| Citation: |
WANG Liyuan, GU Yang, XU Huaiyu. Effects of intervention model based on empowerment theory on health belief, self-care behavior and prognosis of patients with myocardial infarction after percutaneous coronary intervention[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 118-122. DOI: 10.7619/jcmp.20240220
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To explore the effects of intervention model based on empowerment theory on health belief, self-care behavior and prognosis of patients with myocardial infarction after percutaneous coronary intervention (PCI).
A total of 500 patients with PCI for myocardial infarction in the hospital from November 2021 to October 2023 were randomly divided into control group (n=250) and observation group (n=250). The control group was given routine intervention mode, the observation group was given intervention mode based on empowerment theory, and both groups were intervened until one month after discharge. Before and after intervention, the health belief[the Coronary Heart Disease Health Belief Scale (CADHBS)], self-care ability[the Evaluation for Self-care Ability (ESCA)], cardiac function indexes[left ventricular ejection fraction (LVEF) and 6 minutes walking test (6MWT)] and quality of life[the Chinese Questionnaire of Quality of Life in Chinese Patients with Cardiovascular Diseases (CQQC)] were compared between the two groups; the incidence rate of adverse cardiac events during intervention was compared between the two groups.
Compared with the control group, the total score of CADHBS and the score of each dimension as well as the total score of ESCA and the score of each dimension in the observation group were significantly higher (P < 0.05). After intervention, the LVEF and 6MWT in the observation group were significantly higher than those in the control group (P < 0.05). The total incidence rate of adverse cardiac events was 19.60 % in the observation group, which was significantly lower than 28.00 % in the control group (P < 0.05). After intervention, the CQQC score in the observation group was significantly higher than that in the control group (P < 0.05).
For the patients with PCI for myocardial infarction, implementation of intervention model based on empowerment theory can enhance health belief and self-care ability, improve the cardiac function and quality of life, and reduce the incidence rate of adverse cardiac events.
| [1] |
JERING K S, CLAGGETT B, PFEFFER M A, et al. Prospective ARNI vs. ACE inhibitor trial to DetermIne Superiority in reducing heart failure Events after Myocardial Infarction (PARADISE-MI): design and baseline characteristics[J]. Eur J Heart Fail, 2021, 23(6): 1040-1048. doi: 10.1002/ejhf.2191
|
| [2] |
中华医学会心血管病学分会介入心脏病学组, 中国医师协会心血管内科医师分会血栓防治专业委员会, 中华心血管病杂志编辑委员会. 中国经皮冠状动脉介入治疗指南(2016)[J]. 中华心血管病杂志, 2016, 44(5): 382-400. doi: 10.3760/cma.j.issn.0253-3758.2016.05.006
|
| [3] |
李延民, 冯艳, 魏燕云, 等. 心肌梗死溶栓危险指数、全身免疫炎症指数及营养控制状态评分对急性心肌梗死介入治疗预后的预测价值[J]. 川北医学院学报, 2023, 38(7): 906-909. doi: 10.3969/j.issn.1005-3697.2023.07.009
|
| [4] |
刘露, 杨帆, 贺梦晴. 互动达标模式下护理干预对PCI术心肌梗死患者遵医行为及心脏不良事件控制的影响[J]. 首都食品与医药, 2023, 30(17): 139-142. doi: 10.3969/j.issn.1005-8257.2023.17.051
|
| [5] |
黄旭容, 顾晓燕, 麦丽玲, 等. 基于授权理论的联动式健康教育对老年2型糖尿病患者血糖水平及自我管理能力的影响[J]. 国际护理学杂志, 2022, 41(8): 1403-1406. doi: 10.3760/cma.j.cn221370-20190920-00362
|
| [6] |
黄珊玲, 孔汉钦, 李蔚宇. 授权理论看图对话健康指导结合多维心理干预对预防老年肺结核的作用[J]. 齐鲁护理杂志, 2022, 28(11): 91-94. https://www.cnki.com.cn/Article/CJFDTOTAL-QLHL202211028.htm
|
| [7] |
JI Y J, ZHANG L M. Intervention effect of solution-focused brief therapy based on empowerment theory on loneliness in obese children[J]. Iran J Public Health, 2023, 52(8): 1692-1700.
|
| [8] |
沈迎, 张奇, 沈卫峰. 美国和欧洲稳定性冠心病诊治指南解读[J]. 中华心血管病杂志, 2014, 42(1): 70-72.
|
| [9] |
张萌, 王彦鑫, 金昌德. 冠心病健康信念量表的编制与信效度研究[J]. 中国实用护理杂志, 2014, 30(29): 40-43. https://www.cnki.com.cn/Article/CJFDTOTAL-TJFN202402002.htm
|
| [10] |
王月宾, 许禄云, 杨林顺, 等. 自我护理能力实施量表中文版在精神分裂症患者中的信效度[J]. 临床精神医学杂志, 2014, 24(2): 104-107. https://www.cnki.com.cn/Article/CJFDTOTAL-LCJS201402013.htm
|
| [11] |
中国心血管病人生活质量评定问卷常模测定协作组. "中国心血管病人生活质量评定问卷" 及其常模的测定[J]. 心血管康复医学杂志, 2012, 21(2): 105-112. https://www.cnki.com.cn/Article/CJFDTOTAL-XXGK201202002.htm
|
| [12] |
闫强, 韩丽, 王楠, 等. 精准护理理论引导下的康复护理对心肌梗死PCI术后患者健康信念及自我管理行为的影响[J]. 中华现代护理杂志, 2021, 27(31): 4333-4336.
|
| [13] |
胡业梅, 邵胜胜, 张雅文, 等. 多维度心脏康复模式对急性心肌梗死PCI术后患者预后及Lp-PLA2的影响[J]. 中华全科医学, 2023, 21(9): 1498-1502. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202309014.htm
|
| [14] |
徐进芳, 韩亚岩, 陈娟, 等. 急性心肌梗死经皮冠状动脉介入术后应用基于远程心电监控指导下Ⅱ期心脏康复的效果[J]. 中国临床医生杂志, 2023, 51(10): 1167-1169. https://www.cnki.com.cn/Article/CJFDTOTAL-ZLYS202310011.htm
|
| [15] |
CHI G, LEE J J, KAZMI S H A, et al. Early and late recurrent cardiovascular events among high-risk patients with an acute coronary syndrome: Meta-analysis of phase Ⅲ studies and implications on trial design[J]. Clin Cardiol, 2022, 45(3): 299-307.
|
| [16] |
林雪琴, 黄文娟. 经皮冠状动脉介入术后冠心病患者健康促进行为与健康信念的相关性研究[J]. 华南预防医学, 2019, 45(4): 309-313, 340. https://www.cnki.com.cn/Article/CJFDTOTAL-GDWF201904004.htm
|
| [17] |
王彩虹, 白小清, 王元. 正念心理训练对急性心肌梗死患者PCI术后心理应激反应及心脏不良事件的影响分析[J]. 检验医学与临床, 2023, 20(23): 3551-3554. https://www.cnki.com.cn/Article/CJFDTOTAL-JYYL202323032.htm
|
| [18] |
何自慧. 授权理论下出院计划干预对慢性阻塞性肺疾病患者肺康复的影响分析[J]. 现代诊断与治疗, 2021, 32(23): 3855-3856. https://www.cnki.com.cn/Article/CJFDTOTAL-XDZD202123078.htm
|
| [19] |
ALTINBAŞ Y, ASLAN S, KARACA T. Relationships among self-care agency, health perceptions, and activities of daily living in patients after tracheostomy: a cross-sectional multisite study[J]. Wound Manag Prev, 2021, 67(2): 40-47.
|
| [20] |
徐丽华, 蒋敏锋. 授权教育联合Orem护理干预对糖尿病视网膜病变患者自护能力及视功能生存质量的影响[J]. 当代医药论丛, 2023, 21(6): 187-190.
|
| [21] |
RAMACHANDRAN H J, JIANG Y, TAM W W S, et al. Effectiveness of home-based cardiac telerehabilitation as an alternative to Phase 2 cardiac rehabilitation of coronary heart disease: a systematic review and meta-analysis[J]. Eur J Prev Cardiol, 2022, 29(7): 1017-1043.
|
| [22] |
HU H, ZHANG A Y, WANG Z. Effect of CICARE communication mode on disease uncertainty, self-nursing ability, and quality of life in patients with coronary atherosclerotic heart disease after percutaneous coronary intervention[J]. Comput Math Methods Med, 2022, 2022: 8654449.
|
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