基于自我决定理论的出院方案对心力衰竭患者生活方式和再入院的影响:一项临床试验

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-04-01 DOI:10.22038/EBCJ.2020.46225.2264

Tahere Sarboozi Hosein َAbadi, M. N. Nia, S. Mazlom

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引用次数: 3

摘要

背景:人类的生活方式和行为是导致心血管疾病的主要因素。因此，基于自我决定理论的出院方案可以改善患者的生活方式。目的:本研究旨在确定该方案对心力衰竭患者的生活方式和再入院的影响。方法:该临床试验于2018- 2019年在伊朗东北部一个城市的60例心脏病发作患者中进行。采用方便抽样法，随机分为干预组和对照组。随后，干预组接受为期12周的基于sdd的出院计划。然而，对照组接受常规程序。采用人口统计学特征表、健康促进生活方式问卷和再入院问卷收集数据。在SPSS软件(version 20)中使用卡方、独立t检验、配对t检验和Wilcoxon进行数据分析。结果:干预组和对照组再住院率分别为20.0%和46.7%。卡方分析显示这方面差异有统计学意义(P=0.028)。干预组患者术后生活方式评分(164.6±16.9)分显著高于对照组(119.1±17.2)分(P<0.001)。此外，干预组患者出院后3个月各生活方式量表的平均得分较对照组显著升高(P<0.01)。实践启示:基于sdd的出院方案的设计和实施可以作为创造和维持健康促进行为的有效方法纳入护理方案。

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Effect of Self-determination Theory-based Discharge Program on Lifestyle and Readmission of Patients with Heart Failure: A Clinical Trial

Background: Lifestyle and behaviors of human beings are major factors in cardiovascular diseases. Therefore, a discharge program based on Self-determination Theory could improve the lifestyle of the patients. Aim: This study aimed to determine the effect of this program on the lifestyle and readmission of patients with heart failure. Method: This clinical trial was performed on 60 patients with heart attack in a city in north-east of Iran, during 2018-19. The participants were selected by convenience sampling method and divided randomly into intervention and control groups. Subsequently, the intervention group was subjected to a 12-week SDT-based discharge program. However, the control group received the routine program. The data were collected using a demographic characteristics form, the Health-Promoting Lifestyle Profile II questionnaire, and the readmission questionnaire. Moreover, the data were analyzed in SPSS software (version 20) using the Chi-square, independent t-test, paired t-test, and Wilcoxon. Results: In total, 20.0% and 46.7% of the subjects in the intervention and control groups were re-hospitalized, respectively. The Chi-square showed a significant difference in this regard (P=0.028).The results also showed a significant increase in the lifestyle score of the patients at post-test stage, in the intervention group (164.6±16.9), compared to the control group (119.1±17.2) (P<0.001). Furthermore, the mean score of various lifestyle subscales significantly increased in the intervention group, compared to the control group, three months after discharge (P<0.01). Implications for Practice: The design and implementation of a SDT-based discharge program could be included in the nursing care program as an effective method to create and maintain health-promoting behaviors.

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.