Construction and application of a self-care behavior intervention scheme for chronic heart failure patients based on interaction model of client health behavior

基于客户健康行为互动模型的慢性心力衰竭患者自我护理行为干预方案的构建与应用

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Abstract

This study aimed to explore the impact and the effectiveness of interventions based on the Interaction Model of Client Health Behavior on the self-care behavior of chronic heart failure patients. Using convenience sampling, 80 chronic heart failure patients who met the inclusion and exclusion criteria were selected from the Cardiovascular Department of a tertiary hospital in Henan Province from January to June 2023. The first and second wards were randomly assigned to control and intervention groups, with the first ward serving as the control group and the second ward as the intervention group, each consisting of 40 cases. The control group received routine care, and the intervention group was subjected to a self-care behavior intervention scheme based on Interaction Model of Client Health Behavior. The intervention lasted for three months. Then, various indicators of the patients were assessed. The intervention group had significantly higher self-care behavior levels than the control group, significantly lower levels of disease perception than the control group, and the quality of life scores of the intervention group was lower than that of the control group. The difference in readmission rates between the two groups was statistically significant. The intervention scheme based on Interaction Model of Client Health Behavior can enhance self-care behavior in chronic heart failure patients, improve their disease perception, ameliorate their quality of life, and further decline readmission due to disease recurrence or complications.

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