基于模型的干预对冠心病患者的疲劳的影响:一项随机对照试验
Min Wen1,2, Yeshi Chen1, Juping Yu3
1School of Nursing, Hengyang Medical School, University of South China, Hengyang, China.
Western journal of nursing research
|December 26, 2023
概括
一项为期12周的PRECEEDE-PROCEED干预措施显著减少了冠状动脉疾病患者的疲劳,改善了自我管理和生活质量. 这种基于模型的方法为管理慢性疾病症状提供了一个有希望的策略.
科学领域:
- 心血管健康 心血管健康
- 行为科学 行为科学
- 卫生教育卫生教育教育
背景情况:
- 冠心病 (CHD) 经常导致衰弱的疲劳,影响患者的生活质量.
- 有效的心血管疾病相关疲劳管理策略对于改善患者的治疗结果至关重要.
- 预先处理模型为设计健康干预提供了一个全面的框架.
研究的目的:
- 评估12周的基于PRECEDE-PROCEED模型的干预对冠心病患者疲劳水平的影响.
- 评估二次结果,包括对疲劳的了解,自我管理技能,生活质量和体重指数.
主要方法:
- 一个集群随机对照试验与74名冠状动脉心脏病患者在中国进行.
- 干预组 (n=38) 接受了为期12周的前后干预,包括6次培训,以及例行护理.
- 对照组 (n=36) 接受了例行健康教育. 结果在12周期间的基线,中点和结束时进行了测量.
主要成果:
- 与对照组相比,干预组的疲劳水平在统计学上显著降低 (P < .001).
- 干预组的疲劳知识 (P < .001),自我管理技能 (P < .001) 和生活质量 (P < .001) 显著改善.
- 两组之间没有发现体重指数的显著差异 (P = .504).
结论:
- 一个基于 PRECEDE-PROCEED 模型的干预措施有效地缓解了冠状动脉疾病患者的疲劳.
- 该干预措施增强了患者对疲劳的了解,提高了自我管理能力,并提高了整体生活质量.
- 这种结构化,以模型为驱动的方法被推用于管理CHD群体的疲劳和改善福祉.
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