Yonghua;XU Yao(Department of Cardiology,the First People’s Hospital of Lianyungang,Jiangsu,Lianyungang 222000,China)

机构地区：[1]江苏省连云港市第一人民医院心内科,222000

出　　处：《河北医药》2024年第18期2821-2824,共4页Hebei Medical Journal

摘　　要：目的探究Neuman理论指导下护理干预对慢性心力衰竭患者自我效能、遵医行为的影响。方法选取2021年1月至2022年1月于我院收治慢性心力衰竭患者110例,完全随机法分为对照组和观察组,每组55例,常规组给予常规护理干预,观察组给予Neuman理论指导下护理干预,观察2组一般自我效能感量表(GSES)、遵医行为、日常生活能力(ADL)、匹兹堡睡眠质量指数(PSQI)、焦虑自评量表(SAS)、抑郁自评量表(SDS)、心功能、急性生理学及慢性健康状况评分系统Ⅱ(APACHEⅡ)、生活质量评分及护理满意率。结果观察组生活质量、ADL、GSES评分高于常规组,遵医不佳行为低于常规组,差异有统计学意义(P<0.05)。观察组心功能、APACHEⅡ、PSQI、SAS、SDS评分低于常规组,差异有统计学意义(P<0.05)。观察组护理满意率高于常规组,差异有统计学意义(P<0.05)。结论Neuman理论指导下护理干预对慢性心力衰竭患者,可有效提高自我效能、日常生活能力、降低负面情绪、睡眠质量、遵医不佳行为,改善其心功能,效果显著。Objective To explore the effect of Neuman theory-guided nursing intervention on self-efficacy and compliance behavior in patients with chronic heart failure(CHF).Methods A total of 110 CHF patients admitted to our hospital from January 2021 to January 2022 were randomly divided into control group(routine nursing intervention,n=55)and observation group(Neuman theory-guided nursing intervention,n=55).The general self-efficacy scale(GSEs),compliance behavior,activities of daily living(ADL),Pittsburgh sleep quality index(PSQI),self-rating anxiety scale(SAS),self-rating depression scale(SDS),cardiac function,Acute Physiology and Chronic Health EvaluationⅡ(APACHEⅡ),quality of life score and nursing satisfaction rate were observed in the two groups.Results The quality of life,ADL and GSES scores in the observation group were significantly higher than those of the control group,but the poor compliance behavior of the observation group was significantly lower than that of the control group(P<0.05).The cardiac function,APACHE II,PSQI,SAS and SDS scores in the observation group were significantly lower than those of the control group(P<0.05).The nursing satisfaction rate in the observation group was significantly higher than that of the control group(P<0.05).Conclusion Neuman theory-guided nursing intervention in CHF patients can effectively improve self-efficacy,daily living ability,reduce negative mood,sleep quality,and poor compliance behavior,improve their cardiac function,with a significant effect.

关 键 词：Neuman理论指导下护理干预 慢性心力衰竭 自我效能 遵医行为 

分 类 号：R541.61[医药卫生—心血管疾病]