信息动机行为技巧模型在房颤患者抗凝治疗依从性中的应用
Effect of Programs Based on the Model of In-formation-Motivation-Behavioral Skills on the Adherence to Anticoagulation Treatment in Patients with Atrial Fibrillation
DOI: 10.12677/ACM.2023.1381798, PDF,   
作者: 葛玲玲, 卞雪征, 安 然：中国人民解放军海军第九七一医院健康管理中心，山东 青岛；王 波：中国人民解放军海军第九七一医院心血管内科，山东 青岛
关键词: 心房颤动；抗凝；信息动机行为技巧模型；Atrial Fibrillation； Anticoagulation； The Model of Information-Motivation-Behavioral Skills
摘要: 目的：探索基于IMB制定的干预措施在房颤患者抗凝治疗依从性中的应用效果。方法：选取青岛市某三级甲等医院心内科的房颤患者作为研究对象。试验组接受基于IMB制定的干预方案，对照组接受常规护理。比较两组在干预后1个月、3个月、6个月时的服药依从性、抗凝药知识水平、服药信念和生命质量，以及两组的出血和栓塞的发生率。结果：试验组患者干预1个月时，抗凝药知识问卷得分、服药信念量表得分均高于对照组(P < 0.05)。干预后6个月时，试验组服药依从性量表得分高于对照组(P均<0.05)。但是两组的生命质量量表得分、出血和栓塞事件的发生率的比较差异没有统计学意义(P均>0.05)。结论：基于IMB制定的干预措施可以提高患者的服药依从性、抗凝药知识水平，提高患者的服药必要性信念。
Abstract: Objective: To investigate the effect of programs based on the model of information-motivation- be-havioral skills on the adherence to anticoagulant treatment in patients with atrial fibrillation. Methods: Patients with atrial fibrillation who met the inclusion criteria in the department of cardi-ology of a tertiary hospital in Qingdao were selected as the research subjects. Patients in the ex-perimental group received care based on the model of information-motivation-behavioral skills. Pa-tients in the control group received routine care. The medication compliance, anticoagulant knowledge, beliefs about medical, quality of life as well as embolism and bleeding events were compared between two groups at admission and 1 month, 3 months, 6 months after intervention. Results: The total scores of anticoagulation knowledge, beliefs about medical in the experimental group were higher than those in the control group at 1 month after intervention. The difference was statistically significant (P < 0.05). The score of medication compliance in the experimental group was higher than that in the control group at 6 months after intervention. The difference was statis-tically significant (P < 0.05). However, there was no significant difference in the quality of life and the incidence of embolism and bleeding events between the two groups at 1 month, 3 months, and 6 months after intervention (P > 0.05). Conclusion: The programs based on the model of infor-mation-motivation-behavioral skills can improve medication adherence, anticoagulation knowledge, medical beliefs in patients with atrial fibrillation.
文章引用：葛玲玲, 卞雪征, 安然, 王波. 信息动机行为技巧模型在房颤患者抗凝治疗依从性中的应用[J]. 临床医学进展, 2023, 13(8): 12829-12837. https://doi.org/10.12677/ACM.2023.1381798

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