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

doi:10.3969/j.issn.1006-5725.2026.02.010

Abstract

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.

Key words: chronic pulmonary heart disease, empowerment theory, Baduanjin exercise, health belief, rehabilitation

CLC Number:

R541.5

Ying ZHU,Haiqing HUANG,Huaicong LONG. Influence of empowerment theory-based intervention model combined with Baduanjin exercise on health belief and rehabilitation in patients with chronic pulmonary heart disease[J]. The Journal of Practical Medicine, 2026, 42(2): 249-254.

Figures/Tables 5

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References 23

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组别	性别		原发病		糖尿病	高血压	体质量指数（x ± s）/（kg/m²）
组别	男	女	慢阻肺	其他	糖尿病	高血压	体质量指数（x ± s）/（kg/m²）
研究组（n = 155）	86（55.48）	69（44.52）	118（76.13）	37（23.87）	8（5.16）	19（12.26）	23.18 ± 3.12
对照组（n = 155）	90（58.06）	65（41.94）	122（78.71）	33（21.29）	11（7.10）	15（9.68）	22.87 ± 2.97
χ²/t值	0.210		0.295		0.505	0.529	0.896
P值	0.647		0.587		0.477	0.467	0.371

组别	抑郁		焦虑
组别	干预前	干预后	干预前	干预后
研究组（n = 155）	12.28 ± 3.24	7.15 ± 2.08^?	13.75 ± 3.16	7.35 ± 2.23^?
对照组（n = 155）	11.86 ± 3.18	8.62 ± 2.54^?	13.52 ± 3.22	8.10 ± 2.35^?
t值	1.152	5.575	0.635	2.882
P值	0.250	< 0.001	0.526	0.004

组别	感知易感性		感知严重性		感知益处
组别	干预前	干预后	干预前	干预后	干预前	干预后
研究组（n = 155）	11.35 ± 2.48	15.87 ± 2.73^?	15.83 ± 3.15	24.16 ± 4.86^?	8.47 ± 1.86	15.33 ± 2.85^?
对照组（n = 155）	10.92 ± 2.55	14.82 ± 2.64^?	16.04 ± 3.07	22.58 ± 4.53^?	8.62 ± 2.02	13.88 ± 3.14^?
t值	1.505	3.442	0.594	2.961	0.680	4.257
P值	0.133	0.001	0.553	0.003	0.497	< 0.001
组别	感知障碍		健康动力		自我效能
组别	干预前	干预后	干预前	干预后	干预前	干预后
研究组（n = 155）	14.32 ± 3.15	23.42 ± 3.08^?	5.18 ± 1.45	10.34 ± 2.43^?	25.86 ± 4.28	39.46 ± 5.24^?
对照组（n = 155）	14.85 ± 3.20	22.15 ± 4.12^?	5.26 ± 1.37	8.03 ± 2.52^?	26.35 ± 4.15	36.25 ± 6.22^?
t值	1.469	3.074	0.499	8.215	1.023	4.914
P值	0.143	0.002	0.618	< 0.001	0.307	< 0.001

组别	行为		心理		环境
组别	干预前	干预后	干预前	干预后	干预前	干预后
研究组（n = 155）	8.96 ± 2.46	15.95 ± 3.06^?	7.03 ± 2.05	11.32 ± 2.52^?	8.65 ± 2.41	10.38 ± 2.36^?
对照组（n = 155）	9.15 ± 2.53	14.03 ± 2.68^?	6.96 ± 2.18	9.05 ± 2.43^?	8.58 ± 2.37	9.54 ± 2.28^?
t值	0.670	5.877	0.291	8.073	0.258	3.187
P值	0.503	< 0.001	0.771	< 0.001	0.797	0.002

组别	FEV1/%		RVEF/%		6 min步行距离/m
组别	干预前	干预后	干预前	干预后	干预前	干预后
研究组（n = 155）	58.46 ± 5.43	61.08 ± 4.86^*	37.42 ± 3.49	40.28 ± 3.18^*	218.57 ± 31.82	268.54 ± 35.48^*
对照组（n = 155）	58.75 ± 5.16	59.54 ± 5.05	37.58 ± 3.28	38.86 ± 3.22^*	223.52 ± 30.54	252.38 ± 32.86^*
t值	0.482	2.736	0.416	3.906	1.397	4.160
P值	0.630	0.007	0.678	< 0.001	0.163	< 0.001

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

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