Effects of extended nursing based on the KABP theory for medication compliance, quality of life, and self-efficacy of patients with coronary heart disease / 中华健康管理学杂志

ABSTRACT

Objective:To explore the effect of extended nursing based on the knowledge, attitude, belief, practice (KABP) theory for medication compliance, quality of life, and self-efficacy of patients with coronary heart disease.Methods:One-hundred-and-three patients were selected with coronary heart disease, treated at the First Affiliated Hospital of Zhengzhou University from August 2017 to August 2019.Participants were divided via simple randomization into a control group (with 49 cases) and a test group (with 54 cases). The control group received routine follow-up care after discharge. The test group received extended nursing based on the KABP theory for their routine follow-up. Guided by knowledge, belief, and behavior theory, the control group was provided with continuous health guidance and rehabilitation care after discharge. Medication compliance between the two groups at discharge and three-months follow-up was compared with the Morisky medication compliance (MMAS-8) scale. Quality of life scores and self-efficacy scores between the two groups were compared at discharge and three months after discharge, via the Seattle Angina Scale (SAQ) and General Self-Efficacy Scale (GSES).Results:Differences between the two groups were not statistically significant in terms of gender, age, course of disease, body mass index, New York Heart Association grading, comorbidities, marital status, and education level ( P>0.05). Test group scores of the following measures were higher than those in the control groups, respectively, at three months after discharge (all P<0.001) MMAS-8 (6.0±0.6 vs. 4.8±0.5), physical limitation (34.0±3.6 vs. 27.2±3.1), angina pectoris steady state (3.4±0.4 vs. 2.8±0.3), disease awareness (11.9±1.0 vs. 9.1±0.8), total SAQ (70.4±7.6 vs. 64.0±7.1), effort (7.0±0.7 vs.6.0±0.7), goal achievement (7.1±0.8 vs.6.0±0.7), self-expectation (7.2±0.8 vs.5.1±0.6), and GSES (36.9±4.1 vs. 27.1±3.2). An interaction between time and group effects was present (all P<0.001). Conclusion:Extended nursing based on the KABP theory can promote the compliance of patients with coronary heart disease and improve their quality of life and self-efficacy.