跨理论模型为向导的健康教育对慢性心力衰竭患者疾病不确定感、健康相关行为的影响  

Effect of trans-theoretical model health education on disease uncertainty and health-related behaviors of chronic heart failure patients

作　　者：张丽文 吴伟东 ZHANG Liwen;WU Weidong(Department of Cardiovascular Medicine,Guangzhou Red Cross Hospital,Guangdong Province,Guangzhou 510000,China)

机构地区：[1]广州市红十字会医院心血管内科,广东广州510000

出　　处：《中国当代医药》2025年第1期181-185,共5页China Modern Medicine

摘　　要：目的观察跨理论模型(TTM)为向导的健康教育对慢性心力衰竭(CHF)患者疾病不确定感、健康相关行为的影响。方法选取2021年3月至2023年2月广州市红十字会医院心血管内科收治的96例CHF患者作为研究对象,按照随机数字表法分为观察组与对照组,每组各48例,对照组予以常规干预,观察组在其基础上予以TTM为向导的健康教育,比较两组患者干预前后疾病不确定感量表评分、健康相关行为评分、明尼苏达心力衰竭生活质量量表(MLWHF)评分及满意度。结果观察组干预后疾病不确定感评分、MLWHF评分低于对照组,差异有统计学意义(P<0.05);观察组干预后健康相关行为评分高于对照组,差异有统计学意义(P<0.05);观察组患者总满意度高于对照组,差异有统计学意义(P<0.05)。结论TTM为向导的健康教育能够有效减少CHF患者疾病不确定感,提高其健康相关行为水平及生活质量。Objective To observe the effect of trans-theoretical model(TTM)health education on disease uncertainty and health-related behaviors of chronic heart failare(CHF)patients.Methods A total of 96 CHF patients admitted to the Department of Cardiovascular Medicine,Guangzhou Red Cross Hospital from March 2021 to February 2023 were selected as the study objects and they were divided into observation group and control group according to random number table method,with 48 cases in each group.The control group was given routine intervention,and the observation group was given TTM as the guide health education on the basis of routine intervention.The score of disease uncertainty scale,health-related behavior score,Minnesota living with heart failure questionnaire(MLWHF)score and satisfaction before and after intervention were compared between the two groups.Results After intervention,the disease uncertainty score and MLWHF score of the observation group were lower than those of the control group,and the differences were statistically significant(P<0.05).The score of health-related behavior in the observation group was higher than that in the control group after intervention,and the difference was statistically significant(P<0.05).The total satisfaction of patients in observation group was higher than that in control group,and the difference was statistically significant(P<0.05).Conclusion The TTM health education can effectively reduce the disease uncertainty of CHF patients and improve their level of health-related behavior and quality of life.

关 键 词：慢性心力衰竭 跨理论模型 健康教育 疾病不确定感 健康相关行为 

分 类 号：R541[医药卫生—心血管疾病]