摘要
目的 运用PRECEDE模式建立适用于慢性心力衰竭患者的健康促进计划,并观察其对患者自我护理能力的效果,探讨其可行性.方法 选择2014年3月—2015年2月某三甲医院老年病科和心血管内科陆续收入的符合条件的心力衰竭患者62例,随机分为干预组和对照组,每组各31例.对照组患者接受常规心力衰竭治疗和护理.干预组患者除接受常规护理和治疗外还将接受为期3个月的基于PRECEDE模式设计的健康促进计划干预,采用欧洲心力衰竭自我护理量表（EHFScBS-9）比较两组患者的自我护理得分情况.结果 干预前两组患者EHFScBS-9总分差异无统计学意义（t=0.000, P=1.000）,干预结束及干预结束后3个月干预组EHFScBS-9总分均低于对照组（t值分别为4.971、8.156;P〈0.001）.重复测量方差分析结果表明,EHFScBS-9总分在组间、时间、组间和时间存在交互效应（F值分别为34.489、40.685、16.922;P〈0.001）.结论 PRECEDE模式健康促进计划有效可行,能改善慢性心力衰竭患者自我护理能力.
Objective To establish health promotion plan based on Predisposing, Reinforcing, and Enabling Causesin Educational Diagnosis and Evaluation （PRECEDE） model for patients with chronic heart failure, and to observe the effects of PRECEDE on the self-care ability, so as to explore the feasibility of the health education based on PRECEDE model. Methods From March 2014 to February 2015, a total of 62 patients with chronic heart failure from the geriatrics department and cardiovascular department of a Class Ⅲ Grade A hospital were selected and divided into intervention group and control group, with 31 cases in each. The patients in the control group received routine heart failure treatment and nursing intervention. On the basis of the control group, the patients in the intervention group received health promotion plan based on PRECEDE model for 3 months. European Heart Failure Self-care Behavior Scale 9 （EHFScBS-9） was applied to compare the self-care scores between the two groups. Results There was no statistical difference before intervention in the total score of EHFScBS-9 between the two groups （t=0.000, P=1.000）. The total score of EHFScBS-9 of the intervention group was lower than that of the control group after intervention and 3 months after （t=4.971, 9.156; P〈0.001）. The results of repeated measurement variance analysis showed that there were time,intergroup, time and group interaction effects between EHFSCBS-9 groups （F=34.489, 40.685, 16.922; P〈0.001）. Conclusions The health promotion plan based on PRECEDE model is effective and feasible, which can improve the self-care ability of patients with chronic heart failure.
作者
李灵
唐湘铧
Li Ling;Tang Xianghua(Geriatrics Department, the Second Xiangya Hospital of Central South University, Changsha 410011, China)
出处
《中华现代护理杂志》
2018年第13期1563-1567,共5页
Chinese Journal of Modern Nursing
