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Published on: December 6, 2016
Long-term Efficacy of Health Belief Model Nursing Intervention in Preventing and Treating Moderate to Severe OSAHS in
Jing Xue1, Lihua Zhao2, Haijing Zhang3
1Second Department of Nephrology, First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Purpose:
The current study aimed to investigate the long-term preventive and therapeutic effects of health belief model nursing intervention on patients with moderate to severe obstructive sleep apnea-hypopnea syndrome (OSAHS) after surgery.
Design:
This was a prospective randomized controlled trial.
Methods:
A total of 120 individuals with moderate to severe OSAHS postsurgery were recruited from the inpatient department of the author's hospital from March 2020 to December 2022. All participants underwent surgical treatment and were assigned to either the control group (n = 60) or the observation group (n = 60) based on postoperative care methods. The control group received routine care, while the observation group received a health belief model nursing intervention. Informed consent was obtained from all participants at the beginning of the study, and the baseline data were collected. Polysomnography was employed to assess sleep disturbances following postoperative care intervention. The Pittsburgh Sleep Quality Index scale was utilized to evaluate sleep quality. A questionnaire survey was conducted to compare postoperative self-management abilities. Quality of life was assessed through questionnaires, and the 1-year recurrence rate of OSAHS was calculated. Patient satisfaction with postoperative care was also compared.
Findings:
The average age of patients was 53.34 ± 5.27 years. No significant differences were found in baseline data between the two groups (P > .05). The observation group exhibited lower apnea-hypopnea index and average oxygen desaturation index compared to the control group (P < .05). The average Pittsburgh Sleep Quality Index score in the observation group was lower than the control group (P < .05). Scores for knowledge understanding, daily life, and coping strategies were higher in the observation group than the control group (P < .05). Additionally, the observation group demonstrated higher scores for sleep quality, daily function, mental state, and overall satisfaction compared to the control group (P < .05). At 12 months postsurgery, the recurrence rate of OSAHS in the observation group was lower than the control group (P < .05). Moreover, the observation group exhibited higher rates of very satisfaction and overall satisfaction (P < .05), and lower rates of general satisfaction and dissatisfaction compared to the control group (P < .05).
Conclusions:
Health belief model nursing intervention yields significant and enduring preventive and therapeutic benefits for patients with moderate to severe OSAHS after surgery. The intervention, by improving respiratory function, sleep quality, self-management abilities, and overall quality of life, effectively reduces the recurrence rate of OSAHS and enhances patient satisfaction with care.
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