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    武献红, 徐惠珏, 唐孙杰. 慢性疾病轨迹模式干预方案对心力衰竭病人健康素养、自护能力和生活质量的影响[J]. 蚌埠医科大学学报, 2023, 48(8): 1158-1162. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.031
    引用本文: 武献红, 徐惠珏, 唐孙杰. 慢性疾病轨迹模式干预方案对心力衰竭病人健康素养、自护能力和生活质量的影响[J]. 蚌埠医科大学学报, 2023, 48(8): 1158-1162. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.031
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    WU Xian-hong, XU Hui-yu, TANG Sun-jie. Effect of chronic disease trajectory framework intervention program on the health literacy, self-care ability and quality of life in patients with heart failure[J]. Journal of Bengbu Medical University, 2023, 48(8): 1158-1162. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.031
    Citation: WU Xian-hong, XU Hui-yu, TANG Sun-jie. Effect of chronic disease trajectory framework intervention program on the health literacy, self-care ability and quality of life in patients with heart failure[J]. Journal of Bengbu Medical University, 2023, 48(8): 1158-1162. DOI: 10.13898/j.cnki.issn.1000-2200.2023.08.031
    shu

    慢性疾病轨迹模式干预方案对心力衰竭病人健康素养、自护能力和生活质量的影响

    Effect of chronic disease trajectory framework intervention program on the health literacy, self-care ability and quality of life in patients with heart failure

      摘要
    • 摘要:
      目的探讨慢性疾病轨迹模式干预方案对慢性心力衰竭病人健康素养、自护能力和生活质量的影响。
      方法选取慢性心力衰竭病人67例为研究对象, 随机分为观察组34例和对照组33例。对照组采用常规护理干预, 观察组采用慢性疾病轨迹模式干预方案。采用心衰特异性健康素养量表(HFS-HLS)、心力衰竭自护行为量表(SCHFI)、明尼苏达心衰生活质量量表(MLHFQ)评价2组病人干预前后健康素养、自护能力及生活质量。
      结果干预前, 2组病人HFS-HLS、SCHFI、MLHFQ量表各维度得分及总分差异均无统计学意义(P＞0.05)。干预后3个月, 观察组HFS-HLS、SCHFI和MLHFQ量表得分均较干预前明显改善, 且观察组HFS-HLS、SCHFI量表各维度得分及总分均明显高于对照组(P＜0.01), MLHFQ各维度得分及总分均明显低于对照组(P＜0.01)。
      结论慢性心力衰竭病人应用慢性疾病轨迹模式干预方案效果优于常规护理, 有助于提高病人自护能力和健康素养水平, 改善生活质量。

       

      Abstract:
      ObjectiveTo investigate the effects of chronic disease trajectory framework intervention program on the health literacy, self-care ability and quality of life in patients with heart failure.
      MethodsSixty-seven patients with chronic heart failure were randomly divided into the observation group(34 cases) and control group(33 cases).The control group was treated with the routine nursing intervention, while the observation group were treated with the chronic disease trajectory framework intervention program.The health literacy, self-care ability and quality of life between two groups before and after the intervention were evaluated using the heart failure specific health literacy scale(HFS-HLS), self-care of heart failure index(SCHFI) and Minnesota living with heart failure questionnaire(MLHFQ).
      ResultsBefore intervention, there was no statistical significance in the scores and total scores of HFS-HLS, SCHFI and MLHFQ between two groups(P > 0.05).After 3 months of intervention, the scores of HFS-HLS, SCHFI and MLHFQ in the observation group were significantly improved compared with those before intervention, and the scores and total scores of HFS-HLS and SCHFI in the observation group were significantly higher than those in control group(P < 0.01), while the scores and total scores of MLHFQ in the observation group were significantly lower than those in control group(P < 0.01).
      ConclusionsThe effects of chronic disease trajectory framework intervention program in chronic heart failure patients is better than that of conventional nursing, which is helpful to improve patients' self-care ability and health literacy level, and improve the quality of life.

       

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