Application of conceptual reconstruction cognitive nursing and Roy adaptation model nursing in elderly chronic heart failure patients

Abstract

Abstract: Objective To explore the effect of applying concept reconstruction cognitive nursing and Roy adaptation mode nursing in elderly patients with CHF. Methods A total of 102 elderly CHF patients from October 2020 to October 2023 who were admitted in Neimenggu Autonomous Region People's Hospital were selected, and randomly divided into the intervention group (n=51, concept reconstruction cognitive care and Roy adaptation mode care) and the control group (n=51, routine care). The disease cognition, self-efficacy, and self-management ability in both groups were compared. Results After intervention, the disease cognition score, self-efficacy score scale (GSES) score, and heart failure self-care index scale (SCHFI) of both groups of patients increased compared with before intervention, and the differences were statistically significant(P<0.05). Moreover, the intervention group had a greater increase in the above indicators than the control group, and the differences were statistically significant(P<0.05). Conclusion Concept reconstruction cognitive nursing and Roy adaptation model nursing used in elderly CHF patients can enhance disease awareness, enhance self-efficacy and self-management ability.

Key words: conceptual reconstruction cognitive nursing, roy adaptation mode nursing, old age chronic heart failure

CLC Number:

LI Zhi-juan, WANG Jin, LYU Na. Application of conceptual reconstruction cognitive nursing and Roy adaptation model nursing in elderly chronic heart failure patients[J]. ZHONGHUA YANGSHENG BAOJIAN, 2024, 42(24): 136-139.

References

[1] 刘英华,刘言薇,邓露双,等.PRECEDE-PROCEED健康教育模式在慢性心力衰竭患者中的应用[J].护理实践与研究,2024,21(1):62-67.
[2] 王双娜,丁艳丽,刘艳萍,等.Teach-back健康教育模式对慢性心力衰竭患者自护能力和生活质量的影响[J].齐鲁护理杂志,2024,30(3):141-143.
[3] 周艳艳. 基于概念重建理论的认知干预在自发性气胸术后患者中的应用[J].中外医学研究,2023,21(20):103-106.
[4] 束燕,魏艳红,束方莲,等.罗伊适应护理干预模式在老年急性脑梗死后吞咽障碍病人中的应用[J].循证护理,2022,8(14):1941-1944.
[5] 中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会,中华心血管病杂志编辑委员会等.中国心力衰竭诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-789.
[6] 王才康,胡中锋,刘勇.一般自我效能感量表的信度和效度研究[J].应用心理学,2001,7(1):37-40.
[7] RIEGEL B, CARLSON B, GLASER D.Developmentand testing of a clinical tool measuring self-managementof heart failure[J]. Heart Lung,2000,29(1):4-15.
[8] 白云,洋汉波,丰琴.安宁疗护联合认知干预措施对老年慢性心力衰竭患者SF-36评分和MMSE评分的影响[J].国际护理学杂志,2021,40(4):727-730.
[9] 吴爽,崔天晓.基于老年综合评估护理干预在老年慢性心力衰竭患者中的应用分析[J].临床护理杂志,2024,23(1):18-20.
[10] 康瑜. 阶梯式运动康复训练对慢性心力衰竭患者自我护理能力及生活质量的影响[J].中国临床护理,2024,16(1):19-22.
[11] 周瑛君,尹洪涛,蔡丽丽,等.概念重建理论对急性心肌梗死伴瓣膜返流患者知信行水平、负性情绪、应对方式的干预作用[J].中国急救复苏与灾害医学杂志,2022,17(6):705-709.
[12] 黄深萍. 基于IMB模型的认知行为干预在慢性心力衰竭伴失眠患者中的应用[J].国际护理学杂志,2023,42(4):740-743.
[13] 白薇,童菲菲.罗伊适应理论结合运动干预对脑出血患者术后恢复情况及DVT发生率、Barthel评分的影响[J].国际护理学杂志,2021,40(3):539-542.
[14] 王杰平,李仲玲,黄燕飞.高低频转换听觉-运动训练联合罗伊适应模式对脑出血后偏瘫患者的影响[J].齐鲁护理杂志,2022,28(22):51-54.
[15] 常陆,王梦莹,毛盼,等.基于概念重建理论的认知护理在老年慢性心力衰竭患者中的应用[J].国际护理学杂志,2022,41(9):1655-1659.
[16] 张晓菲,孙娟,宋方方,等.基于认知适应理论的健康教育对老年慢性心力衰竭患者运动恐惧的影响[J].中国临床护理,2023,15(6):366-370.
[17] 孔红娟,史潇夏,周芬.概念重建认知护理对老年慢性心力衰竭患者的影响[J].齐鲁护理杂志,2024,30(3):5-8.
[18] 彭涵,唐娜娜,杨肖.以罗伊适应模式为基础的护理干预对心血管疾病老年患者自我效能及自我感受负担的影响[J].齐鲁护理杂志,2022,28(21):13-16.
[19] 张晓洁,姚雪媚,潘玉嫦,等.认知行为干预联合综合心脏康复在急性失代偿性心力衰竭患者护理中的效果观察[J].护理实践与研究,2024,21(1):68-74.
[20] 徐聪慧. 团队咨询联合认知行为干预对老年慢性心力衰竭病人遵医行为及生活质量的影响[J].全科护理,2021,19(10):1339-1342.