| Objective:To evaluate the level of health promotion behavior and the satisfaction of basic psychological needs of coronary heart disease patients after intervention operation,and deeply analyze the true experience of patients with coronary heart disease on health promotion behavior management,and provide intervention indicators for improving health promotion behaviors.To evaluate the impact of the health promotion behavior intervention model based on self-determination theory on the satisfaction of the basic psychological needs of patients.And to prove its role on developing healthy behaviors habits in patients.And to provide a practical basis for the later cardiac rehabilitation and secondary prevention of patients with coronary heart disease.Methods:This research was divided into two parts.One part was a study on the status of the basic psychological needs of patients with coronary heart disease and its influencing factors(Study 1),using the method of purpose sampling,from November 2019 to January 2020,selected in the cardiology department of a tertiary first-class hospital in Chengde City thirteen patients with coronary heart disease as the research objects.Semi-structured interviews were performed,and the content was analyzed by phenomenological methods.The second part was the intervention study on health promotion behaviors in patients with coronary heart disease after PCI(Study 2).Based on the first study,the convenience sampling method was used.From September 2020 to December 2020,on the basis of informed consent.102 patients of cardiology in a famous hospital in Chengde City were selected as the research objects,and they were divided into a experimental group(n=54 cases)and a control group(n=54cases)randomly.The control group was given routine coronary heart disease perioperative nursing measures:On the basis of the above-mentioned conventional nursing measures,the experimental group was given comprehensive nursing intervention measures based on self-determination theory.The intervention of the two groups lasted for 3 months.Before the intervention and 3 months after the intervention,the patients were given the Health Promotion Lifestyle Scale II,the Basic Psychological Needs Satisfaction Scale,the Patient Compliance Questionnaire after PCI,Seattle Angina Questionnaire,and Psychological Well-Being.For the questionnaires,the data was calculated using SPSS19.0.Results:Study 1 extracted five themes through the phenomenological analysis:Lack of patient knowledge and cognitive errors,which reduces the sense of competence;Lack of patient support,which reduces the sense of belonging;Insufficient or unrealistic participation in patient self-management plans,which reduces autonomy;The patient’s negative emotions are too high,which reduces the ability to act;The satisfaction of basic psychological needs improves the patient’s self-management ability.The results of the intervention study on the health promotion behavior of patients with coronary heart disease:1.There was no statistically significant difference in general demographic data and disease-related data between the two groups(P<0.05).2.The time effect,group effect and interaction effect of the total score of the health promotion behavior scale of patients before and after the intervention were statistically significant in two groups(P<0.05).There was no significant difference between the two groups on the total score of the HPLP-II and the scores of each subscale before the intervention(P>0.05).The total score of the HPLP-II and the scores of each subscale of the two groups were increased,the experimental group was higher,the difference was statistically significant(P<0.05).3.The time effect,group effect and interaction effect of the total score of the BPNS of patients before and after the intervention were statistically significant in two groups(P<0.05).The comparison between the two groups on the total score of the BPNS and the scores of each subscale before the intervention were not meaning(P>0.05).The scores of the BPNS and each subscale of the two groups were increased.The experimental group was higher,the difference was statistically significant(P<0.05).4.The time effect,group effect and interaction effect of the total score of the PWB scale of patients before and after the intervention were statistically significant in two groups(P<0.05).The comparison between the two groups on the total score of the PWB scale and the scores of each subscale before the intervention were not meaning(P>0.05).The scores of the PWB scale and each subscale of the two groups were increased.The experimental group was higher,the difference was statistically significant(P<0.05)..5.The time effect,group effect and interaction effect of the total score of the compliance of patients before and after the intervention were statistically significant in two groups(P<0.05).The comparison between the two groups on the total score of the compliance and the scores of each subscale before the intervention(P>0.05).The experimental group was increased,the control group was reduced,the difference was statistically significant(P<0.05).6.The time effect,group effect and interaction effect of the total score of the SAQ of patients before and after the intervention were statistically significant in two groups(P<0.05).There was no significant difference between the two groups on the total score of the SAQ and the scores of each subscale before the intervention(P>0.05).The total scores of the SAQ scale and the scores of each subscale of the two groups were increased.The experimental group was higher,the difference was statistically significant(P<0.05).Conclusion:1.The health promotion behavior level of patients with coronary heart disease after PCI is at a normal level,and the degree of satisfaction of basic psychological needs is at a medium level.2.Apply the health promotion behavior intervention model based on self-determination theory to intervene patients after PCI to help patients meet their basic psychological needs,improve the level of health promotion behavior,and improve the quality of life. |
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