摘要
目的：探讨基于跨理论模型的护理干预对心力衰竭患者生活质量的影响。方法将100例心力衰竭患者按简单随机分组方法分为研究组和对照组各50例，对照组给予心内科常规护理干预，研究组实施以跨理论模型为理论依据制定的干预措施。应用中文版明尼苏达心力衰竭患者生活质量量表（ MLHFQ）分别于干预前、干预后1个月和干预后3个月对两组患者进行测评，比较其差异。结果在出院后1个月和3个月的后续资料收集过程中，研究组死亡2例，失访5例，43例患者完成研究。对照组死亡3例，失访7例，40例患者完成研究。干预前、干预后1个月和3个月研究组患者生活质量总分分别为（40．14±17．59），（59．98±17．44），（52．28±16．46）分，对照组分别为（38．45±16．00），（45．25±14．80），（41．30±14．40）分，两组患者入组时MLHFQ总分比较，差异无统计学意义（P＞0．05），干预后1，3个月两组比较，差异均有统计学意义（t分别为3．29，3．22；P＜0．05）。结论以跨理论模型为依据制定的干预方案能显著改善心力衰竭患者的生活质量。
Objective To evaluate the effect of nursing intervention on the quality of life of patients with heart failure based on the transtheoretical model （ TTM）.Methods Totals of 100 heart failure patients were divided into the control group and the intervention group , 50 cases each .The control group was treated with conventional health education .The intervention group was treated with the nursing intervention based on TTM . We evaluated the quality of life in the time of before intervention , 1 month and 3 months after the intervention , respectively , by the Minnesota living with heart failure questionnaire （ MLHFQ） , and compared the differences . Results 1 month and 3 months after discharge , 2 cases were died and 5 cases were lost during the follow-up in＆amp;nbsp;the intervention group , and 43 cases finished the investigation .3 cases were died and 7 cases were lost during the follow-up in the control group , and 40 cases finished the investigation .Before the intervention , 1 month and 3 months after the intervention, the total score of MLHFQ were （40.14 ±17.59）, （59.98 ±17.44）, （52.28 ±16.46） in the intervention group, and （38.45 ±16.00）, （45.25 ±14.80）, （41.30 ±14.40） in the control group .Before the intervention , there was no statistically difference between the two groups （ P〈0.05）.After the intervention for 1month and 3 months, the differences were significant （ t =3.29, 3.22, respectively;P〈0.05）.Conclusions Comparing with the conventional healthy education , the method based on TTM is one of the most effective ways , which can improve the quality of life of patients with heart failure . Thus, it is worthy of getting widely promoted in hospital .
出处
《中华现代护理杂志》
2014年第2期150-154,共5页
Chinese Journal of Modern Nursing
基金
黑龙江省教育厅科学技术研究项目（12511212）
关键词
心力衰竭
生活质量
跨理论模型
Heart failure
Quality of life
Transtheoretical model
