| Objectives To explore the effects of the health educations based on information-motivation-behavior skills(IMB)model+task driven on the health behavior and health promotion of patients with critical coronary artery disease,and to provide basis for improving the prognosis of patients.Methods From June 2020 to June 2021,116 patients were selected as research subjects,who were hospitalized in Department of Cardiology,Tangshan workers’Hospital and underwent coronary angiography which results showed 50%-70%coronary artery stenosis.116 patients were randomly divided into experimental group and control group,with 58 people in each group.The control group was given routine cardiology nursing and health education in various forms,such as graphic materials,oral publicity and education,video and so on,and the health education was carried out in admission stage,hospitalization period and discharge follow-up stage.On the basis of the control group,the nursing intervention of IMB+task driven health education was implemented in the experimental group.The IMB skill model theory included three parts:information collection,motivation intervention and behavior intervention.During hospitalization the intervention content was designed according to the IMB skill model,and task-driven education was integrated into behavioral intervention in continuous nursing outside the hospital.The health behavior,quality of life and psychological status of patients were evaluated before intervention,1 month,3 months and 6 months after intervention separately.SPSS 24.0 software was used for statistical analysis.The measurement data were described as((?)±s),t-test and one-way anova were used between and within the groups,andχ~2test was used for counting data.Results 1 Comparison of health behavior between the two groups before and after intervention:Intervention effect of self-management ability of coronary heart disease of two groups of patients:There was no significant difference in self-management ability score between the two groups before intervention(P>0.05);At 1 month,3 months and 6months after intervention,the self-management ability scores of coronary heart disease in the experimental group were higher than those in the control group(P<0.05).Intervention effect of medication compliance in two groups:There was no significant difference in medication compliance score between the two groups before intervention(P>0.05).At 1month,3 months and 6 months after intervention,the score of medication compliance in the experimental group was significantly higher than that in the control group,so the difference was statistically significant(P<0.05).2 Comparison of quality of life between the two groups before and after intervention:(1)There was no significant difference in Seattle Angina score between the two groups before intervention(P>0.05).At 1 month,3months and 6 months after intervention,the angina score of the experimental group was significantly higher than that of the control group,and the difference was statistically significant(P<0.05).The reduction rate of angina pectoris attack after maximum activity in the experimental group was better than that in the control group,and the average attack times of angina pectoris and medication times in the experimental group in four weeks were lower than those in the control group(P<0.05).Comparison of cardiovascular quality of life in China between the two groups:There was no significant difference in cardiovascular quality of life score between the two groups before intervention(P>0.05).At 1 month,3 months and 6 months after intervention,the scores of cardiovascular quality of life in the experimental group were significantly higher than those in the control group,and the difference was statistically significant(P<0.05).Comparison of psychological status between the two groups before and after intervention:There was no statistically significant difference in anxiety score and depression score between the two groups before intervention(P>0.05).At 1 month,3 months and 6 months after intervention,the anxiety score of the experimental group was lower than that of the control group,and the difference was statistically significant(P<0.05).At 3 months and 6months after intervention,the depression score was lower than that of the control group,and the difference was statistically significant(P<0.05).With the extension of intervention time,the scores of self-management ability,medication compliance,Seattle angina pectoris and quality of life in the experimental group gradually increased,and the scores of anxiety and depression gradually decreased.Conclusions The health behaviors,for example self management and medication compliance of patients with critical coronary artery disease,were improved effectively by the health educations based on information-motivation-behavioral skills model(IMB)+task driven.The psychological health status of patients,such as anxiety,depression and so on,were reduced,which helped to reduce the frequency of angina pectoris in patients with critical coronary artery disease,to promote the recovery of body function and to improve the quality of life.Figure 6;Table 21;Reference 146... |
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