Effect of health behaviour intervention program based on health action process approach on patients after implantation of pacemaker
10.3969/j.issn.1671-8283.2025.08.006
- VernacularTitle:基于HAPA理论模型的健康行为干预方案在心脏起搏器植入术后患者中的应用
- Author:
Ye HE
1
;
Fangfang MA
;
Nan WU
;
Jing FU
;
Minhong YU
Author Information
1. 中国医学科学院北京协和医院内科学系 心脏加强病房,北京,100730
- Publication Type:Journal Article
- Keywords:
health action process approach;
health behaviour intervention;
exercise compliance;
self-management ability;
cardiopulmonary function
- From:
Modern Clinical Nursing
2025;24(8):38-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of a health behaviour intervention program based on health action process approach(HAPA)on patients after implantation of a pacemaker.Methods Convenience sampling was conducted to select 154 patients who had implantation of a pacemaker in our hospital as research subjects.A random table was used to divide the patients into a control group and an trial group,with 77 patients per group.Patients in the control group were treated with conventional care and issued with exercise brochures,while the patients in the trial group were treated with conventional care with a HAPA-based health behaviour intervention program for 3 months.Both groups were evaluated using the rehabilitation exercise adherence questionnaire and the adult health self-management ability assessment scale before the intervention,at 3 and 6 months after the intervention.Cardiopulmonary function of the patients in both groups was assessed by 6-minute walk test.Results After 3 months and 6 months of intervention,the scores of rehabilitation exercise compliance and self-management ability of the patients in the trial group were better than those in the control group.The difference between the two groups was statistically significant(P<0.05).Six months after discharge,the 6-minute walking distance(6MWD)of the patients in the trial group was longer than that of the control group,and the difference between the two groups was statistically significant(P<0.05).Conclusion The health behaviour intervention program based on the HAPA enhances the exercise compliance in patients who were implanted with a pacemaker,as well as improves the self-management behaviour and cardiopulmonary function.
