Effect of health education model based on the transtheoretical model and stages of change on fatigue and quality of life in patients with chronic heart failure
10.3969/j.issn.1008-0074.2025.05.15
- VernacularTitle:基于行为转变理论的健康教育模式对慢性心力衰竭患者疲劳和生活质量的影响
- Author:
Jie WANG
1
;
Hao WANG
1
;
Jiao ZHU
1
Author Information
1. 江苏省人民医院心血管内科,江苏南京 210029
- Publication Type:Journal Article
- Keywords:
Heart failure;
Fatigue;
Quality of life;
Health education
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2025;34(5):676-680
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effect of health education model based on the transtheoretical model and stages of change(TTM)on fatigue and daily quality of life in patients with chronic heart failure(CHF).Methods:This randomized controlled study enrolled 84 CHF patients admitted in Jiangsu Province Hospital between November 2022 and December 2023.Patients were randomly divided into control group(n=42,routine health education program)and intervention group(n=42,health education program based on TTM).Scores of Flinders fatigue scale(FFS)and Minnesota living with heart failure questionnaire(MLHFQ)were compared between two groups on 1,3 and 6 months after intervention.Results:Compared to those in the control group,patients in the intervention group had significantly lower scores of FFS[1 month:(16.13±2.70)points vs.(17.88±3.23)points,3 months:(14.20±2.29)points vs.(16.80±2.48)points,6 months:(10.90±2.11)points vs.(15.56±2.65)points]and MLHFQ[3 months:(33.73±9.64)points vs.(43.12±9.60)points,6 months:(27.35±8.81)points vs.(39.54±9.41)points](P＜0.05 or＜0.01).Conclusion:The health education model based on TTM may alleviate fatigue symp-toms and improve quality of life in patients with chronic heart failure.
