摘要
目的 探讨以健康信念模式为框架的护理干预对介入治疗先天性心脏病患儿生存质量的影响.方法 采用方便抽样的方法将60例介入治疗先天性心脏病患儿分为研究组和对照组,各30例.对照组给予心内科常规健康教育,研究组在此基础上,实施依据健康信念模式为框架制定的护理干预.应用儿童生存质量心脏病模块量表（PedsQ0LTM 3.0cardiac module）分别于介入治疗前,术后1个月及术后3个月对两组患儿进行测评,观察干预的有效性.结果 干预后研究组患儿PedsQ0LTM 3.0总分为（71.74 ±2.35）分、治疗焦虑为（75.00±6.08）分、交流为（68.12 ±5.52）分,均高于对照组[（68.60±2.69）,（70.54 ±7.53）,（57.58 ±6.35）分],差异有统计学意义（F值分别为7.581,11.080,32.459;P＜0.05）.时间和干预方案的交互作用显示,只有认知功能维度受时间和干预方案交互作用差异有统计学意义（F =28.225,P＜0.05）.结论 介入治疗可以改善先天性心脏病患儿的生存质量;与常规心内科的健康教育相比,以健康信念为框架的护理干预更能提高介入治疗先天性心脏病患儿的生存质量,可以广泛在临床上推广应用.
Objective To explore the effect of health belief model as a framework for nursing intervention on life quality of congenital heart disease children with interventional therapy.Methods Sixty congenital heart disease children with interventional therapy were randomly divided into the observation group and the control group,each with 30 cases.The control group received the routine health education in the department of cardiology,and the observation group received the health belief model as a framework for nursing intervention on the basis of the control group.The effectiveness of intervention was evaluated by the pediatric quality of life inventory TM 3.0 cardiac module （PedsQLTM3.0 cardiac module） before,the first and third month after the interventional therapy.Results The scores of PedsQLTM3.0 cardiac module,the treatment of anxiety and commutation were respectively （71.74 ± 2.35）,（75.00 ± 6.08）,（68.12 ± 5.52） in the observation group,and were higher than （68.60 ± 2.69）,（70.54 ± 7.53）,（57.58 ± 6.35） in the control group,and the differences were statistically significant （F =7.581,11.080,32.459,respectively; P 〈 0.05）.Theinteraction between time and intervention programs displayed that the cognitive dimension was affected by the interaction,and the difference was statistically significant （F =28.225,P 〈 0.05）.Conclusions The interventional therapy can improve the life quality of children with congenital heart disease.Compared with the routine health education in the Department of Cardiology,the health belief model as a framework for nursing intervention can improve the life quality of congenital heart disease children with interventional therapy and should be widely applied in clinical practice.
出处
《中华现代护理杂志》
2014年第5期516-521,共6页
Chinese Journal of Modern Nursing
关键词
先天性心脏病
患儿
介入治疗
生存质量
健康信念模式
护理干预
Congenital heart disease
Children
Interventional therapy
Quality of life
Health belief model
Nursing intervention
