| Research Background:At present,the prevalence and mortality of cardiovascular diseases are on the rise,showing a trend of younger age.And it brings a heavy burden to families and societies.Therefore,there is an imperative and urgent need to prevent and control cardiovascular events in young and middle-aged adults.However,young and middle-aged people lack knowledge about cardiovascular disease.And they have some risk factors including unhealthy lifestyle,serious pre-hospital delayed behavior and so on.In previous studies,health education for high-risk groups of cardiovascular events lacks attention to young and middle-aged adults,and the effect of health education in this population is still unclear.Research Purpose:A health education intervention program for young and middle-aged adults at high risk of cardiovascular events will be designed based on behavioral change wheel(BCW)theory.And its positive effect on the awareness of cardiovascular disease knowledge,health promotion lifestyle,healthy behavior ability and pre-hospital delay intention will also be verified.Research Methods:After expert group establishment,intervention function and technology selection,expert consultation,pre-experiment and expert opinions summary,the health education intervention program based on the BCW theory was finally determined.This study is designed as a quasi-experiment trial with two parallel groups.From June 2020 to January 2021,the young and middle-aged adults at high risk of cardiovascular events in Lishui City,Zhejiang Province were selected as study subjects.126 adults who met the inclusion criteria were divided into intervention group or control group,with 63 in each group.The control group received conventional health education(60～120 min/session,2 sessions),and the intervention group received 4-month health education intervention programme(1 session/month,60～120 min/session for 4 months)based on BCW theory.Using the Cardiovascular Disease(CVD)Early Warning Symptoms and Risk Factor Knowledge Questionnaire,Health Promoting-Lifestyle Scale(HPLP-Ⅱ),Self-rated Abilities for Health Practices Scale(SRAHP),and Pre-hospital Delay Behavior Intention Scale to measure the two groups of subjects’ level of knowledge of cardiovascular disease,health-promoting lifestyle,self-rated abilities for health practices and pre-hospital delay behavior intention before and after intervention and after 4 months of follow-up.Research Results:Based on BCW theory,and combined with appropriate intervention functions and intervention techniques,this study constructed a feasible health education program for middle-aged and young people at high risk of cardiovascular events.A total of 126 young and middle-aged adults at high risk of cardiovascular events were enrolled in the study,of which 9withdrew halfway,3 were lost to follow-up.Finally,114 participants completed the whole health education program.The compliance of health education program in the intervention group was93.65%.And the compliance in the control group was 92.06%,without statistically significant difference between the two groups(P>0.05).1.After health education,the knowledge level of cardiovascular diseases in the intervention group is higher than that of control group at the end of intervention,after 3 months followed-up,with statistically significant difference between the two groups(P<0.05).2.After health education,the health-promoting lifestyle level in the intervention group is higher than that of control group at the end of intervention,after 3 months followed-up,with statistically significant difference between the two groups(P<0.05).3.After health education,the self-rated abilities for health practices in the intervention group is higher than that of control group at the end of intervention,after 3 months followed-up,with statistically significant difference between the two groups(P<0.05).4.After health education,the pre-hospital delay behavior intention in the intervention group is lower than that of control group at the end of intervention,after 3 months followed-up,with statistically significant difference between the two groups(P<0.05).Research Conclusion:Health education intervention programme based on the BCW theory can effectively improve the knowledge of cardiovascular disease,promote individual’s health promotion lifestyle and self-rated abilities for health practices,reduce pre-hospital delay behavior intention among young and middle-aged adults at high risk of cardiovascular events.The effect of the intervention increases with time;Young and middle-aged adults at high risk of cardiovascular events are actively involved in health education intervention.The health education intervention programme based on BCW theory provides a standardized and systematic practice path and evaluation system for the nursing practice of health education for young and middle-aged adults at high risk of cardiovascular events,which can be widely applied and promoted at the community primary hospitals. |
