Effect of KAP-HBM combined evidence-based intervention mode on rehabilitation of patients with acute heart failure
10.3969/j.issn.1008-0074.2025.01.13
- VernacularTitle:KAP-HBM联合循证干预模式对急性心力衰竭患者康复的影响
- Author:
Rong WEI
1
;
Cui-cui ZHANG
1
;
Yi-xuan WU
1
;
Yuan CAO
1
Author Information
1. 中国人民解放军空军军医大学第二附属医院急诊科,陕西西安 710038
- Publication Type:Journal Article
- Keywords:
Heart failure;
Evidence-based nursing;
Knowledge-attitude-practice;
Quality of life
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(1):61-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of Knowledge-Attitude-Practice and Health Belief Model(KAP-HBM)combined with evidence-based intervention mode on cardiopulmonary function,coagulation function,quali-ty of life and adverse events in patients with acute heart failure(AHF)during rehabilitation.Methods:This ran-domized controlled study enrolled 110 AHF patients admitted in the Second Affiliated Hospital of Chinese PLA Air Force Military Medical University between February 2020 and March 2023.They were divided into control group(n=55,single evidence-based intervention)and intervention group(n=55,additional KAP-HBM intervention).After 1-month intervention,cardiopulmonary function,coagulation function,quality of life and incidence of ad-verse events were compared between two groups.Results:After 1-month intervention,compared with patients in control group,those in intervention group had significant lower interventricular septal thickness(IVST)[(9.34±0.14)mm vs.(10.28±0.28)mm],left ventricular end-systolic volume index(LVESVI)[(35.47±1.16)ml/m2 vs.(39.81±1.87)ml/m2],left ventricular end-diastolic volume index(LVED VI)[(45.30±1.29)ml/m2 vs.(56.69±2.25)ml/m2],D dimer(D-D)[(365.56±25.38)g/L vs.(491.16±25.86)g/L],fibrinogen(Fg)[(2.79±0.37)mg/dl vs.(3.85±0.51)mg/dl]and score of Minnesota Living with Heart Failure Questionnaire(MLHFQ)[(34.32±2.59)points vs.(39.64±3.18)points],and significant higher forced vital capacity(FVC)[(2.55±0.14)L vs.(2.18±0.22)L],forced expiratory volume in one second(FEV1)[(3.38±0.14)L vs.(2.63±0.14)L],FEV1/FVC[(1.49±0.07)vs.(1.22±0.09)]and prothrombin time(PT)[(16.90±2.96)s vs.(14.10±3.37)s](P＜0.001 all).Intervention group had significant lower incidence of adverse events com-paring to control group(3.64％vs.18.18％,P=0.014).Conclusion:KAP-HBM combined evidence-based intervention mode could significantly improve the cardiopulmonary function,coagulation function and quality of life in AHF patients with high safety.
