二元应对理论联合IMB模型护理干预对慢性心力衰竭患者生活质量的影响  

The impact of binary coping theory combined with IMB model nursing intervention on the quality of life of patients with chronic heart failure

作　　者：孙慧[1] 吴坚[1] 丁红英[1] SUN Hui;WU Jian;DING Hongying(Department of Cardiovascular Medicine,Shaoxing Second Hospital Medical Community General Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]绍兴第二医院医共体总院心血管内科,浙江绍兴312000

出　　处：《中华全科医学》2025年第5期890-894,共5页Chinese Journal of General Practice

基　　金：浙江省医药卫生科技计划项目(2023KY377)。

摘　　要：目的 结合二元应对理论和信息-动机-行为技巧模型(IMB模型),构建针对慢性心力衰竭患者的护理干预方案,分析其对患者生活质量的影响。方法 选取2023年9月—2024年6月绍兴第二医院医共体总院收治的126例慢性心力衰竭患者作为研究对象,采用随机数表法分为对照组(63例)及观察组(63例)。对照组应用常规护理,观察组应用二元应对理论联合IMB模型进行护理干预。干预周期为3个月,比较2组患者干预前后心功能指标、自我管理水平及生活质量。结果 干预后,2组患者心功能指标均有所改善,观察组左心室射血分数(LVEF)及6 min步行距离测试(6MWT)高于对照组,且N端钠尿肽前体(NT-proBNP)水平低于对照组(P<0.05);干预后,2组患者自我管理水平均提高,观察组心力衰竭患者自我管理量表总分为(120.43±13.46)分,高于对照组[(101.35±15.92)分,P<0.05];干预后,2组患者生活质量均有所改善,观察组明尼芬达心功能不全生活质量量表(MLHFQ)总分为(50.73±6.37)分,低于对照组[(56.82±8.74)分,F=8.137,P<0.001]。结论 二元应对理论联合IMB模型护理干预有利于改善慢性心力衰竭患者心功能及自我管理水平,同时提高了患者的生活质量,值得临床应用。Objective To construct a nursing intervention plan for patients with chronic heart failure combined the theory of binary coping and the Information Motivation Behavioral Skills(IMB)model,and analyze its impact on patients'quality of life.Methods A total of 126 patients with chronic heart failure admitted to the Medical Community General Hospital of Shaoxing Second Hospital from September 2023 to June 2024 were selected as the study subjects and randomly divided into a control group and an observation group,with 63 patients in each group.The control group received routine nursing care,while the observation group received nursing intervention using the binary coping theory combined with the IMB model.The intervention period was 3 months,and the cardiac function indicators,self-management level,and quality of life of the two groups of patients were compared before and after the intervention.Results After the intervention,both groups of patients showed improvement in cardiac function indicators,but the LVEF and 6MWT in the observation group were higher than those in the control group,and the level of NT-proBNP was lower than that in the control group(P<0.05).The self-management level of both groups of patients improved,however,the total score of the self-management scale for the observation group of heart failure patients was(120.43±13.46)points,which was higher than that of the control group[(101.35±15.92)points,P<0.05].The quality of life of both groups of patients improved,but the total score of the Minnesota heart failure quality of life questionnaire(MLHFQ)in the observation group was(50.73±6.37)points,which was lower than that of the control group[(56.82±8.74)points,F=8.137,P<0.001].Conclusion The combination of binary coping theory and IMB model nursing intervention is beneficial for improving the cardiac function and self-management level of patients with chronic heart failure,while also improving their quality of life,and is worthy of clinical application.

关 键 词：慢性心力衰竭 二元应对理论 IMB模型 心功能 自我管理 生活质量 

分 类 号：R541.6[医药卫生—心血管疾病] R473.54[医药卫生—内科学]