Effect Of The Integrated Theory Of Health Behavior Change Based Health Education On Self-management Of Patients With Percutaneous Coronary Intervention

Objective To explore the effect of health education based on the Integrated Theory of Health Behavior Change on self-management and quality of life of patients with percutaneous coronary intervention,the aim of this study was to provide the reference for the health education of the patients with percutaneous coronary intervention operation.Methods This was a quasi-experimental study.According to the inclusion criteria,a total of 124 patients with percutaneous coronary intervention were recruited from January to August 2016 in a grade A tertiary hospital in Qingdao by purposive sampling.The patients were divided into two arms according to the time order of the patients entering the study.The patients were recruited from January to April 2016 as control group and May to August 2016 as experimental group,62 cases of each group.The control group received 3 times of hospital routine health education and the 2 outpatient follow-up.The experimental group received routine health education and follow-up,and received the Integrated Theory of Health Behavior Change is based health education.All the subjects were measured the self-management ability,self-efficacy,social support and quality of life by using the scaling method before the intervention,1 months after the intervention and after the intervention for 3 months.The data were analyzed by SPSS 17.0 statistical software.To evaluate the effect of health education based on the Integrated Theory of Health Behavior Change.Results 1.Finally,61 patients in the experimental and 60 patients in the control group completed the study.2.Before the intervention,the baseline data of the two groups were not statistically different(P>0.05).3.Two groups of patients before intervention,1 month and 3 months after the intervention of the self-management score by multiple factors repeated measurement of variance analysis,the results show that the time effect,inter-group effect and interaction effect were statistically significant(P<0.001).The results show that the impact of time factors on self-management scores varies with the grouping.Univariate repeated measurements of variance analysis showed that:(1)The test group and the control group at 3 time points of self management scores were statistically significant.(P<0.001).(2)The self-management score of experimental group in 3 months after the intervention>1 month after intervention>before the intervention(P<0.001).(3)The self-management score of control group in 1 months after the intervention>3 month after intervention>before the intervention.Multivariate analysis of variance showed that there was no significant difference between the two groups before intervention(P>0.05).And the self-management scores of the experimental group were higher than those of the control group at 1 month and 3 months(P<0.001).4.Two groups of patients before intervention,1 month and 3 months after the intervention of the self-efficacy score by generalized linear mixed model analysis,the results show that the time effect,inter-group effect and interaction effect were statistically significant(P<0.001).The results show that the impact of time factors on self-efficacy scores varies with the grouping.The self-efficacy scores of the three time points in each group were compared and the results showed that(1)the self-efficacy score and functional maintenance of experimental group in 3 months after the intervention>1 month after intervention>before the intervention(P<0.016);The score of functional maintenance dimension of after the intervention was higher than before(P<0.016),and there was no significant difference between 1 month after intervention and 3 months after intervention(P>0.016).(2)The self-efficacy score of control group of after the intervention was higher than before(P<0.016),and there was no significant difference between 1 month after intervention and 3 months after intervention(P>0.016);The functional maintenance of experimental group in 1 months after the intervention>3 month after intervention>before the intervention(P<0.016).The results of the comparison between the two groups showed that there was no significant difference between the two groups before intervention(P>0.05).And the self-efficacy scores of the experimental group were higher than those of the control group at 1 month and 3 months(P<0.005).5.Two groups of patients before intervention,1 month and 3 months after the intervention of the social support score by multiple factors repeated measurement of variance analysis,the results show that the time effect and interaction effect were statistically significant(P<0.001),and the effect of the group was only statistically significant only for the social support score and the supportive degree dimension(P<0.001).The results show that the impact of time factors on social support scores varies with the grouping.Univariate repeated measurements of variance analysis showed that:(1)The test group and the control group at 3 time points of social support scores were statistically significant(P<0.001).(2)The social support score,Support utilization and objective support dimension of experimental group in 3 months after the intervention>1 month after intervention>before the intervention(P<0.001).(3)The social support score of control group of after the intervention was higher than before(P<0.05).The results of the comparison between the two groups showed that there was no significant difference between the two groups before intervention(P>0.05).And the social support scores of the experimental group were higher than those of the control group at 1 month and 3 months(P<0.001).6.Two groups of patients before intervention,1 month and 3 months after the intervention of the quality of life score by multiple factors repeated measurement of variance analysis,the results show that the inter-group effect and interaction effect were statistically significant(P<0.001),and the time effect on the score of medical satisfaction dimension was not statistically significant(P=0.641).The results show that the impact of time factors on quality of life scores varies with the grouping.Univariate repeated measurements of variance analysis showed that: In addition to the medical satisfaction dimension,two groups of patients with the total score of quality of life and their scores were in 3 months after the intervention > 1 month after intervention > before the intervention(P<0.001).The results of the comparison between the two groups showed that there was no significant difference between the two groups before intervention(P>0.05).And the quality of life score of the experimental group were higher than those of the control group at 1 month and 3 months(P<0.001).Conclusion 1.Health education based on the Integrate theory of health behavior change theory can improve the self-management ability of patients with percutaneous coronary intervention treatment,and improve the awareness level and self-management skills of disease.2.The Integrated Theory of Health Behavior Change based health education can improve the Self-efficacy level of patients with percutaneous coronary intervention treatment.3.The Integrated Theory of Health Behavior Change based health education can improve the Social support level of patients with percutaneous coronary intervention treatment.This is clearly effective in mobilizing support resources and improving utilization.4.The Integrated Theory of Health Behavior Change based health education has a certain effect on improving the quality of life of patients with percutaneous coronary intervention treatment.