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郭庆平,申梅芳,王秀华,韩泽红.跨理论模型在住院慢性心力衰竭患者运动康复训练中的应用[J].中国康复医学杂志,2014,29(9):828~833
跨理论模型在住院慢性心力衰竭患者运动康复训练中的应用    点此下载全文
郭庆平  申梅芳  王秀华  韩泽红
长治医学院附属和济医院心内科,山西长治,046011
基金项目:山西省卫生厅青年项目(201202007)
DOI:
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摘要:
      摘要 目的:探讨基于跨理论模型的干预方法在住院慢性心力衰竭患者运动康复训练中的效果。 方法:抽取住院治疗4周的心衰患者120例为研究对象,并将其随机分为干预组(60例)和对照组(60例)。干预组在常规治疗、护理及康复训练教育的基础上,接受基于跨理论模型的干预措施,对照组给予常规治疗、护理及康复训练教育。运动康复训练4周后,比较两组患者运动康复训练的行为变化、生存质量得分、6MWT、慢性心力衰竭康复训练知识的掌握情况。 结果:干预前两组运动康复训练的行为变化阶段、生存质量得分、6MWT,差异无显著性意义(P>0.05)。运动康复训练4周后干预组运动康复训练的行为变化趋势(P<0.001)、生存质量得分(25.82±9.82)、6MWT(450.93±74.27m),均优于对照组,两组比较差异有显著性意义(χ2=21.94,t=5.059,-4.626,P<0.01);与各组干预前比较,差异有显著性意义(P<0.05)。干预后两组康复训练知识得分比较,差异有显著性意义(P<0.01)。 结论:基于跨理论模型的干预方法能促进住院慢性心力衰竭患者运动康复训练的行为变化、提高患者对康复训练知识的掌握程度、增加患者康复训练的6MWT并提高其生存质量。
关键词:跨理论模型  慢性心力衰竭  运动康复训练  行为
The intervention effects based on transtheoretical model for exercise rehabilitation training in hospitailzed patients with chronic heart failure    Download Fulltext
Department of Internal Medicine-Cardiovascular,Heji Hospital Affiliated of Changzhi Medical College,Changzhi, 046011
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Abstract:
      Abstract Objective:To evaluate the intervention effects that based on transtheoretical model for exercise rehabilitation training in hospitailzed patients with chronic heart failure(CHF). Method:A total of 120 patients with chronic heart failure who admitted in hospital for 4 weeks were randomly divided into a intervention group (n=60) and a control group (n=60 cases). The intervention group received the intervention based on transtheoretical model besides routine therapy, nursing and rehabilitation training of education, while the control group received routine therapy, nursing and rehabilitation training of education only. After 4 weeks training, the effects of both groups including behavior changes, quality of life scores, 6MWT, rehabilitation of CHF training knowledge score were compared. Result:Behavior changes, quality of life scores and 6MWT were compared before rehabilitation training, there was no significant differences in both groups(P>0.05). After intervention, behavior changes trend of rehabilitation training changed obviously, quality of life score was 28.98±10.06 and 6MWT was (450.93±74.27)m in intervention group, while behavior changes trend of rehabilitation training had no significant change, quality of life score was 28.98±10.06 and 6MWT was (421.44±43.95)m in control group. Compared with control group, there were significant differences in intervention group(χ2=21.94,t=5.059,-4.626,P<0.01). After intervention, comparing the rehabilitation of CHF training knowledge scores of the two groups, there were significant differences (P<0.01). Conclusion:The intervention method based on transtheoretical model can promote the behavior change, increase the distance of 6MWT, improve the rehabilitation of CHF training knowledge score and quality of life in patients with CHF.
Keywords:transtheoretical model  chronic heart failure  exercise rehabilitation training  behavior
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