Health Education Nursing Based on BCW Theory Improve Negative Psychology, Sleep and Quality of Life in Elderly Patients After Cardiac Interventional Surgery: A Retrospective Study
DOI:
https://doi.org/10.59958/hsf.7781Keywords:
behavior change wheel, negative emotion, sleep quality, quality of life, PCIAbstract
Objective: Guided by Behavior Change Wheel (BCW) theory, a rehabilitation nursing intervention program for patients after percutaneous coronary intervention (PCI) was constructed. This study aimed to explore the impact of this intervention program on the negative emotions, sleep quality, and quality of life of patients after PCI. Methods: Patients with coronary heart disease after PCI who visited the cardiology department in our hospital from September 2022 to February 2024 were selected as the research subjects. The patients were divided into two groups according to the order of the operation time: 57 cases in the conventional group and 56 in the BCW group. The systolic blood pressure, diastolic blood pressure, and resting heart rate (RHR) of the two groups before the administration (T1) and at the end of 3 month administration (T2) were evaluated. The Self-Rating Anxiety Scale (SAS), self-rating depression scale, Pittsburgh sleep quality index, and quality of life scale were used in measuring the anxiety, depression, sleep quality, and quality of life levels of the two groups of patients at two-time points. Results: A total of 113 cases were included: 57 cases in the conventional group and 56 in the BCW group. The BCW group had larger improvements in RHR and blood pressure than the conventional group (p < 0.05). The SAS and Self-rating Depression Scale (SDS) scores of the BCW group were significantly lower than those in the conventional group (p < 0.05). After nursing based on the BCW model was implemented, the Pittsburgh Sleep Quality Index (PSQI) scores of the patients in the BCW group were lower than those in the conventional group (p < 0.001). After 3 months of administration, the SF-36 total score and other dimensional scores in the BCW group were higher than those in the conventional group (p < 0.05), and no significant difference was observed between the groups before administration (p > 0.05). Conclusion: Intervention programs based on BCW theory may help to reduce patients' depression and anxiety levels, potentially exerting positive effects that improve RHR and cardiac function in patients after coronary intervention and improving patients' sleep and life quality.
References
Zhu W, Li X. Liquid Biopsy in Coronary Heart Disease. Methods in Molecular Biology (Clifton, N.J.). 2023; 2695: 279–293.
Akbari T, Al-Lamee R. Percutaneous Coronary Intervention in Multi-Vessel Disease. Cardiovascular Revascularization Medicine: Including Molecular Interventions. 2022; 44: 80–91.
Kandan SR, Johnson TW. Management of percutaneous coronary intervention complications. Heart (British Cardiac Society). 2019; 105: 75–86.
Han Y. Chinese expert consensus statement on dual antiplatelet therapy in patients with coronary artery disease. European Heart Journal. 2022; 43: 1283–1285.
Yusuf S, Joseph P, Rangarajan S, Islam S, Mente A, Hystad P, et al. Modifiable risk factors, cardiovascular disease, and mortality in 155 722 individuals from 21 high-income, middle-income, and low-income countries (PURE): a prospective cohort study. Lancet (London, England). 2020; 395: 795–808.
Michie S, van Stralen MM, West R. The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implementation Science: is. 2011; 6: 42.
Klonoff DC. Behavioral Theory: The Missing Ingredient for Digital Health Tools to Change Behavior and Increase Adherence. Journal of Diabetes Science and Technology. 2019; 13: 276–281.
Mabweazara SZ, Leach LL, Ley C. Development of a context-sensitive physical activity intervention for persons living with HIV and AIDS of low socioeconomic status using the behaviour change wheel. BMC Public Health. 2019; 19: 774.
McEvoy CT, Moore SE, Appleton KM, Cupples ME, Erwin C, Kee F, et al. Development of a peer support intervention to encourage dietary behaviour change towards a Mediterranean diet in adults at high cardiovascular risk. BMC Public Health. 2018; 18: 1194.
Clarke AL, Jhamb M, Bennett PN. Barriers and facilitators for engagement and implementation of exercise in end-stage kidney disease: Future theory-based interventions using the Behavior Change Wheel. Seminars in Dialysis. 2019; 32: 308–319.
Félix IB, Guerreiro MP, Cavaco A, Cláudio AP, Mendes A, Balsa J, et al. Development of a Complex Intervention to Improve Adherence to Antidiabetic Medication in Older People Using an Anthropomorphic Virtual Assistant Software. Frontiers in Pharmacology. 2019; 10: 680.
Ojo SO, Bailey DP, Brierley ML, Hewson DJ, Chater AM. Breaking barriers: using the behavior change wheel to develop a tailored intervention to overcome workplace inhibitors to breaking up sitting time. BMC Public Health. 2019; 19: 1126.
Daoud N, Jung YE, Sheikh Muhammad A, Weinstein R, Qaadny A, Ghattas F, et al. Facilitators and barriers to smoking cessation among minority men using the behavioral-ecological model and Behavior Change Wheel: A concept mapping study. PloS One. 2018; 13: e0204657.
World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA. 2013; 310: 2191–2194.
Jia S, Liu Y, Yuan J. Evidence in Guidelines for Treatment of Coronary Artery Disease. Advances in Experimental Medicine and Biology. 2020; 1177: 37–73.
Yue T, Li Q, Wang R, Liu Z, Guo M, Bai F, et al. Comparison of Hospital Anxiety and Depression Scale (HADS) and Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in Evaluating Anxiety and Depression in Patients with Psoriatic Arthritis. Dermatology (Basel, Switzerland). 2020; 236: 170–178.
Dunstan DA, Scott N. Norms for Zung's Self-rating Anxiety Scale. BMC Psychiatry. 2020; 20: 90.
Sepehry AA. Self-Rating Depression Scale (SDS). Encyclopedia of Quality of Life and Well-Being Research (pp. 6269–6276). Springer International Publishing: Cham. 2024.
Liu D, Kahathuduwa C, Vazsonyi AT. The Pittsburgh Sleep Quality Index (PSQI): Psychometric and clinical risk score applications among college students. Psychological Assessment. 2021; 33: 816–826.
Shayan NA, Arslan UE, Hooshmand AM, Arshad MZ, Ozcebe H. The Short Form Health Survey (SF-36): translation and validation study in Afghanistan. Eastern Mediterranean Health Journal. 2020; 26: 899–908.
Hou Y, Zhang D, Zhu J, Zhao X, Lu M, Wu Q, et al. Short report: depression and anxiety symptoms as predictors of adverse cardiovascular events in Chinese patients after percutaneous coronary intervention. Psychology, Health & Medicine. 2021; 26: 1126–1133.
Mujtaba SF, Sial JA, Karim M. Depression and Anxiety in patients undergoing Percutaneous Coronary Intervention for Acute Coronary Syndrome. Pakistan Journal of Medical Sciences. 2020; 36: 1100–1105.
Zhu C, Lu Y, Cheng M, Zhou Z, Zhang Y, Lei X, et al. Sleep profile and the risk of cardiovascular events in patients undergoing percutaneous coronary intervention. Psychology, Health & Medicine. 2023; 28: 799–811.
Jiang W, Feng M, Gao C, Li J, Gao R, Wang W. Effect of a nurse-led individualized self-management program for Chinese patients with acute myocardial infarction undergoing percutaneous coronary intervention. European Journal of Cardiovascular Nursing. 2020; 19: 320–329.
Liu R, Ye Y, Xia W, Shi Y, Chen H, Huang X, et al. Analysis of the effect of health education model based on BCW theory in patients with acute retinal necrosis. Signa Vitae. 2023; 19: 195.
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