ITHBC个体化心脏康复策略对冠心病患者临床转归的效果观察

Observation on the Effect of ITHBC Personalized Cardiac Rehabilitation Strategy on Clinical Outcomes in Patients with Coronary Heart Disease

摘要: 目的：冠心病(CHD)患者普遍存在健康认知欠缺、心脏康复主观意识不强、自我健康管理执行力弱等问题，本研究依托健康行为改变整合理论(ITHBC)制定个体化心脏康复干预方案，观察该模式对冠心病患者认知水平、健康行为养成、危险因素管控、康复依从性及生活质量的应用价值。方法：将100例CHD住院患者随机分为干预组和对照组，各50例，对照组采用传统心脏康复健康教育模式，干预组加用ITHBC个体化干预，周期6个月。结果：干预后，干预组在健康认知、健康行为、危险因素控制、依从性及生活质量评分上均显著优于对照组(P < 0.05)。结论：ITHBC个体化心脏康复模式能转变CHD患者健康观念，提升主动管理意识，改善行为、危险因素、依从性和生活质量，具有推广价值。

Abstract: Objective: Patients with coronary heart disease (CHD) commonly exhibit deficiencies in health awareness, weak subjective motivation for cardiac rehabilitation, and poor self-health management adherence. This study developed an individualized cardiac rehabilitation intervention program based on the Integrated Theory of Health Behavior Change (ITHBC) to evaluate its efficacy in improving patients’ health cognition, health behavior adoption, risk factor control, rehabilitation compliance, and quality of life. Methods: A total of 100 hospitalized CHD patients were randomly divided into an intervention group and a control group (50 cases each). The control group received conventional cardiac rehabilitation health education, while the intervention group additionally underwent ITHBC-based personalized interventions over a 6-month period. Results: After intervention, the intervention group demonstrated significantly superior performance compared to the control group in terms of health cognition, health behaviors, risk factor control, compliance, and quality of life scores (P < 0.05). Conclusion: The ITHBC-based personalized cardiac rehabilitation model effectively alters CHD patients’ health perceptions, enhances proactive management awareness, improves behavioral outcomes, risk factor control, compliance, and overall quality of life, demonstrating significant potential for widespread implementation.