基于自我效能理论的护理干预在心力衰竭患者易损期的应用

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Abstract Objective To explore the application effect of nursing intervention based on self-efficacy theory in the vulnerable period of heart failure patients. Methods A total of 91 patients with heart failure at the vulnerable stage who were admitted to the Yantai Affiliated Hospital of Binzhou Medical College from October 2019 to December 2020 were selected as the research objects. They were divided into control group (45 cases) and observation group (46 cases) by random number table method. The control group was treated with routine nursing, while the observation group was treated with 5A mode nursing intervention based on self-efficacy theory. The cardiac function indexes, referral rate, rehospitalization rate, and mortality rate were compared between the two groups. Results After nursing, the left ventricular ejection fraction (LVEF) of the observation group was higher than that of the control group, while the left ventricular end systolic volume (LVESV), left ventricular end diastolic volume (LVEDV), and left ventricular end diastolic diameter (LVEDD) were lower than those of the control group, and the differences were statistically significant (P ＜ 0.05). The LVEF of the two groups after nursing was higher than that before nursing, while LVESV, LVEDV, and LVEDD were lower than before nursing, and the differences were statistically significant (P ＜ 0.05). The referral rate of the observation group was higher than that of the control group, while the rate of rehospitalization was lower than that of the control group, and the difference was statistically significant (P ＜ 0.05). There was no statistically significant difference in mortality between the two groups (P ＞ 0.05). Conclusion The implementation of nursing intervention under the theory of self-efficacy has obvious advantages in improving the prognosis of patients in the vulnerable stage of the disease.

Key words： Self-efficacy Nursing intervention Heart failure Vulnerable period

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	JIA Xia1 LIU Jingyue1 LI Yuanfei2▲

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JIA Xia1 LIU Jingyue1 LI Yuanfei2▲. Application of nursing intervention based on self-efficacy theory in patients with heart failure in vulnerable period#br#[J]. 中国医药导报, 2022, 19(1): 173-176.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I1/173

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