主管：国家卫生健康委员会
主办：国家卫生健康委医院管理研究所
中国科技核心期刊（中国科技论文统计源期刊）
中国科学引文数据库（CSCD）核心库期刊
《中文核心期刊要目总览》核心期刊

中国护理管理 ›› 2021, Vol. 21 ›› Issue (11): 1622-1627.doi: 10.3969/j.issn.1672-1756.2021.11.005

• 特别策划·心血管病康复护理 • 上一篇    下一篇

LEARNS模式在心力衰竭患者门诊随访健康教育中的应用

叶晶 张蕊 马媛 韩晓宁 丁文惠 陶珍晖 李晶 郑一梅   

  1. 北京大学第一医院心内科，100034 北京市（叶晶，张蕊，马媛，韩晓宁，丁文惠，郑一梅）；护理部（陶珍晖，李晶）
  • 出版日期:2021-11-15 发布日期:2021-11-15
  • 通讯作者: 郑一梅，本科，主管护师，科护士长，E-mail:13683582828@163.com
  • 作者简介:叶晶，硕士，主管护师，护士长
  • 基金资助:
    中华护理学会2019年立项科研课题（ZHKY201918）

Application of LEARNS Model in health education for outpatients with Heart Failure

YE Jing, ZHANG Rui, MA Yuan, HAN Xiaoning, DING Wenhui, TAO Zhenhui, LI Jing, ZHENG Yimei   

  1. Department of Cardiology Nursing Department, Peking University First Hospital, Beijing, 100034, China
  • Online:2021-11-15 Published:2021-11-15
  • Contact: E-mail:13683582828@163.com

PDF (PC)

144

赞

摘要： 目的：分析LEARNS模式在心衰患者门诊随访健康教育中的应用效果。方法：2019年6月至2020年10月，采用随机数字表法将100例北京市某三级甲等医院门诊随访的心衰患者随机分为干预组和对照组，各50例，进行为期3个月的干预，对照组接受常规心衰门诊随访健康教育，干预组接受基于LEARNS模式的健康教育。在干预前、干预3个月后分别对两组患者进行Atlanta心衰知识问卷、欧洲心衰自我护理行为量表和心衰疾病相关指标的评价。结果：干预3个月后，干预组患者心衰相关知识、自我护理行为、B型利钠肽水平较对照组改善明显（P<0.05），NYHA心功能分级Ⅰ级所占比例高于对照组（P<0.05）。结论：基于LEARNS模式的健康教育可改善心衰患者的疾病相关知识、自我护理行为情况，以及NYHA心功能分级和B型利钠肽水平。

关键词: LEARNS模式；心力衰竭；随访；健康教育；康复

Abstract: Objective: To explore the effect of application of LEARNS Model in health education for outpatients with Heart Failure. Methods: Totally 100 outpatients with heart failure were randomly divided into intervention group and control group using random number table from June 2019 to October 2020. The intervention group consisted of 50 cases and control group consisted of 50 cases. The nursing intervention lasted 3 months. The intervention group received health education based on LEARNS Model, while the control group received routine health education during outpatient follow-up. The Atlanta Heart Failure Knowledge Test-V2 (AHFKT-V2), the European Heart Failure Self-care Behavior Scale (EHFScBS) were applied and heart failure related indicators were evaluated at the beginning and end of nursing intervention respectively. Results: At the end of intervention, the scores of AHFKT-V2, EHFScBS and B-type Natriuretic Peptide (BNP) of the intervention group were significantly higher than those of the control group (P<0.05). The number of NYHA I of the intervention group was significantly higher than that of the control group (P<0.05). Conclusion: Health education based on LEARNS Model can significantly improve the disease-related knowledge, self-care behavior, NYHA grade and BNP of outpatients with heart failure.

Key words: LEARNS Model; Heart Failure; follow-up; health education

中图分类号: 

  • R47
版权所有 © 《中国护理管理》杂志社   京公网安备 11010202005821号   京ICP备11024163号


本系统由北京玛格泰克科技发展有限公司设计开发