Application of health education based on stage change theory in follow-up and rehabilitation of patients undergoing heart valve replacement
10.3760/cma.j.cn115682-20211104-04970
- VernacularTitle:基于阶段变化理论的健康教育在心脏瓣膜置换术患者随访及康复中的应用
- Author:
Qianwen SUN
1
;
Li FENG
;
Yan WANG
Author Information
1. 河南省胸科医院医疗事业发展和社会工作部随访办，郑州 450008
- Keywords:
Cardiac surgery;
Cardiac rehabilitation;
Valve replacement;
Stage change theory;
Health education;
Follow-up
- From:
Chinese Journal of Modern Nursing
2022;28(20):2756-2760
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application of health education based on stage change theory in the follow-up and rehabilitation of patients undergoing heart valve replacement.Methods:Using the convenient sampling method, a total of 200 patients with heart valve replacement who were admitted to Department of Cardiology in Henan Provincial Chest Hospital from January 2017 to January 2018 were selected as the research objects. They were randomly divided into control group and observation group, with 100 cases in each group. The control group was given routine health education, while the observation group was given health education based on stage change theory. The medication compliance, rehabilitation status and the incidence of complications were compared between the two groups after intervention.Results:The score of Morisky Medication Adherence Scale (MMAS) of patients in the observation group at 1 year after operation was higher than that of the control group, left ventricular ejection fraction (LVEF) was higher than that of the control group and the 6-min walking distance was longer than that of the control group, and the differences were all statistically significant ( P<0.05) . The total incidence of complications in the observation group at 3 years after operation was lower than that in the control group, and the difference was statistically significant ( P<0.05) . Conclusions:Health education based on stage change theory is conducive to improving the medication compliance of patients undergoing heart valve replacement, reducing the incidence of postoperative complications, improving postoperative cardiopulmonary function and promoting recovery of patients.
