增强后心脏病患者的自我护理:基于计划行为理论的家庭支持的教育干预
Ali Arman1, Armin Attar2, Peyman Izadpanah3
1Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
BMC cardiovascular disorders
|July 16, 2025
概括
基于计划行为理论的教育干预显著改善了心肌梗塞 (MI) 患者的自我护理行为. 这种方法提供了一个有前途的策略,以提高患者的坚持和后MI的结果.
科学领域:
- 心脏病学 心脏病学
- 健康心理学 心理健康心理学
- 行为科学 行为科学
背景情况:
- 心肌梗塞 (MI) 是全球死亡率和残疾的主要原因.
- 有效的管理依赖于可修改的风险因素和患者自我护理的坚持.
- 在心脏病发作后,患者对自我护理的坚持通常会随着时间的推移而下降.
研究的目的:
- 评估基于计划行为理论 (TPB) 的教育干预对后心脏病患者自我护理行为的有效性.
- 评估干预对TPB构造,生活方式修改和行为意图的影响.
- 为改善心血管疾病管理中的自我护理实践提供一个模型.
主要方法:
- 一项涉及伊朗140名心脏病后患者 (2023-2024) 的准实验性研究.
- 随机分配给接受10次TPB教育的干预组 (n=70) 或接受标准护理的对照组 (n=70).
- 评估自我护理行为,TPB构造,生活方式,在基线和4个月后跟踪使用验证的尺度的意图.
主要成果:
- 干预组和对照组之间没有观察到显著的基线差异.
- 干预组在4个月的随访后 (p < 0.001) 在所有评估变量 (自我护理,TPB构造,生活方式,意图) 中表现出显著的改善.
- 与标准护理相比,基于TPB的干预有效地提高了自我护理行为.
结论:
- 基于TPB的教育干预措施有效地改善了肌肉梗塞患者的自我护理行为.
- 需要进一步的研究来评估这些行为变化的长期可持续性.
- 探索数字健康技术可以提高患者的遵守性,并支持持续的MI后自我护理.
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