| Objectives To evaluate the effects of Transtheoretical Model Intervention for exercise rehabilitation training in hospitailzed patients with chronic heart failure; to investigate the intervention on quality of life in patients with chronic heart failure, the influence of self-efficacy and whether it can effectively improve the degree of heart failure;to explore suitable for hospitailzed patient with chronic heart failure exercise rehabilitation training behavior change intervention model, to promote the hospitailzed patients with chronic heart failure of the exercise rehabilitation training behavior change.Methods This was an experimental study. After the intervention plans, chronic heart failure rehabilitation education manual and research tools were reversed, selected120hospitalized patients in cardiovascular internal medicine with chronic heart failure (NYHAⅡ-Ⅲ) more than4weeks who came from He-Ping and He-Ji hospitals affiliated ChangZhi medical college,ChangZhi city people’s hospital all of that are the level of first-class as the research object, then they were randomly assigned to intervention group and control group,each group with60cases. Control group was given routine treatment and nursing only, patients according to his own will do the exercise rehabilitation training.In intervention group, patients with chronic heart failure were provided rehabilitation education manual, and were given behavior stage corresponding intervention measures according to the intervention plan for four weeks besides routine therapy and nursing. Before and after the intervention, we chose Minnesota heart failure quality of life questionnaire, behavior change stage evaluation sheet(former intention stage, intention stage, preparatory stage, action stage, maintain stage), self-efficacy scale,6minutes walk test distance and NT-proBNP measured the value of two groups, analyzed the intervention effect.After intervention, chronic heart failure rehabilitation training knowledge questionnaire were used to measure the two groups, evaluate those knowledge of rehabilitation.Results1. The exercise rehabilitation training behavior according to the Transtheoretical Model change stage of patients with chronic heart failure were compared after intervention, there were statistically significant differences (p<0.05), there were also significant difference (p<0.01) between intervention group and control group;2. After intervention, the level of the knowledge of rehabilitation training of patients with heart failure increased obviously (p<0.05);3. After intervention, quality of life of patients with heart failure improved, the score of Minnesota heart failure quality of life significant differences (p<0.05), but compared between intervention group and control group, there were no significant difference (p>0.05); the trend is different on the score of quality of life between the two groups with the time change;4. After intervention, self-efficacy of patients with heart failure enhance (p<0.05), and the improvement of the intervention group was better than control group (p<0.01), but there was no significant difference before intervention and after intervention to the control group (p>0.05); the trend is different on the score of self-efficacy between the two groups with the time change;5. After intervention, the degree of heart failure of patients with heart failure reduced, the6-min walk distance increased(p<0.05), there were significant differences between the two groups (p<0.01); the trend is different on the distance of6-min walk between the two groups with the time change;6. After intervention, the level of plasma amino terminal brain natriuretic peptide precursor (NT-proBNP) of patients with heart failure significantly (p<0.05), but there was no significant difference between the two groups(p>0.05); the trend is same on the NT-proBNP between the two groups with the time change.Conclusion1. The method based on the transtheoretical model of nursing intervention can significantly promote exercise rehabilitation training behavior change, improve the level of the knowledge of rehabilitation training and the self-efficacy to the hospital chronic heart failure patients; 2. The nursing method based on the transtheoretical model with clinical treatment method can further improve the condition of the hospital chronic heart failure patients. |
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