以跨理论模型为框架构建原发性心力衰竭患者自护行为干预方案的应用效果评价

目的 探讨跨理论模型为框架构建原发性心力衰竭患者自护行为干预方案的价值.方法 将2012年1月至2013年6月收治的150例原发性心力衰竭患者按随机数字表法分为实验组和对照组,每组各75例,实验组应用跨理论模型为框架构建干预方案,对照组给予常规健康教育.应用原发性心力衰竭患者自护行为量表（SCHFI）分别于干预前、干预后1个月和3个月对2组患者进行测评.结果 实验组患者干预后1个月和3个月自护维持、自护管理、自护信心得分均高于对照组,差异有统计学意义.结论 与常规心内科的健康教育相比,以跨理论模型为框架制订的干预方案能显著改善原发性心力衰竭患者的自护行为.

Effect of transtheoretical model-based health education on the self-care behaviors of patients with heart failure

Objective To evaluate the effect of transtheoretical model（TTM）-based health education on the self-care behaviors of patients with heart failure.Methods One hundred and fifty heart failure patients from January 2012 to June 2013 were randomly assigned to two groups,75 cases in each group.The patients in the experimental group received TTM-based health education;the patients in the control group received conventional health education.All patients were investigated with the Self-Care of Heart Failure Index （SCHFI） at baseline,1 month and 3 months after intervention.Results After intervention,the scores of self-care maintaining,self care management and self care confidence in the experimental group were significantly higher than those in the control group.Conclusions TTM-based health education can effectively improve the self-care behaviors of patients with heart failure.