Advances In Volume Management Of Patients With Chronic Heart Failure Based On Trans-theoretical Models

【Objective】This study by applying transtheoretical model to the capacity of the management of patients who have chronic heart failure,to explore by the staged switch mode capacity management measures to maintain capacity balance in patients who have chronic heart failure in order to improve the level of their cardiac function index research and application of the specific measures based on the capacity of the transtheoretical model management on the effectiveness and practicability of the chronic heart failure patients,this study discovered that capacity management is an essential important part of the treatment of chronic heart failure patients,according to the patient’s stage of behavior change,work out during the capacity management to conform to the patients with chronic heart failure of intervention measures,in order to improve the patients quality of life,At the same time,it provides reference basis for capacity management of patients with chronic heart failure and for nursing to complete health management education for patients with chronic heart failure.【Methods】In this study,we choosed in all of 80 patients who met the inclusion measure,use the types of experimental randomized controlled study method,The patients with chronic heart failure who were in hospital in the heart failure ward of general medicine of a third class hospital in Kunming City from January 2020 to September 2020 were selected as the research objects.The patients were random distributioned into the control group(n = 40)and the intervention group(n = 40).The control group we usually give it conventional nursing care and health education,giving intervention group to use the transtheoretical model of capacity management intervention,The patients were evaluated with a behavioral change stage questionnaire,to explain the knowledge related to the disease patients,the importance of measuring weight and how to record intake and other related knowledge,And then questions were answered by experts on the spot and followed up in telephone for 6 months,the researchers in patients before discharge,discharge after 3months,after six months leave hospital,By collecting the two groups of patients with stage of behavior change questionnaire to access,based on Chinese culture improvement in six-minute walk-test Minnesota heart failure survival quality score,Heart failure self-management score,etc,by means of calculate two groups of patients scale score,In order to come to the conclusion about the trans-theoretical model to guide the capacity management can effectively improve patients ability to cardiac fuction and the quality of life and self-management ability.【Results】In all of 80 CHF patients were selected in this study,of which 8 patients fell off during the study.In the end,there are 72 patients data completed collection 6 months after discharge,There were 36 patients in the control group and the others belong to the intervention group,The result revealed,(1)The behavior changes of CHF patients after trans-theoretical model capacity management: 3 months and 6 months after intervention,the intervention group patients results obvous superior to the control group about behavior change,and the difference was statistically significant(P < 0.05.(2)Level of heart function: the intervention group CHF patients 6-minute walking distance was distinctly higher than the control group,the results have statistical significance(P < 0.05).(3)the intervention group patients at all time of each point after intervention of Minnesota quality of life scores was lower than before the the intervention after comparsion(the scores is lower,the result is better),this shows,after the intervention the CHF patients quality of life the total level was improved obviously compare with before,the difference is statistically significant(P < 0.05).(4)Compared with prior to intervention,after the intervention of intervention group the self-management capacity of patients was enhance level clear after 6months discharge,result have statistical significance(P < 0.05).【Conclusion】(1)Capacity management based on cross-theoretical model can improve the behavioral stage change of patients with chronic heart failure,it can make patients to the low stage of volume management gradually from rise to the action or maintenance stage.(2)Trans-theoretical model based volume management can improve the level of patients cardiac functions and the 6-minute walk test distance,But in the short term,the effect is not obvious(3)Take advantage of Trans-theoretical Model of capacity management education pattern can improved the chronic heart failure patients quality of life and self-management ability of patients,which is more practical and feasible.