| Objective To investigate the fatigue status of patients with coronary heart disease(CHD)and to analyze the factors affecting fatigue,self-designed fatigue cognitive questionnaire was made on the basis of literature accumulation and expert consultation to find out the current situation of fatigue cognition of patients with coronary heart disease(CHD).To explore the effect of health education based on forgetting curve theory on fatigue degree,fatigue cognition level and positive and negative emotional level of patients with coronary heart disease(CHD).Methods This study is divided into two stages.The first stage: the convenience sampling method is used to select 220 coronary heart disease patients who meet the requirements of the research in Zhenjiang third Class A Hospital for investi gation and analysis of fatigue status.The survey tool used is a self-made general status questionnaire,Multi-dimensional fatigue scale,positive and negative emotion scale.The second stage: two parts: one is to select 165 coronary heart disease patients who meet the requirements of the research in Zhenjiang third Class A Hospital by convenient sampling method.The investigation tool was self-made fatigue cognition questionnaire,and the reliability and validity of the questionnaire were tested by pre-experiment.Secondly,the patients with coronary heart disease(CHD)from July 2017 to October 2017 in a third Class A Hospital in Zhenjiang City were selected as the research objects.This study was carried out in two areas,I.e.,intracardiac 1 as experimental area,intracardiac 2 as control area,control group 45 cases given routine fatigue health education,experimental group 45 cases given health education based on forgetting curve theory,and 1 month after discharge.The intervention effect was evaluated by multi-dimensional fatigue scale,fatigue cognitive questionnaire and positive-negative emotion scale.Results 1.patients with coronary heart disease were divided into(59.33+9.16)points,indicating that the fatigue degree of patients with coronary heart disease was at the moderate level.In the three dimensions of multidimensional fatigue scale,the score of psychological fatigue dimension was the highest,which was(3.04 +0.60).The score of mental fatigue dimension was the lowest(2.42+0.72),and that of somatic fatigue dimension was(2.87+0.63).2.The results showed that different levels of education,sleep quality,daily exercise time,self-assessment of health,attention to fatigue knowledge,body mass index,number of stents,systolic blood pressure,mean arterial pressure,There were significant differences in total fatigue scores between positive and negative emotion patients(P < 0.05).Multiple stepwise regression analysis showed that the patients’ education,exercise time,fatigue knowledge,body mass index and mean arterial pressure were concerned.Positive emotion is an important factor affecting fatigue.3.The Cronbach’s a coefficient of fatigue cognitive questionnaire was 0.824,the correlation coefficient of retest was 0.803,the content validity was 0.80,which showed that the reliability and validity of the questionnaire was(5.763.43)in 165 patients with coronary heart disease.The results suggest that most patients’ fatigue cognition is at a low level,and the scores of fatigue cognition from high to low are as follows: the influence of fatigue on coronary heart disease,the relationship between fatigue and coronary heart disease,fatigue classification,fatigue measurement and relief methods,fatigue causes and manifestations.4.After the intervention,the level of fatigue cognition and positive emotion in the intervention group were significantly higher than those before the intervention.The total score of fatigue knowledge,the scores of each dimension and the score of positive emotion in the intervention group were higher than those in the control group.After the intervention,the fatigue degree and negative emotion level of the patients in the intervention group were significantly lower than those before the intervention,and the total score of fatigue,the scores of each dimension and the score of negative emotion were lower than those of the control group(P < 0.01).Conclusions 1.The fatigue degree of patients with coronary heart disease is at the moderate level.In each dimension,the psychological fatigue score is the highest,and the mental fatigue score is the lowest.2.Fatigue in patients with coronary heart disease is affected by many factors,including education level,exercise time every day,whether attention to fatigue knowledge,body mass index,mean arterial pressure,positive emotion are the main factors affecting fatigue.3.Patients with coronary heart disease have poor knowledge of fatigue,among them,fatigue causes and performance dimension score is the lowest,fatigue impact dimension of coronary heart disease score is the highest,which provides a certain basis for the later health education.4.Health education based on forgetting curve theory can improve patients’ fatigue cognition and positive emotion level,improve negative emotion,effectively alleviate the fatigue degree of patients,and is worthy of clinical promotion. |
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