Design And Application Of Health Education Board Game For Elderly Patients With Coronary Heart Disease

Objective: To design the health education board game for elderly patients with coronary heart disease(CHD),and explore its effect on improving the cognition of CHD knowledge,self-efficacy and selfmanagement behavior of elderly CHD patients.Methods:(1)Design of the health education board game for elderly CHD patients: the initial version of health education board game for elderly CHD patients was formed by establishing a multidisciplinary team,literature analysis and brainstorming methods,and then two rounds of expert correspondence were implemented to improve and revise the health education board game.The final version of the health education board game for elderly CHD patients was formed,after a pre experiment was conducted.(2)Application of the health education board game for elderly CHD patients: The convenient sampling method was used to selected 58 elderly patients with CHD.The patients were divided into experimental group and control group by random number table method,with 29 patients in each group.The experimental group received health education board game intervention for 2 times,once every 2 weeks for one month,30～45 minutes each time.The control group received 2 routine health education lectures for one month every 2 weeks,30～45 minutes each time.The self-made general situation questionnaire was used to collect the general information of the two groups.And CHD related knowledge assessment scale,CHD self-efficacy scale and CHD Self-management scale were used to measure the changes of CHD related knowledge cognition,self-efficacy level and self-management behavior of the two groups before and after the intervention.Independent sample t-test or Wilcoxon rank sum test was used to compare the data between the experimental group and the control group,and paired t-test or Wilcoxon signed-rank test was used to compare the data within the group.Results:(1)Design of the health education board game for elderly CHD patients:(1)The health education board game for elderly CHD patients designed in this study included 1 board,1 dice,4 pieces,61 health education problem cards and 1 game rule.(2)The experts in the two rounds of expert correspondence had high enthusiasm,the questionnaire recovery rates were 85.00% and 94.12% respectively,and the expert authority coefficients were 0.909 and 0.916 respectively.The degree of coordination of opinions on health education problems was high,and the variation coefficient ranged from 0 to 0.144.(2)Application of the health education board game for elderly CHD patients: There was no significant difference in the general situation between the experimental group and the control group(P > 0.05).Before intervention,the scores of CHD related knowledge,self-efficacy and selfmanagement behavior in the experimental group were 14.89±3.17,31.67±6.51 and 75.81±9.43 respectively.The scores of CHD related knowledge,self-efficacy and self-management behavior in the control group were 14.81±3.29,31.15±6.92 and 74.37±12.17 respectively.There was no significant difference between the two groups(P > 0.05).After the intervention,the scores of coronary heart disease related knowledge(22.59±2.75),self-efficacy(37.81±5.38)and self-management behavior(84.22±7.47)in the experimental group were higher than those in the control group(CHD related knowledge 18.56±3.99,self-efficacy33.67±5.33 and self-management behavior 79.15±9.96).The scores of CHD related knowledge,CHD self-efficacy and CHD self-management after the intervention in the experimental group were significantly higher than before(P < 0.05),but the scores of bad hobby management dimension and treatment compliance dimension of CHD Self-management scale had no significant change compared with those before the intervention(P >0.05).Conclusions:(1)The health education board game for elderly CHD patients designed in this study is scientific,practical and interesting,and has a good effect on health education.(2)Health education board game for elderly CHD patients can improve patients’ cognition of CHD related knowledge,enhance patients’ selfefficacy and improve patients’ self-management behavior.