Effects of health education based on the integrated theory of health behavior change on cardiac function and exercise tolerance and nursing satisfaction in patients with chronic heart failure
10.3760/cma.j.cn115624-20230718-00007
- VernacularTitle:基于健康行为改变整合理论的健康教育对慢性心力衰竭患者心功能、运动耐力及护理满意度的影响
- Author:
Liping XU
1
;
Xiaofang ZHANG
;
Huixia XU
;
Jian LUO
Author Information
1. 温州医科大学附属衢州医院（衢州市人民医院）护理部，衢州 324003
- Keywords:
Chronic heart failure;
Integrative theory of health behavior change;
Health education;
Cardiac function;
Athletic endurance
- From:
Chinese Journal of Health Management
2024;18(6):451-456
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the impact of health education based on the integrated theory of health behavior change on the cardiac function, exercise endurance and nursing satisfaction in patients with chronic heart failure.Methods:In this randomized controlled trial, 130 patients with chronic heart failure admitted to Quzhou Hospital Affiliated with Wenzhou Medical University from June 2020 to December 2022 were selected as the research subjects. The patients were randomly divided into a control group and an experimental group (65 cases in each group) with a random number table method. The patients in the control group were given routine nursing care, the experimental group were given health education based on the integration theory of health behavior change on the basis of the control group, mainly including health assessment, health education, behavioral intervention, psychological support, etc. The intervention time for both group was 4 weeks. The independent sample t-test, χ2 test and Mann Whitney U test were applied to compare the improvement of cardiac function, plasma brain natriuretic peptide (BNP), echocardiographic indexes [left ventricular ejection fraction (LVEF), left ventricular volume index (LVMI) and left ventricular end-diastolic diameter (LVEDD)] and exercise endurance [maximum oxygen uptake (VO 2max), maximum power and exhaustion time] between the two groups, and the nursing satisfaction of the two groups was compared too. Based on the above results, the impact of health education based on the integrated theory of health behavior change on the cardiac function, exercise endurance and nursing satisfaction in patients with chronic heart failure were analyzed. Results:There was no statistically significant difference in various indicators between the two groups before intervention (all P>0.05). After the intervention, the BNP, LVMI and LVEDD in the experimental group were all clearly lower than those in the control group [(572.87±89.72) vs (680.46±104.32) mg/L, (140.74±9.54) vs (151.91±11.52) g/m 2 and (77.62±4.32) vs (80.31±5.57) mm, respectively], and they were all significantly lower than those before intervention [(963.41±228.69) mg/L, (170.33±12.61) g/m 2 and (90.10±6.77) mm, respectively]. The LVEF, the VO 2max, maximum power, exhaustion time, and nursing satisfaction in the experimental group were all significantly higher than those in the control group [54.55%±3.80% vs 52.16%±4.18%, (16.77±2.82) vs (15.61±3.15) ml·kg -1·ml -1, (88.91±7.13) vs (85.72±8.24) W, (13.47±1.62) vs (12.00±1.56) min, 95.4% vs 84.6%], and they were all significantly higher than those before intervention [50.11%±4.22%, (14.03±3.26) ml·kg -1·ml -1, (81.42±6.46) W, (10.02±0.82) min, respectively] (all P<0.05). Conclusion:Health education based on the integration theory of health behavior change is beneficial for improving the cardiac function, exercise endurance and nursing satisfaction in patients with chronic heart failure.
