以行为改变理论为核心的护理管理对老年性 心力衰竭患者心脏康复的影响

The Impact of Nursing Management Centered on Behavior Change Theory on Cardiac Rehabilitation in Elderly Patients with Heart Failure

摘要: 目的：探究以行为改变理论为核心的护理管理对老年性心力衰竭患者心脏康复的影响。方法：选取本院于2025年1月至2025年12月期间收治的老年性心力衰竭患者作为研究对象，共计纳入68例。病例采用随机数字表法分为常规组(常规护理)和研究组(以行为改变理论为核心的护理管理)，每组各34例。对比研究两组心功能指标与生活质量。结果：组间比较结果显示，干预后，研究组在心功能各项指标上的改善程度均显著优于常规组(P < 0.05)；干预后，两组MLHFQ各维度评分均较干预前显著下降(均P < 0.05)，且研究组分值降幅更大(P < 0.05)。结论：以行为改变理论为核心的护理管理可显著改善老年性心力衰竭患者的心功能指标，并有效提升患者生活质量，是一种更优的心脏康复护理方案。

Abstract: Objective: To explore the impact of nursing management centered on behavior change theory on cardiac rehabilitation in elderly patients with heart failure. Method: Sixty eight elderly patients with heart failure admitted to our hospital from January 2025 to December 2025 were selected as the research subjects. The cases were randomly divided into a routine group (routine nursing) and a study group (nursing management based on behavior change theory) using a random number table method, with 34 cases in each group. Compare and study two groups of heart function indicators and quality of life. Result: The inter group comparison showed that after intervention, the improvement of various indicators of cardiac function in the study group was significantly better than that in the control group (P < 0.05); After intervention, the scores of all dimensions of MLHFQ in both groups decreased significantly compared to before intervention (both P < 0.05), and the decrease in scores of the study group was even greater (P < 0.05). Conclusion: Nursing management based on behavior change theory can significantly improve the cardiac function indicators of elderly patients with heart failure and effectively enhance their quality of life. It is a better cardiac rehabilitation nursing program.