Analysis of the impact of continuity nursing based on the theory of knowledge, belief, and action on medication adherence, quality of life, and self-efficacy in patients with coronary heart disease
基于知信行理论的延续性护理对冠心病患者服药依从性、生活质量及自我效能的影响分析

摘要

目的 探究基于知信行理论的延续性护理对冠心病患者服药依从性,生活质量及自我效能产生的影响。方法 选取2023年5月6日-2024年5月6日在我院接受治疗的50例冠心病患者作为研究对象。按照治疗先后顺序随机分为实验组和对照组各25例。实验组实施基于知信行理论的延续性护理，对照组实施常规护理，两组患者均护理一年，对比一年内两组患者治疗依从性、生活质量（SF-36）及自我效能(GSES)。结果 护理后实验组患者生活质量、自我效能、治疗依从性评分均高于对照组（P＜0.05）。结论 将基于知信行理论的延续性护理应用到冠心病患者中，可以有效提高患者生活质量及治疗依从性，并增强患者自我责任感，可改善患者自护能力。

Abstract

Objective To explore the effect of continuity nursing based on the knowledge, belief and action theory on medication compliance, quality of life and self-efficacy in patients with coronary heart disease.
Methods A total of 50 patients with coronary heart disease who were treated in our hospital from May 6, 2023 to May 6, 2024 were selected as the research subjects. They were randomly divided into an experimental group and a control group with 25 cases in each group according to the order of treatment. The experimental group implemented continuity nursing based on the knowledge, belief and action theory, and the control group implemented conventional nursing. Both groups of patients were cared for one year, and the treatment compliance, quality of life (SF-36) and self-efficacy (GSES) of the two groups of patients were compared within one year.
Results After nursing, the quality of life, self-efficacy and treatment compliance scores of the experimental group were higher than those of the control group (P＜0.05).
Conclusion   Applying continuity nursing based on the knowledge, belief and action theory to patients with coronary heart disease can effectively improve the quality of life and treatment compliance of patients, enhance patients' sense of self-responsibility, and improve patients' self-care ability.