1.Correlation analysis of self-efficacy and quality of life among patients after coronary artery bypass grafting
Aixue YUE ; Xiaofang WANG ; Xunyan QUAN ; Liqin ZHU ; Zhaoxian CHEN
Chinese Journal of Modern Nursing 2015;21(9):1019-1021
Objective To address the correlation between self-efficacy and quality of life in patients after coronary artery bypass graft. Methods A total of 88 patients in our hospital were investigated by using general data questionnaire, Barnason self-efficacy scale and concise health questionnaire ( MOS-SF 36 ) at 2 weeks, 6 weeks and 3 months after coronary artery bypass graft. Results The self-efficacy scores were (42. 8 ± 5. 4) at 2 weeks after operation, (44. 5 ± 4. 2) at 6 weeks after operation and (47. 6 ± 5. 6) at 3 months after operation, and the scores of quality of life were (73. 7 ± 11. 4) at 2 weeks after operation, (85. 9 ± 10. 6) at 6 weeks afteroperationand(93.9±16.2)at3monthsafteroperation(F=3.452,P<0.05). Afteroperation,theself-efficacy increase gradually, and the difference was statistically significant. The scores of quality of life were (73. 7 ± 11. 4) at 2 weeks, (85. 9 ± 10. 6) at 6 weeks, and (93. 9 ± 16. 2) at 3 months after operation, and there was a positive correlation between self-efficacy and quality of life ( r=0. 411, 0. 447, 0. 307,respectively;P<0. 01). Conclusions The quality of life and self-efficacy of patients after coronary artery bypass surgery are improved, and the two are positively correlated. Nursing staff should be based on principles of self-efficacy theory to strengthen the nursing work which may improve the patient′s self-efficacy and the quality of life.
2.Establishment of multicultural nursing health education program for coronary disease patients based on Delphi technique
Xiaofang WANG ; Aixue YUE ; Aina HU ; Jia YOU ; Ziying WANG
Chinese Journal of Modern Nursing 2016;22(7):893-899
Objective To establish multicultural nursing health education program for coronary disease patients based on Delphi technique. Methods By referring to document literatures, conducting semi-structured interviews and clinical pre-survey on patients, the frame contents of multicultural nursing health education program for coronary disease patients were preliminarily established. Delphi technique was used two-round consultation of 17 experts. Results After the two-round consultation, the active coefficient of experts was 100%, and the degree of specialist authority was 0. 840 ( >0. 7). It was finally determined that in the multicultural nursing health education program, 10 first-class indexes, 34 second-class indexes and 96 third-class indexes were included. Conclusions The research result is reliable and scientific. The program established is innovative and practicable, which may provide basis and references for performing health education that is both individualized and consistent with the proper culture for coronary disease patients.
3.Effects of motivational interview on self-efficacy and health related behaviors in patients after coronary artery bypass grafting
Aixue YUE ; Xiaofang WANG ; Haihua ZHU ; Aihua CHEN ; Qinghong LIU ; Fangyun ZHOU
Chinese Journal of Modern Nursing 2016;22(6):783-786,787
Objective To discuss the impacts of motivational interviewing health education on the self-efficacy and the impacts of health-related behaviors in patients after coronary artery bypass grafting (CABG). Methods A total of 84 patients after the first CABG were selected in Department of Cardiac Surgery of Shanghai East Hospital. These patients were divided into 42 cases of intervention group and 42 cases of control group. Conventional methods of health education were used in the control group, and the patients of intervention group received motivational interview plans. After 6 months, self-efficacy and healthy behavior were evaluated in these patients. Results Before the intervention, the scores of self-efficacy and health related behavior′s difference were not statistically significant (P>0. 05); after 6 months intervention, the score of self-efficacy, diet, medication management, movement, stress coping and health related behavior score respectively (47. 5 ± 6. 3), (33. 5 ± 3. 3), (39. 2 ± 4. 3), (14. 0 ± 4. 2), (15. 7 ± 3. 8) (93. 1 ± 6. 2) in the intervention group were higher than that of the control group, except exercise and stress coping dimensions, there were significant differences between the two groups (P <0. 05). Conclusions Motivational interview health education can increase the self-efficacy and health-related behaviors in patients after CABG.
4.Effect of self-management education based on nurse-leading on the quality of life in patients with chronic heart failure
Aixue YUE ; Liqin ZHU ; Jiaqian HE ; Ping XU ; Jia YOU ; Zhiying WANG ; Jianmei CHEN ; Jianpei PENG
Chinese Journal of Modern Nursing 2017;23(1):45-48
Objective To evaluate the effect of self-management education based on nurse-leading on the quality of life in patients with chronic heart failure (CHF).Methods Eighty patients with CHF in a tertiary hospital were enrolled in this study,and were divided into the intervention group and the control group randomly,with 40 cases in each group. Patients in the control group received conventional health education, while patients in the intervention group received the self-management education based on nurse-leading. The score of self-management behavior and the quality of life in two groups were evaluated and compared after six months.Results After six months,the score of self-management in the intervention group was (70.83±12.02), and was significantly higher than that in the control group (55.58±6.46) (t=9.675,P<0.05). The score of total quality of life and self-management in the intervention group was significantly higher than that in the control group (P<0.05).Conclusions Self-management education based on nurse-leading can improve the self-management and the quality of life of patients with CHF.