Effects of responsibility-based nursing care based on behavioral motivation transformation guidance on LVEF and cardiopulmonary function in patients with coronary heart disease and heart failure
基于行为动机转化指导的责任制护理对冠心病心衰患者LVEF及心肺功能的效果

摘要

目的 评估基于行为动机转化指导的责任制护理模式对于冠心病心衰患者的LVEF及心肺功能指标的影响。方法 选取2023年6月至2024年6月期间，在我院接受治疗的84位冠心病心衰患者作为研究对象，通过随机抽签的方式将其分为对照组（42例）采用常规护理措施，观察组（42例）实施了以行为动机转化为导向的责任制护理方案。对比护理效果。结果 经过干预后，观察组在冠心病心衰相关知识掌握、二级预防行动执行以及运动自我效能感均优于对照组（P<0.05）。观察组的MWL、AT、LVEF和6MWT水平亦显著优于对照组（P<0.05）。观察组发生MACE的概率明显低于对照组（P<0.05）。结论 将行为动机转化指导的责任制护理应用于冠心病心衰患者实践中，能够有效改善其临床结局。

Abstract

Objective To evaluate the effect of the responsibility-based care model based on behavioral motivation translational guidance on LVEF and cardiopulmonary function indicators in patients with coronary heart disease and heart failure.
Methods From June 2023 to June 2024, 84 patients with coronary heart failure who were treated in our hospital were selected as the research subjects. They were divided into control groups (42 cases) through random drawing of lottery to adopt routine nursing measures. The observation group (42 cases) implemented a responsibility-based nursing program oriented towards behavioral motivation transformation. Comparison of the care effects.
Results After intervention, the observation group had better knowledge mastery of coronary heart disease and heart failure, secondary prevention actions and self-efficacy in exercise in the control group (P<0.05). The MWL, AT, LVEF and 6MWT levels in the observation group were also significantly better than those in the control group (P<0.05). The probability of MACE in the observation group was significantly lower than that in the control group (P<0.05).
Conclusion   Applying responsibility-based care for behavioral motivation translational guidance to patients with heart failure in coronary heart disease can effectively improve their clinical outcomes.