Effect of nursing intervention on the quality of life of patients with heart failure based on the ;transtheoretical model

2014 
Objective To evaluate the effect of nursing intervention on the quality of life of patients with heart failure based on the transtheoretical model ( TTM).Methods Totals of 100 heart failure patients were divided into the control group and the intervention group , 50 cases each .The control group was treated with conventional health education .The intervention group was treated with the nursing intervention based on TTM . We evaluated the quality of life in the time of before intervention , 1 month and 3 months after the intervention , respectively , by the Minnesota living with heart failure questionnaire ( MLHFQ) , and compared the differences . Results 1 month and 3 months after discharge , 2 cases were died and 5 cases were lost during the follow-up in the intervention group , and 43 cases finished the investigation .3 cases were died and 7 cases were lost during the follow-up in the control group , and 40 cases finished the investigation .Before the intervention , 1 month and 3 months after the intervention, the total score of MLHFQ were (40.14 ±17.59), (59.98 ±17.44), (52.28 ±16.46) in the intervention group, and (38.45 ±16.00), (45.25 ±14.80), (41.30 ±14.40) in the control group .Before the intervention , there was no statistically difference between the two groups ( P〈0.05).After the intervention for 1month and 3 months, the differences were significant ( t =3.29, 3.22, respectively;P〈0.05).Conclusions Comparing with the conventional healthy education , the method based on TTM is one of the most effective ways , which can improve the quality of life of patients with heart failure . Thus, it is worthy of getting widely promoted in hospital . Key words: Heart failure; Quality of life; Transtheoretical model
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