Application of intervention based on self-regulated learning theory in patients with chronic heart failure
10.3760/cma.j.cn115682-20200509-03235
- VernacularTitle:基于自我调节学习理论的干预在慢性心力衰竭患者中的应用
- Author:
Hongxia ZHAO
1
;
Zheng HUANG
;
Yuan YUAN
;
Xin ZHENG
;
Lixia CHANG
Author Information
1. 郑州大学第一附属医院心血管内科，郑州 450052
- Keywords:
Heart failure;
Self-care;
Quality of life;
Self-regulating learning theory
- From:
Chinese Journal of Modern Nursing
2020;26(31):4379-4383
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore effects of intervention based on self-regulated learning theory on self-care behavior, quality of life and rehospitalization rate of patients with chronic heart failure.Methods:Using the convenient sampling method, 47 patients with chronic heart failure who were admitted to the First Affiliated Hospital of Zhengzhou University from July to December 2018 were selected as the control group and 45 patients with chronic heart failure who were admitted from January to June 2019 were selected as the observation group. Patients in the control group were given routine nursing for chronic heart failure, while patients in the observation group were given interventions based on self-learning adjustment theory at basis of routine nursing. Self-Care of Heart Failure Index (SCHFI) , Minnesota Living with Heart Failure Questionnaire (MLHFQ) and rehospitalization rate were used to evaluate the intervention effects.Results:The control group finally included 42 patients, and the observation group finally included 44 patients. The scores of self-care maintenance, management and confidence dimensions in SCHFI of the observation group were higher than those of the control group at 3 months after discharge, and the differences were statistically significant ( P<0.05) . The scores of the physical field, emotional field and other fields in MLHFQ of the observation group were lower than those of the control group at 3 months after discharge, and the differences were statistically significant ( P<0.05) . There was no statistically significant difference in the rehospitalization rate between the two groups ( P>0.05) . Conclusions:Self-regulated learning theory can improve the self-care behavior and quality of life of patients with chronic heart failure, but its effect on the rehospitalization rate of patients still needs to be confirmed by large samples and long-term studies.
