基于Pender健康促进模式的干预方案在慢性心力衰竭患者中的应用

目的:探讨基于Pender健康促进模式的干预方案在慢性心力衰竭患者中的应用效果。方法:采用便利抽样法选取2018年7月—2019年4月哈尔滨市某三级甲等医院心内科收治的心力衰竭患者120例为研究对象。按照收治时间分组,2018年7—11月收治的患者60例为对照组,2018年12月—2019年4月收治的患者60例为试验组。最终对照组有52例患者完成研究,试验组有57例患者完成研究。对照组患者采用常规健康宣教,试验组患者采用基于Pender健康促进模式的干预方案。采用心力衰竭患者自我管理量表、汉化的明尼苏达心力衰竭患者生活质量量表(MLHFQ)评价干预效果。结果:干预后试验组患者自我管理行为量表各维度得分均高于对照组,差异有统计学意义(P<0.05)。干预后试验组患者MLHFQ中的情绪领域、其他领域得分高于对照组(P<0.05);两组患者身体领域得分差异无统计学意义(P>0.05)。结论:基于Pender健康促进模式的干预方案能够提高慢性心力衰竭患者的自我管理水平和生活质量,建议推广应用。

Effects of Pender health promotion model-based intervention plan in chronic heart failure patients

Objective To explore the effects of Pender health promotion model-based intervention plan in chronic heart failure patients.Methods From July 2018 to April 2019,this study selected 120 heart failure patients in Cardiovascular Medicine of a ClassⅢGrade A general hospital in Harbin as subjects by convenience sampling.All of patients were divided into control group(n=60,from July 2018 to November 2018)and experimental group(n=60,from December 2018 to April 2019)according to admission time.Finally,a total of 52 patients completed the study in control group and 57 patients in experimental group.Control group carried out routine health education,while experimental group implemented the intervention based on Pender health promotion model.The intervention effects were evaluated with the Self-management Scale of Heart Failure Patients and Minnesota Living with Heart Failure Questionnaire(MLHFQ).Results After intervention,the dimension scores of self-management of patients in experimental group were higher than those in control group with statistical differences(P<0.05).After intervention,the scores of emotional sub-scale and other sub-scales of patients in experimental group were higher than those in control group with statistical differences(P<0.05);there was no statistical difference in the score of physical sub-scale of patients between two groups(P>0.05).Conclusions Pender health promotion model-based intervention plan can improve the self-management and quality of life among chronic heart failure patients which is worthy of popularization and application.