摘要
目的探讨知识-信念-行为(KAP)模式对冠心病患者心血管危险因素及自我管理行为的影响。方法选择2018年1—12月本院收治的冠心病患者200例作为研究的对象,随机分成对照组和观察组两组,每组各100例。对照组实施常规健康教育模式,观察组在此基础上实施KAP模式干预,比较两组患者出院后6个月各项危险因素生理指标、自我管理行为量表分值的变化及护理服务满意度分值、心脏不良事件的发生情况。结果观察组冠心病患者自我管理行为量表总分值为(87.27±8.82)分,明显高于对照组的(71.42±8.74)分(P<0.05);观察组的护理服务满意度分值为(95.10±4.27)分,明显高于对照组的(88.24±2.03)分(P<0.05);观察组的心脏不良事件发生率为6%,显著低于对照组的17%(P<0.05);观察组危险因素生理指标值均优于对照组,差异有统计学意义(P<0.05)。结论 KAP模式可有效地改善冠心病患者危险因素的各项临床生理指标,提高患者自我管理行为能力及护理服务满意度,减少心脏不良事件的发生,促进患者康复。
Objective To explore the influence of knowledge-belief-behavior(KAP) model on cardiovascular risk factors and self-management behavior in patients with coronary heart disease.Methods 200 cases of patients suffered with coronary heart disease and admitted to our department from January 2018 and December 2018 were enrolled in the study, and they were randomly divided into control group and observation group, 100 cases in each group. Patients in control group received routine health education model for health education, whereas the patients in observation group received the implementation KAP model of intervention on the basis of the control group. Physiological indexes of various risk factors, the change of self-management behavior scale scores, nursing service satisfaction score and occurrence of cardiac adverse events were compared 6 months after the patients discharged from hospital.Results The total score of the self-management behavior scale in the observation group was(87.27±8.82), which was significantly higher than that in the control group(71.42±8.74)(P<0.05). The nursing service satisfaction score of the observation group was(95.10±4.27), it was significantly higher than that of the control group(88.24±2.03)(P<0.05). The incidence of adverse cardiac events was 6% in the observation group, which was significantly lower than 17% in the control group(P<0.05). The physiological indexes of risk factors in the observation group were all better than those in the control group, and the difference was statistically significant(P<0.05).Conclusions The KAP model could effectively improve the clinical physiological indicators of risk factors in patients with coronary heart disease, improve self-management behavioral ability of patients and nursing service satisfaction, reduce the occurrence of adverse cardiac events, and promote recovery of patients.
作者
张艳红
陈丽斐
陈梅斯
薛梅玲
程善欣
ZHANG Yan-hong(Department of cardiology,Zhaoqing first people's hospital,Zhaoqing,Guangdong,526000,China)
出处
《齐齐哈尔医学院学报》
2020年第8期1024-1027,共4页
Journal of Qiqihar Medical University
关键词
KAP模式
冠心病
心血管危险因素
自我管理行为
KAP model
Coronary heart disease
Cardiovascular risk factors
Self management behaviors
