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
- VernacularTitle:基于授权理论的干预模式对心肌梗死经皮冠状动脉介入治疗术后患者健康信念、自护行为和预后的影响
- Author:
Liyuan WANG
1
;
Yang GU
;
Huaiyu XU
Author Information
- Keywords: empowerment theory; myocardial infarction; percutaneous coronary interven-tion; health belief; self-care ability; prognosis
- From: Journal of Clinical Medicine in Practice 2024;28(9):118-122
- CountryChina
- Language:Chinese
- Abstract: Objective 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 percutane-ous coronary intervention(PCI).Methods 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 in-tervened 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.Results 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).Conclusion For the patients with PCI for myocardial infarction,imple-mentation 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 ad-verse cardiac events.
