慢性病防治专栏

基于授权理论的干预模式联合八段锦对慢性肺源性心脏病患者健康信念及康复的影响

  • 朱颖 ,
  • 黄海清 ,
  • 龙怀聪
展开
  • 1.四川省医学科学院·四川省人民医院,心肺血管科,(四川 成都 610072 )
    2.四川省医学科学院·四川省人民医院,老年重症医学科,(四川 成都 610072 )

收稿日期: 2025-09-18

  修回日期: 2025-10-31

  录用日期: 2025-11-04

  网络出版日期: 2026-01-22

基金资助

四川省干部保健科研课题立项项目(编号:川干研ZH2021-201)

Influence of empowerment theory-based intervention model combined with Baduanjin exercise on health belief and rehabilitation in patients with chronic pulmonary heart disease

  • Ying ZHU ,
  • Haiqing HUANG ,
  • Huaicong LONG
Expand
  • 1.Department of Cardiopulmonary and Vascular,Sichuan Academy of Medical Sciences-Sichuan Provincial People's Hospital,Chengdu 610072,Sichuan,China
    2.Department of Geriatric Critical Care Medicine,Sichuan Academy of Medical Sciences-Sichuan Provincial People's Hospital,Chengdu 610072,Sichuan,China

Received date: 2025-09-18

  Revised date: 2025-10-31

  Accepted date: 2025-11-04

  Online published: 2026-01-22

摘要

目的 探析基于授权理论的干预模式联合八段锦在慢性肺源性心脏病(chronic pulmonary heart disease,CPHD)患者中的临床应用,并分析对患者健康信念及康复情况的影响。 方法 纳入2021年1月至2025年1月医院收治的310例CPHD患者进行回顾性队列研究,按干预方式不同进行分组(采用倾向性评分匹配法按1∶1比例纳入样本,并采用回归分析控制混杂因素),常规组仅给予临床常规干预,研究组则采用基于授权理论的干预模式联合八段锦训练,观察两组干预后心理状态、健康信念、运动康复依从性及康复情况。 结果 干预后,两组医院焦虑抑郁量表中抑郁、焦虑评分下降,且研究组低于常规组(P < 0.05);两组Champion健康信念评估量表中各维度评分升高,且研究组高于常规组(P < 0.05);两组运动康复依从性量表中行为、心理和环境维度评分升高,且研究组高于常规组(P < 0.05);研究组第1秒用力呼气容积及两组右心室射血分数、6 min步行距离增加,且研究组高于常规组(P < 0.05)。 结论 基于授权理论的干预模式联合八段锦训练应用于CPHD患者能缓解患者焦虑、抑郁情绪,增加患者康复信念和康复运动依从性,从而在一定程度上有助于心肺功能的康复。

本文引用格式

朱颖 , 黄海清 , 龙怀聪 . 基于授权理论的干预模式联合八段锦对慢性肺源性心脏病患者健康信念及康复的影响[J]. 实用医学杂志, 2026 , 42(2) : 249 -254 . DOI: 10.3969/j.issn.1006-5725.2026.02.010

Abstract

Objective To explore and analyze the clinical application of combination of empowerment theory-based intervention model and Baduanjin exercise in patients with chronic pulmonary heart disease (CPHD), and to analyze the influence on health belief and rehabilitation of patients. Methods A retrospective cohort study was conducted on 310 patients with CPHD admitted to the hospital from January 2021 to January 2025. They were grouped according to different intervention methods (propensity score matching method was used to include samples at a 1∶1 ratio, and regression analysis was used to control confounding factors). The conventional group was only given clinical routine intervention. The study group adopted the intervention model based on the empowerment theory combined with Baduanjin training. The two groups were observed after intervention in terms of psychological state, health beliefs, compliance with exercise rehabilitation and rehabilitation conditions. Results After intervention, the depression score and anxiety score of hospital anxiety and depression scale were decreased in both groups, and the scores in the study group were lower (P < 0.05). The scores of dimensions of Champion health belief scale were increased in both groups, and the above scores were higher in the study group (P < 0.05). The scores of dimensions of behavior, psychology and environment of exercise rehabilitation compliance scale were enhanced in the two groups, and the scores in the study group were higher compared to the conventional group (P < 0.05). The forced expiratory volume in 1 second in the study group and right ventricular ejection fraction and 6min walking distance in the two groups were elevated, and the above indexes were higher in the study group compared to the conventional group (P < 0.05). Conclusion Empowerment theory-based intervention model combined with Baduanjin exercise for CPHD patients can alleviate anxiety and depression, increase rehabilitation belief and rehabilitation exercise compliance, and thus contribute to the rehabilitation of cardiopulmonary function to a certain extent.

参考文献

[1] XU Y, LIU Z, QI J, et al. Pulmonary heart disease associated mortality - China, 2014-2021[J]. China CDC Wkly, 2023, 5(35): 779-784. doi:10.46234/ccdcw2023.148 .
[2] ARIF W, BHIMANI R K, SHAH M ALI, et al. Unraveling disparities: Probing gender, race, and geographic inequities in pulmonary heart disease mortality in the United States: An extensive longitudinal examination (1999-2020) leveraging CDC WONDER data[J]. Curr Probl Cardiol,2024,49(6):102527. doi:10.1016/j.cpcardiol.2024.102527 .
[3] PELLICORI P, CLELAND J G F, CLARK A L. Chronic obstructive pulmonary disease and heart failure: A breathless conspiracy[J]. Cardiol Clin,2022,40(2):171-182.doi:10.1016/j.ccl. 2021. 12.005 .
[4] JHENG J R, BAI Y, NODA K, et al. Skeletal muscle SIRT3 deficiency contributes to pulmonary vascular remodeling in pulmonary hypertension due to heart failure with preserved ejection fraction[J]. Circulation,2024,150(11):867-883.doi:10.1161/CIRCULATIONAHA.124.068624 .
[5] WRIGHT K, ZACHARY W, PUGLISI L B, et al. Attending to cardiovascular disease risk factors after incarceration: A study of empowerment and structural barriers to care[J]. Health Soc Care Community,2022,30(6):e6112-e6121.doi:10.1111/hsc.14048 .
[6] CUZCO C, DELGADO-HITO P, MARIN-PéREZ R,et al. Transitions and empowerment theory: A framework for nursing interventions during intensive care unit patient transition[J]. Enferm Intensiva (Engl Ed),2023,34(3):138-147.doi:10.1016/j.enfie.2022.10.003 .
[7] ZHANG Y, JIANG X. The effect of Baduanjin exercise on the physical and mental health of college students: A randomized controlled trial[J]. Medicine (Baltimore),2023,102(34):e34897.doi:10.1097/MD.0000000000034897 .
[8] JONES C, QI M, XIE Z, et al. Baduanjin exercise for adults aged 65 years and older: A systematic review and meta-analysis of randomized controlled studies[J]. J Appl Gerontol,2022,41(4):1244-1256. doi:10.1177/07334648211059324 .
[9] SONG F, DING K, QI W, et al. Effects of Baduanjin Exercise on lung function and 6 min walk in COPD patients: A systematic review and meta-analysis[J]. Sci Rep,2024,14(1):17788. doi:10.1038/s41598-024-68581-7 .
[10] 张倩倩.双心干预对肺心病合并心力衰竭患者应激,炎症因子及心肺功能的影响[J].心血管康复医学杂志, 2020, 29(6):672-676.doi:10.3969/j.issn.1008-0074.2020.06.06 .
[11] ANNUNZIATA M A, MUZZATTI B, BIDOLI E, et al. Hospital Anxiety and Depression Scale (HADS) accuracy in cancer patients[J]. Support Care Cancer, 2020, 28(8): 3921-3926.doi:10.1007/s00520-019-05244-8 .
[12] 范亚硕,廖化波,孙明杰,等. 运用新媒体实施健康宣教在结肠癌患者院外护理中的应用[J]. 中华现代护理杂志, 2020, 26(6): 779-784. doi:10.3760/cma.j.issn.1674-2907.2020.06.015 .
[13] BENNELL K, NELLIGAN R K, SCHWARTZ S, et al. Behavior change text messages for home exercise adherence in knee osteoarthritis: Randomized trial[J]. J Med Internet Res,2020,22(9):e21749. doi:10.2196/21749 .
[14] 汪洋, 张辉, 伍冬冬, 等. 表没食子儿茶素没食子酸酯对低氧环境下肺心病大鼠呼吸衰竭的改善作用[J]. 实用医学杂志, 2022, 38(3): 330-334.doi:10.3969/j.issn.1006-5725. 2022. 03.013 .
[15] In China TWCOTROCHAD, HU S S. Report on cardiovascular health and diseases in China 2021: An updated summary[J]. J Geriatr Cardiol, 2023, 20(6): 399-430. doi:10.26599/1671-5411.2023.06.001 .
[16] KHAN S S, KALHAN R. Comorbid chronic obstructive pulmonary disease and heart failure: Shared risk factors and opportunities to improve outcomes[J]. Ann Am Thorac Soc,2022,19(6):897-899.doi:10.1513/AnnalsATS.202202-152ED .
[17] RAMALHO S H R, DE ALBUQUERQUE A L P. Chronic obstructive pulmonary disease in heart failure: Challenges in diagnosis and treatment for HFpEF and HFrEF[J]. Curr Heart Fail Rep,2024,21(3):163-173. doi:10.1007/s11897-024-00660-2 .
[18] WANG Z, SUN Y. Unraveling the causality between chronic obstructive pulmonary disease and its common comorbidities using bidirectional mendelian randomization[J]. Eur J Med Res,2024,29(1):143. doi:10.1186/s40001-024-01686-x .
[19] CAO M, XIANG T, WU T, et al. Application of health empowerment theory to enhance health empowerment levels and self-health management ability among migrant older adults: A randomized controlled trial[J]. Geriatr Nurs,2025,65:103525.doi:10.1016/j.gerinurse.2025.103525 .
[20] ZHANG Y, GU C, SUN L, et al. The application effect of a pulmonary rehabilitation program based on empowerment theory for patients with COPD combined with heart failure[J]. Medicine (Baltimore),2024,103(41):e40067.doi:10.1097/MD.0000000000040067 .
[21] LIU Y, LIANG X, YANG B, et al. Impact of baduanjin qigong exercise on fatigue in patients with lung cancer: A randomized controlled trial[J]. J Palliat Med, 2024,27(12):1648-1652. doi:10.1089/jpm.2024.0194 .
[22] ZHAO Y, WANG W, CAI Y, et al. Effects of Baduanjin exercise on cardiac rehabilitation after percutaneous coronary intervention: A systematic review and meta-analysis of randomized controlled trials[J]. Eur J Med Res,2025,30(1):889. doi:10.1186/s40001-025-03031-2 .
[23] LI J, YU M, WANG Y, et al. Baduanjin for ischemic heart failure with mildly reduced/preserved ejection fraction (BEAR Trial): A randomized controlled trial[J]. J Evid Based Med,2024,17(3):526-534. doi:10.1111/jebm.12631 .
文章导航

/