无缝隙健康宣教在慢性心力衰竭患者中的应用效果  

Application Effect of Seamless Health Propaganda and Education in Patients with Chronic Heart Failure

作　　者：李永聪 黄晶晶 卢磊 梁田 黄秀 荆梦晴 李春梅 杨梅英 Li Yongcong;Huang Jingjing;Lu Lei;Liang Tian;Huang Xiu;Jing Mengqing;Li Chunmei;Yang Meiying(Xuzhou Hospital of Traditional Chinese Medicine,Xuzhou 221000,Jiangsu Province,China)

机构地区：[1]徐州市中医院,江苏徐州221000

出　　处：《中国社区医师》2024年第34期145-147,共3页Chinese Community Doctors

基　　金：徐州市卫生健康委项目(编号:XWKYHT20210547)。

摘　　要：目的:探究无缝隙健康宣教在慢性心力衰竭患者中的应用效果。方法:将2022年1月—2023年12月徐州市中医院收治的82例慢性心力衰竭患者随机分成对照组(n=41)和观察组(n=41)。对照组给予常规护理,观察组在对照组基础上给予无缝隙健康宣教。比较两组患者疾病认知度、自护能力及疾病感知控制水平。结果:干预前,两组复杂性、不可预测、不连贯、不明确评分比较,差异无统计学意义(P>0.05);干预后,两组复杂性、不可预测、不连贯、不明确评分下降,且观察组低于对照组(P<0.05)。干预前,两组自我护理维持、自我护理管理、自我护理信心评分比较,差异无统计学意义(P>0.05);干预后,两组自我护理维持、自我护理管理、自我护理信心评分升高,且观察组高于对照组(P<0.05)。干预前,两组心理控制、自我效能感评分比较,差异无统计学意义(P>0.05);干预后,两组心理控制、自我效能感评分升高,且观察组高于对照组(P<0.05)。结论:无缝隙健康宣教在慢性心力衰竭患者中的应用效果显著,能够有效提高患者疾病认知度、自护能力以及疾病感知控制水平。Objective:To explore the application effect of seamless health propaganda and education in patients with chronic heart failure.Methods:A total of 82 patients with chronic heart failure admitted to Xuzhou Hospital of Traditional Chinese Medicine from January 2022 to December 2023 were randomly divided into control group(n=41)and observation group(n=41).The control group was given routine nursing,and the observation group was given seamless health propaganda and education on the basis of the control group.The disease awareness,self-care ability,and disease perception and control level of the two groups were compared.Results:Before intervention,there was no significant difference in the scores of complexity,unpredictability,inconsistency and ambiguity between the two groups(P>0.05).After intervention,the scores of complexity,unpredictability,inconsistency and ambiguity in the two groups decreased,and the scores in the observation group were lower than those in the control group(P<0.05).Before intervention,there was no significant difference in the scores of self-care maintenance,self-care management,and self-care confidence between the two groups(P>0.05).After intervention,the scores of self-care maintenance,self-care management,and self-care confidence in the two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).Before intervention,there was no significant difference in psychological control and selfefficacy scores between the two groups(P>0.05).After intervention,the psychological control and self-efficacy scores in the two groups increased,and the scores in the observation group were higher than those in the control group(P<0.05).Conclusion:The application of seamless health propaganda and education in patients with chronic heart failure has a significant effect,and can effectively improve patients'disease awareness,self-care ability and disease perception and control level.

关 键 词：无缝隙健康宣教 慢性心力衰竭 疾病认知程度 

分 类 号：R473[医药卫生—护理学]