基于赋能理论的延续护理干预对射血分数降低的心力衰竭患者自我管理能力及遵医嘱行为的影响  

Effect of Extended Care Intervention of Enabling Theory on Self-management Ability and Physician Compliance Behavior in Patients with Heart Failure with Reduced Ejection Fraction

作　　者：李莎莎[1] 任海燕 LI Shasha;REN Haiyan(Cardiovascular Department Ward 1,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China;Department of Cardiology,the Second Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)

机构地区：[1]郑州大学第二附属医院心血管内科一病区,河南郑州450000 [2]郑州大学第二附属医院心内科,河南郑州450000

出　　处：《河南医学研究》2025年第2期374-377,共4页Henan Medical Research

摘　　要：目的回顾性分析基于赋能理论的延续护理模式干预在射血分数降低的心力衰竭中的临床应用效果。方法选取郑州大学第二附属医院2020年12月至2023年12月120例射血分数降低的心力衰竭患者,1∶1匹配设计按护理方法不同分为赋能组(60例)、常规组(60例),常规组接受常规护理,赋能组在此基础上接受基于赋能理论的延续护理模式干预。比较两组心功能[每搏输出量(SV)、左室射血分数(LVEF)、左室舒张末期内径(LVEDD)]、自我管理能力[成年人健康自我管理能力测评量表(AHSMSRS)]、遵医嘱行为、自我负担感[自我负担感受量表(SPBS)]、生活质量[明尼苏达心力衰竭生活质量问卷(MLHFQ)]。结果干预后,赋能组SV、LVEDD等心功能指标改善幅度大于常规组(P<0.05);干预后,赋能组AHSMSRS评分高于常规组(P<0.05);干预后,赋能组遵医嘱行为评分高于常规组(P<0.05);干预后,赋能组SPBS评分低于常规组(P<0.05);干预后,赋能组MLHFQ评分低于常规组(P<0.05)。结论对射血分数降低的心力衰竭患者实施基于赋能理论的延续护理模式干预,可有效降低患者的自我负担感,提高自我管理能力、遵医行为,从而使心功能指标改善、生活质量提高。Objective To retrospectively analyze the clinical application effect of extended care mode intervention of enabling theory in reducing ejection fraction of heart failure.Methods A total of 120 patients with reduced ejection fraction of heart failure in the Second Affiliated Hospital of Zhengzhou University from December 2020 to December 2023 were selected,and they were divided into the empowered group(60 cases)and the conventional group(60 cases)according to different nursing methods in a 1∶1 matching design.The conventional group received routine nursing,and the empowered group was given continued nursing intervention based on the empowerment theory.Cardiac function[stroke volume(SV),left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD)],self-management ability[adult health self-management skill rating scale(AHSMSRS)],prescribed behavior,sense of self-burden[self-perceived burden scale(SPBS)]and quality of life[Minnesota living with heart failure questionnaire(MLHFQ)]were compared between the two groups.Results After intervention,the improvement of SV,LVEDD and other cardiac function indexes in the empowered group was greater than that in the conventional group(P<0.05).After intervention,AHSMSRS score in the empowered group was higher than that in the conventional group(P<0.05).After intervention,the score of compliance behavior in the empowered group was higher than that in the conventional group(P<0.05).After intervention,the SPBS score of the empowered group was lower than that of the conventional group(P<0.05).After intervention,MLHFQ score in the empowered group was lower than that in the conventional group(P<0.05).Conclusion In patients with heart failure with reduced ejection fraction,the continuation of nursing mode intervention based on the empowerment theory can improve the compliance behavior,improve the self-management ability,reduce the sense of self-burden,and thus improve the heart function and improve the quality of life.

关 键 词：心力衰竭 射血分数 赋能理论 延续护理 自我管理能力 遵医行为 

分 类 号：R473.5[医药卫生—护理学]